- Humana (Columbus, OH)
- …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 the investigations of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex to complex… more
- US Bank (Cincinnati, OH)
- …and enablement resources are allocated and aligned to key Electronic Payment Services (EPS) strategic and high value nonproduction activities/initiatives. The role ... will be responsible for developing, maintaining and working an intake, evaluation and feeder queue for all size of requests for EPS resources. Success will be measured by reducing the amount of time various managers, subject matter experts and other EPS… more
- Highmark Health (Columbus, OH)
- …with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in accordance ... SUMMARY** This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code… more
- Oracle (Columbus, OH)
- **Job Description** We are seeking an experienced professional to support Oracle's global payment ecosystem by serving as the primary point of contact for ... payment partners across the Hospitality, Food & Beverage, and...Description** Serve as the primary point of contact for payment partners across the Hospitality, Food & Beverage, and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Position** Reporting to the System Director, the Manager of Government Payment Programs provides operational leadership and oversight of government-sponsored ... payment models within the Bon Secours Mercy Health Population...backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary… more
- Intermountain Health (Columbus, OH)
- …Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, ... in a timely and accurate manner. **Essential Functions** + Identify appropriate payment details and save back-up as appropriate. Balance payments to deposits in… more
- Molina Healthcare (Dayton, OH)
- …and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to ... to Molina's culture, Mission and Values. **KNOWLEDGE, SKILLS & ABILITIES** ** Payment Integrity Analytics** + Assist in analyzing large datasets to identify… more
- Humana (Columbus, OH)
- …help us put health first** The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and monitoring of ... medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to complex issues where the analysis of… more
- CenterWell (Columbus, OH)
- …of our caring community and help us put health first** The Credentialing Professional obtains and reviews documentation to determine status in a health plan. The ... Credentialing Professional work assignments are often straightforward and of moderate...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more
- Humana (Columbus, OH)
- …and help us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, documentation, and ... an organization that provides health insurance. The Senior Provider Reimbursement Professional works assignments involve moderately complex to complex issues where… more