Revenue Integrity Payor Change & Reverification Specialist
Humana Inc
Humana Inc in Columbus, Ohio, is looking for a Healthcare Payor Change/Reverification Representative. This role involves auditing documents to ensure revenue recognition, verifying patient eligibility, and preparing invoices for reimbursement. The ideal candidate will have at least one year of experience in accounts receivable insurance claims and eligibility, along with proficiency in Microsoft Office. Humana offers competitive benefits supporting whole-person well-being. #J-18808-Ljbffr Humana Inc
$37.31 - $58.75 per hour
...Intermountain's policies and procedures. Revenue Integrity Analyst II Service Areas: Emergency/... ...on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment... ...to be flexible and adaptable to change. Demonstrates ability to work in a clinical...SuggestedHourly payMonday to FridayFlexible hours- ...healthcare institution in Columbus, Ohio is seeking a Clinical Financial Case Management Specialist 2 to manage complex medical necessity denials and support clinicians in optimizing revenue. The ideal candidate has a strong oncology background, excellent communication...Suggested
- Position Summary Under the direction of the Director, Patient Accounts, the Revenue Integrity Analyst will ensure accurate and compliant healthcare billing by analyzing claims, resolving errors, managing the charge master, identifying denial root causes, educating staff...SuggestedFull timeWork at officeLocal areaDay shift
$95k - $125k
...committed to delivering solutions that change lives for the better. The firm is a member... ...We are seeking a Data Conversion Specialist who will lead the migration of legacy data... ...using appropriate tools Validate data integrity and accuracy post-migration Secure handling...SuggestedFor contractorsH1bWork at officeLocal areaRemote work$37.31 - $58.75 per hour
Intermountain Health is seeking a Revenue Integrity Analyst II to manage billing, follow-up, and issue resolution for patient accounts. The role includes data analysis and collaboration across teams to enhance financial processes. Ideal candidates will hold relevant certifications...SuggestedHourly pay- A healthcare organization in Westerville, Ohio, is seeking a Revenue Integrity Analyst to ensure accurate healthcare billing by analyzing claims and managing the charge master. This role involves SQL development, data analysis, and training staff on billing practices. Candidates...Work at office
$22.45 - $24.7 per hour
Ensemble Health Partners, located in Columbus, Ohio, is seeking a Senior Revenue Recovery Specialist to improve the recovery of patient account underpayments. The ideal candidate will work closely with payors and internal teams, ensuring timely resolution of payment...Remote jobFlexible hours- ...healthcare institution is hiring a Pharmacy Audit and Reconciliation Coordinator to manage the pharmacy claims workflow and drive revenue cycle improvements. This role requires a combination of technical skills in billing and experience as a pharmacy technician, ensuring...
- ...medical institution in Columbus, Ohio is seeking a Senior Scheduling Coordinator to manage patient scheduling and support within the Revenue Cycle. You will be responsible for processing patient information and scheduling appointments while ensuring excellent customer...Full time
$50k - $75k
...Corp. has helped organizations change the world through technology.... ...Job Summary The Deal Desk Specialist supports the day-to-day... ...cycles while maintaining data integrity and compliance. Role Description... ...with vendor licensing terms, revenue recognition requirements, and...Work experience placementWorldwideFlexible hours- The Ohio State University is seeking a Revenue Cycle Coordinator to join the team at the Wexner Medical Center. This role involves processing patient information and ensuring exceptional customer service is provided in various areas such as registration and scheduling....
- Overview Join to apply for the Revenue Cycle Specialist role at Inside Higher Ed Job title: Revenue Cycle Specialist Location: Ackerman Rd, 660 (0242) - Columbus, OH area Responsibilities Review patient bills in the medical record system to apply Medicare research coding...Contract workWork at officeShift workDay shift
- Syntricate Technologies is seeking a Change Management Specialist in Columbus, Ohio. This role involves ensuring projects meet objectives on time by increasing employee adoption and focusing on the people side of change. The specialist will be responsible for change initiatives...
- The Ohio State University Wexner Medical Center is seeking a Scheduling Coordinator 3 for its Revenue Cycle. This advanced role requires expertise in scheduling and customer service, helping patients navigate their healthcare journey. Key responsibilities include coordinating...
