- Signature HealthCARE (Columbus, OH)
- …complete daily sales calls on target market and referral sourcesOversee and provide assistance to Market Liaison teamWill represent two or more facilitiesResponsible ... Need to make a Difference Bachelor's degree in Marketing, Business Administration , Communications, or related field preferred. Equivalent related work experience may… more
- American Honda Motor Co Inc (Marysville, OH)
- …Company's overall risk exposure. Investigate Confidentiality breaches on need-be basis. Provide regular reporting to Company leadership. Support NA Region Risk and ... decisions in a fast-paced setting* Strong interpersonal, relationship-building, negotiating, administrative and organizational skills* Demonstrated experience in administering, creating… more
- American Honda Motor Co Inc (Marysville, OH)
- …Evaluate overall operational progress through regular status assessment and provide associated feedback.Campus Operations Support -- Utilize technical knowledge of ... objectives. Evaluate individual performance vs. established goals and competencies. Provide regular performance-related feedback.Qualifications, Experience, and SkillsBachelor's degree in… more
- Elevance Health (Columbus, OH)
- …Elevance Health office locations. **Open to any Elevance Health office**_ The ** Provider Reimburse Admin ** ensures accurate adjudication of claims, by ... translating medical policies, reimbursement policies, and clinical editing policies into effective and...or any combination of education and experience, which would provide an equivalent background. _A coding certification is required… more
- Elevance Health (Columbus, OH)
- …communications process on such issues as administrative and medical policy, reimbursement , and provider utilization patterns + Conducts proactive outreach to ... environment; or any combination of education and experience, which would provide an equivalent background **Preferred Qualifications:** + Provider experience is… more
- Trinity Health (Columbus, OH)
- …development experience highly preferred . Knowledge of physician claims coding and Provider reimbursement payment methodologies . Ability to interpret ... with the Medical Delivery Systems budget. . Manages successful implementation of provider contracts, including interpretation of payment and reimbursement terms.… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers ... the contracted working relationship with the health plan. The Supervisor, Provider Engagement works within thorough, prescribed guidelines and procedures; uses… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements for an organization that provides... Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. **Typical responsibilities, but not limited… more
- Elevance Health (Columbus, OH)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement III- Medicare Cost Report Audit** **_Locations:_** _This...other associates + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents or other… more
- Elevance Health (Columbus, OH)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** :...other associates. + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents, or other… more
- Elevance Health (Columbus, OH)
- …and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement Senior** **Location:** This is a virtual position;...or any combination of education and experience which would provide an equivalent background. + **_This position is part… more
- Elevance Health (Columbus, OH)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with ... of Health and Human Services). Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on… more
- Plante Moran (Columbus, OH)
- Healthcare Reimbursement - Consulting Sr. Manager + Location: United States, Ohio, Columbus + Location: United States, Ohio, Cleveland Make your mark. Our senior ... works with post-acute providers including SNFS, Hospice, HHA, ICF, etc. From reimbursement strategy to operations and everything in between, our integrated solution… more
- Cardinal Health (Columbus, OH)
- …registration, business office, finance, practice operations etc.) to facilitate contract administration and execution + Support clinic and admin departments ... This role's primary focus is to work diligently to ensure optimal reimbursement for physician services and physician satisfaction as it relates to managed… more
- Nelnet (Columbus, OH)
- …Embedded framework, building reports while also making enhancements to the PBI Admin (Release) Application and Client Application. You will also have the opportunity ... Embedded applications, including building visualizations and the Client and Admin applications + Write code and automated tests for...and automated tests for new features + Review and provide feedback on development pull requests + Provide… more
- Prime Therapeutics (Columbus, OH)
- …of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is ... to provide outstanding service to internal and external customers and...and external customers and strive to resolve member and provider needs on the first call. Performance expectations are… more
- Prime Therapeutics (Columbus, OH)
- …program. Staff members serving in this position serve as experts on MAC provider reimbursement issues for their respective assigned accounts. **Job Description** ... set by customer. Responsible for coordination and monitoring of the administrative provisions of the Prime Therapeutics contracts with providers. This is… more
- HealthEdge Software Inc (Columbus, OH)
- …regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite ... of system functionality related toclaims adjudication,benefitsconfiguration,interfaces to third-partyclaims editors,and Provider data maintenance processes. You willdefine and prioritize the… more
- Trinity Health (Grove City, OH)
- …Nurse (LPN)** , within the scope of the Ohio Nurse Practice Act, will provide administrative support and care in an atmosphere sensitive to each person's ... programs + Employee recognition incentive program + Tuition/professional development reimbursement + Discounted tuition and enrollment opportunities' at the Mount… more
- HealthEdge Software Inc (Columbus, OH)
- …(eg, claim life cycle/workflow, network contracting, payment/policy configuration, provider relations, medical management, medical economics, audit, compliance) ... a moreholistic approachto payment integrity that focuses on comprehensive reimbursement , agile editing, and integrated analytics. Our interoperable, cloud-based… more
