- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Payment Integrity Professional 2 contributes to overall cost reduction by ... guidelines and data anomalies to ensure correct claim payment . The Payment Integrity Professional 2 work assignments require in depth research, cross… more
- Humana (Richmond, VA)
- …community and help us put health first** The Encounter Data Management Professional 1 develops business processes to ensure successful submission and reconciliation ... improvements of encounter submission processes. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions… more
- Elevance Health (Richmond, VA)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... and ensures essential face-to-face onboarding and skill development. Carelon Payment Integrity is a proud member of...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Mass Markets (VA)
- …for reconciliations across seven different agencies. + Reconciling daily and monthly payment trackers to ensure all payments are accurately posted. + Identifying and ... resolving payment discrepancies during daily reconciliations. + Processing daily ... returns and keying payments efficiently. + Ensuring the integrity and accuracy of financial data CANDIDATE QUALIFICATIONS WONDER… more
- Elevance Health (Richmond, VA)
- …considered for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of ... companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- HCA Healthcare (Richmond, VA)
- …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- Cardinal Health (Richmond, VA)
- …skills; able to multitask effectively** **Customer service orientation with a professional demeanor** **High level of accountability, integrity , and ... balances** **Identify account problems, patterns, and trends** **Assist with additional payment -related functions as necessary** **Assist and respond to reports in a… more
- Banner Health (VA)
- …for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides ... Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems. Provides explanatory and… more
- HCA Healthcare (Salem, VA)
- …BUT ARE NOT LIMITED TO: + Welcome patient and family members in a professional manner. Contact the nursing staff for emergency medical needs and answer patient and ... treatments, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties. Obtain copies of necessary… more
- Elevance Health (Norfolk, VA)
- …will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance Health family of ... companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
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