- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to blue. Reporting to the Director of Professional Reimbursement Strategy, the Payment Integrity Consultant uses industry knowledge, research skills, payment ... prioritizing development needs and requirements + Participate in professional reimbursement payment integrity activities that include developing new payment … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, ... 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/ payment systems, provider billing guidelines,...- Maximum: $142,322 The salary range indicated in this posting represents the minimum and maximum of the salary… more
- New England Cancer Specialists (Westbrook, ME)
- …accurately. + Reconcile monthly deposits in collaboration with Finance Department. + Completes payment posting process for Free Drug & Drug Replacement. + ... Job Descriptions: NECS is a private medical practice composed of 18 Oncologists and hematologists....patient balances are posted accurately + Identifies and manages payment posting errors + Familiarize themselves with… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in data to ... of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex to...(40 hours per week) employment at the time of posting . The pay range may be higher or lower… more
- Elevance Health (Atlanta, GA)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Citigroup (Tampa, FL)
- …through comprehensive payroll management, strategic cash flow optimization and robust payment capabilities controls, empowering our organization to thrive and our ... employees to succeed. Payment Controls Operations, as part of Cash Services, is...and retention awards. Citi offers competitive employee benefits, including: medical , dental & vision coverage; 401(k); life, accident, and… more
- Huron Consulting Group (Chicago, IL)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: + Lead complex healthcare consulting engagements, creating… more
- Cognizant (Atlanta, GA)
- …. XCT eg SWIFT MT-MX Cross Border will be an asset . OPF general payments knowledge payment gateway . SEPA-SCTINST SEPA CT SEPA DD SEPA Instant . CBIS: Payment ... an advantage . excellent problem-solving, team-working and time management skills . payment expertise: see next column . Knowledge on Bitbucket. . Optional:… more
- Citigroup (Jersey City, NJ)
- …Administrators, Data Centre Operations, and Change Control groups) for Payment platforms. He/she requires exceptional communication skills across both technology ... leading globally distributed and large teams successfully + Strong expertise in Payment Product Processor Implementation + Experience in application run the bank… more
- US Bank (Milwaukee, WI)
- …to driving innovation and launching new products, we're building a range of tailored payment solutions powered by the latest technology. As part of our team, you can ... our customers, our communities, and each other. **Job Description** **Note:** This posting is for a **future opportunity** anticipated to begin **early** **2026** .… more