- Molina Healthcare (Cincinnati, OH)
- …insight to Molina's culture, Mission and Values.? KNOWLEDGE, SKILLS & ABILITIES ? Payment Integrity Analytics ? Assist in analyzing large datasets to identify ... analysts to conduct exploratory and diagnostic data analysis that supports payment integrity projects.? Utilize statistical analysis, machine learning techniques… more
- Oracle (St. Paul, MN)
- 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 ... Description Serve as the primary point of contact for payment partners across the Hospitality, Food & Beverage, and...thrive after 40+ years of change by operating with integrity . We know that true innovation starts when everyone… more
- Fairview Health Services (St. Paul, MN)
- Job Overview Job Overview: Fairview is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge ... Understands and contributes to the process or enablement of collecting expected payment by ensuring accurate and compliant charge capture, coding and documentation… more
- Trinity Health (Livonia, MI)
- …Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, ... in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. Functional Role (not inclusive of titles or… more
- Humana (Lansing, MI)
- …claims initially paid correctly in the system) Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience CAS claims ... help us put health first The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and monitoring of… more
- Comcast (Duryea, PA)
- …Adaptability; Self Motivation; Critical Thinking Problem Solving; Communication; Resilience; Professional Integrity Salary: Base Pay: $29,070.00 The application ... payable if the employee is in good standing continuously through the date each payment is made. Only candidates hired into the role externally are eligible for the… more
- Oracle (Lansing, MI)
- …you will play a pivotal role in delivering and optimizing Oracle Textura Payment Management (TPM) for our clients. Oracle Textura Payment Management (TPM) ... solution designed to streamline and automate the construction billing and payment process. Since 2004, TPM has helped organizations efficiently manage nearly… more
- Repligen (Waltham, MA)
- …is a global, publicly traded company seeking a highly motivated, detail-oriented professional to join our growing Finance team. In this hybrid role, you ... and external partners to ensure the timely and accurate processing and payment of invoices while delivering exceptional service to our vendors and colleagues.… more
- PPL Corporation (Allentown, PA)
- …productivity with suppliers and customers. This position is an experienced professional that works independently with minimal supervision and may provide guidance ... as necessary by using hedges for foreign currency, pursuing performance and payment bonds, or obtaining parental guarantees. Analyze and develop company position on… more
- UnitedHealth Group (Minneapolis, MN)
- …coding elements, and medical necessity reviews Responsible for guidance related to Payment Integrity initiatives to include concept and cost avoidance ... identification of overpayments Serves as a SME for all Payment Integrity functions to include both Retrospective...Inpatient Coder with RHIT, RHIA or CCS Certification(s) Certified Professional Coder (CPC) 5+ years of experience in the… more
- Elevance Health (Mason, OH)
- …be 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
- Elevance Health (Mason, OH)
- …be 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
- EDB (Boston, MA)
- …and communications to enhance understanding of our Plan. Vesting & Data Integrity : Ensure accurate tracking and processing of vesting schedules. Own the data ... integrity of our equity platform, performing regular reconciliations between...a related discipline, or demonstrated equivalent experience. Certified Equity Professional (CEP) or Certified Payroll Professional (CPP)… more
- Humana (Dayton, OH)
- …first This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, ... questions, problems, and concerns from enrollees, providers, and ODM's Program Integrity Cooperate effectively with federal, state, and local investigative agencies… more
- Christus Health (Farmers Branch, TX)
- …will play a key role in optimizing AP processes, resolving complex payment -related issues, and supporting financial integrity and operational excellence within ... business needs with a willingness to learn. Maintain confidentiality and integrity when handling sensitive financial information with professionalism and ethical… more
- Baystate Health (Palmer, MA)
- …reimbursement. Obtains necessary signatures of all required forms and interacts in a professional and courteous manner with fellow staff members and the public at ... Treat all patients, coworkers, and internal partners with dignity and respect. Integrity : Be honest, trustworthy, dependable, and use good judgment in your work;… more
- ITW (Troy, OH)
- …the communities where they live and work, and demonstrate the ITW values of Integrity , Simplicity, Trust, Respect and Shared Risk. Hobart Service is seeking a Credit ... routine collections on accounts, utilizing phone, email, letters and monitoring payment plans. Process incoming credit card payments and update accounts accordingly.… more
- Humana (Oklahoma City, OK)
- …the Senior Fraud and Waste Investigator, you will serve as Humana's Program Integrity Officer, and will oversee the monitoring and enforcement of the fraud, waste, ... questions, problems, and concerns from enrollees, providers, and OHCA Program Integrity Cooperate effectively with federal, state, and local investigative agencies… more
- Trinity Health (Livonia, MI)
- …primarily focuses on discrepant orders/invoices and any urgent supply and payment situations. Key responsibilities include organization and/or prioritization of work ... or problems that prohibit timely ordering of goods and services or timely payment of invoices. Identifies repetitive problems and works with Team Leads and/or… more
- Owens & Minor (Columbus, OH)
- …and underpaid claims. Resubmits or appeals as necessary. Verifies payment information adjustments to supervisor. Coordinates collection activities for delinquent ... supervisor. Initiates payments and resubmits bills as necessary. Pursues patient for payment obligations when insurance defaults as permitted by law or contractual… more
