- 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
- City of Columbus (Columbus, OH)
- Recreation Administrative Coordinator-Aquatics (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/4642718) Apply Recreation ... Definition This position is for the Aquatics section. Under administrative direction, is responsible for the overall direction and...degree and four (4) years of experience in recreation administration or a closely related field, including one (1)… 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 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
- Black & Veatch (Columbus, OH)
- …for small groups of a single discipline ** Administrative :** + Administrative responsibilities may include office administration + Ensures policies, ... service to our** **U.S. Government client base** , we are able to provide one-of-a-kind solutions to complex mission objectives that arise out of specific challenges… more
- Mathematica (Columbus, OH)
- …** * Collaborate with pricing, purchasing, accounting, finance staff and other administrative groups within Mathematica to provide end‐to‐end business solutions ... You will also work closely with Mathematica's corporate legal team as necessary to provide advice on contractual terms to minimize risk to all parties prior to… 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 ... solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a unique… more