- Centene Corporation (Austin, TX)
- …calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination updates) + Thoroughly ... + Presents proposed solutions in a clear and concise manner + Assists with audit preparation as needed + Assists with miscellaneous special project work as assigned… more
- SSM Health (Fond Du Lac, WI)
- …end of day check out, with minimal shortage/overages. Ensures all insurance claims are processed according to policy and procedures. Confirms accuracy of ... prescription billing, days' supply, quantity, MME, source and DAW to avoid audit charge backs and ensure compliance with Fraud Waste and Abuse (FWA) Laws. +… more
- PHC North America (IL)
- …compliance through: + HTS classification accuracy and validation + Customs documentation and audit readiness + Duty drawback claims + First sale for Export ... essential tools for researchers and professionals in pharmaceuticals, biotechnology, and healthcare , making a meaningful impact on advancements in these fields. Your… more
- Cleveland Clinic (Akron, OH)
- …coordinating the daily appointment schedule. + Collect information from patients, process insurance claims and audit collections. + Receive incoming calls to the ... steppingstones toward a rewarding career with one of the world's most respected healthcare organizations. We strive for patient-centered care and comfort, and we are… more
- City National Bank (Newark, DE)
- …that may require ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department audit reports and other support ... the benefits and perks we offer our colleagues including: * Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of… more
- Mass Markets (Savannah, GA)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... + Critical thinking, problem solving, research skills and determination Preferred + Audit experience a plus (IRS and state tax authorities) + Bachelor's Degree… more
- Centene Corporation (Indianapolis, IN)
- …plan's primary fraud, waste and abuse subject matter expert + Coordinate audit documentation, develop internal and state required reports and internal policies and ... concerning program integrity issues **Knowledge/Experience:** Bachelor's degree in Business, Healthcare , Criminal Justice, related field, or equivalent experience. 4+… more
- UGI Corporation (Houston, TX)
- …including tracing and problem resolution. + Perform research on customer and driver claims and special projects assigned by Team Leaders + Respond to drivers and ... of new sale agreements into accounting systems + Perform routine maintenance and audit of FAST and ERPs for carrier billing Knowledge, Skills and Abilities: +… more
- Covenant Health Inc. (Sevierville, TN)
- …for children, adolescents and adults, Peninsula is a leader in the changing healthcare environment. The hospital is located in Blount County, with outpatient centers ... This job covers both medical records, front desk, charge and documentation audit functions. The Consumer Relations Specialist will possess the knowledge to work… more
- LogixHealth (Dania Beach, FL)
- …oversights of the product + Educate Auditors as needed + Special projects + Payer audit defense + Work with coding operations on the overview of new go lives to ... offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more