- Change Management Specialist The Change Management Specialist will play a key role in ensuring projects (change initiatives) meet objectives on time by increasing employee adoption and usage. This person will focus on the people side of change including changes to business...
- ...financials for all Oncology clinical trials; especially focusing on Revenue and Billing. Responsibilities across the group include revenue... ...Research Finance & Compliance (CRFC), the Revenue Cycle Specialist’s role is focused on ensuring the proper billing for OSUCCC-James...Contract workWork at officeRemote work
- A leading law firm is seeking an HRIS Specialist to manage and optimize their Human Resources Information System (HRIS). This hybrid position... ...improving HR processes, providing training, and ensuring data integrity. Benefits include comprehensive insurance plans and a flexible...Flexible hours
- Responsibilities Conduct individual and group training sessions via Zoom to assist with Learning Management System (LMS) integrations. Develop a strong understanding of McGraw Hills digital products, including Connect, SIMnet, and ALEKS. Collaborate with sales teams to...
- ...Investment Banking's Equities Electronic Trading team, you are an integral part of an agile team that works to enhance, build, and deliver... ...closely with stakeholders and clients and update, configure, change the trading application and downstream peripherals. Develop...Work at office
- ...Columbus, Ohio, is seeking a Senior Oracle Fusion Administrator for a contract role. This position involves building and optimizing integrations across Oracle systems, with a strong emphasis on individual technical execution. The ideal candidate has deep expertise in...Contract work
$95.86k - $208.27k
...creating new pathways for growth. In this ever-changing market environment, our professionals... .... KPMG is currently seeking a Senior Specialist, SOC Analyst Level II to join our... ...performance, or incident visibility Act with integrity, professionalism, and personal...H1bLocal areaShift workNight shiftWeekend work- Job Description Join a dynamic team which drives transformative change by collaborating with senior leaders to re-engineer core... ...analyze complex processes and identify areas for optimization and integration. Utilize customer service principles to ensure process improvements...Temporary work
$54.9k - $131.3k
Epic Revenue Cycle Analyst We are looking for an experienced Epic Revenue Cycle Analyst with either HB or PB. The role requires collaboration... ...requirements. Perform or advise on system configuration and integration setup and assist with testing activities. Serve as an...Work experience placementLive inWork at officeLocal area3 days per week$16.5 - $21.35 per hour
Ensemble Health Partners in Columbus, Ohio, is seeking a Denials Specialist to manage clinically related claim denials. In this role, you will analyze claims and denial letters, prepare appeal materials, and liaise with healthcare providers. A minimum of an Associate’s...Remote jobHourly pay- ...'d love to talk to you! Post Closing Specialist (Recorder) Location: Columbus, Ohio (... ...various counties. This role safeguards the integrity of official records-including deeds,... ...ledger. Stay informed of all updates and changes to recording requirements across...Temporary workWork at officeFlexible hours
- ...: The Fast Track Associate Spine Specialist is a high-impact developmental role designed... ...in this role requires operating with integrity, acting with urgency, continuously developing... ...decision-making Adapts quickly to changing environments, surgeon preferences, and...RelocationAfternoon shiftEarly shift
$125k - $155k
...impact? We are seeking a Lead Metadata Specialist to guide metadata strategy and implementation... ...best practices for higher education and integrate relevant frameworks to ensure alignment... .... Growth mindset and openness to change, with a positive attitude and interest in...Remote work- ...00pm-7:00am SUMMARY The Treatment Specialist is responsible for ensuring the safety and... ...diverse backgrounds and experiences. Integrates principles of Trauma Informed Care in... ...down when you get upset, to adjust to a change in expectations and to handle frustration...Summer workWork at officeFlexible hoursNight shift
- ...Workday AMS Integrations Lead Columbus OH – 3 days office Remote is also fine Need 13-15yrs sr, resource Key Responsibilities... ...across modules. Ensure all work follows established governance, change management, and release management processes. Scope, estimate...Work at officeRemote work
$20 - $23.01 per hour
...company, we focus on creating positive change to build a healthier, thriving future. In... ...people. Job Summary The Community Specialist is responsible for executing the store's... ...that values/celebrates differences Integrity: Behaves in an honest, fair, and...Minimum wagePart timeLocal areaShift workNight shiftWeekend workDay shiftAfternoon shiftEarly shift
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