records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse.
Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations
with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.
Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices. Investigate,
analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.
Prepare summary of findings and recommend next steps for providers. Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices. Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities. Education/Experience: Master s Degree and 2 years of relevant experience required. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
License/Certification: Behavioral health license - LMHC, LCSW, LMFT, LPC, LMHP, LIMHPOur Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, interactionual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Associated topics: adult, behavioral, behavioral healthcare, clinical, clinician, field, mental, msw, outpatient, youth
does ERI offer? Paid training -- we pay you to attend class A regular and set schedule Multiple shifts available - day, evening, and weekend Full time and part time available Opportunities for overtime at YOUR request -- we do not schedule you without your consent Direct deposit Bi-Weekly pay Bonuses Additional benefits for full time employees Paid holidays Paid time off Blue Cross Blue Shield Health Insurance Delta Dental Insurance Humana Vision Insurance Principal Life Insurance What makes ERI different?
We come alongside our clients, families and guardians to create a personalized plan and tailor our in-home services. This includes ensuring that our HTS and clients are a good match for each other. Do I qualify? Must be 18 or older Driver's license Must be able to pass a criminal background check
ERI offer? Paid training -- we pay you to attend class A regular and set schedule Multiple shifts available - day, evening, and weekend Full time and part time available Opportunities for overtime at YOUR request -- we do not schedule you without your consent Direct deposit Bi-Weekly pay Bonuses Additional benefits for full time employees Paid holidays Paid time off Blue Cross Blue Shield Health Insurance Delta Dental Insurance Humana Vision Insurance Principal Life Insurance What makes ERI different?
We come alongside our clients, families and guardians to create a personalized plan and tailor our in-home services. This includes ensuring that our HTS and clients are a good match for each other. Do I qualify? Must be 18 or older Driver's license Must be able to pass a criminal background check
ERI offer? Paid training -- we pay you to attend class A regular and set schedule Multiple shifts available - day, evening, and weekend Full time and part time available Opportunities for overtime at YOUR request -- we do not schedule you without your consent Direct deposit Bi-Weekly pay Bonuses Additional benefits for full time employees Paid holidays Paid time off Blue Cross Blue Shield Health Insurance Delta Dental Insurance Humana Vision Insurance Principal Life Insurance What makes ERI different?
We come alongside our clients, families and guardians to create a personalized plan and tailor our in-home services. This includes ensuring that our HTS and clients are a good match for each other. Do I qualify? Must be 18 or older Driver's license Must be able to pass a criminal background check
Paid training -- we pay you to attend class A regular and set schedule Multiple shifts available - day, evening, and weekend Full time and part time available Opportunities for overtime at YOUR request -- we do not schedule you without your consent Direct deposit Bi-Weekly pay Bonuses Additional benefits for full time employees Paid holidays Paid time off Blue Cross Blue Shield Health Insurance Delta Dental Insurance Humana Vision Insurance Principal Life Insurance What makes ERI different?
We come alongside our clients, families and guardians to create a personalized plan and tailor our in-home services. This includes ensuring that our HTS and clients are a good match for each other. Do I qualify? Must be 18 or older Driver's license Must be able to pass a criminal background check
with teammates that feel like family, and help make our world a better place. ROLES AND RESPONSIBILITIES: Customer deliveries as instructed by management Loading and unloading of trucks Vendor pickups Maintain truck and trailer safety as outlined by the FMCSAAll other duties as assigned or duties, responsibilities, and activities may change at any time with or without notice Associated topics: cab driver, cdl a hazardous material, dedicated driving, dedicated fleet, driver trainee, federal express, instacart, lease purchase program, lyft driving part time, yard driving
to different locations. To drive change in your life, start driving at Aramark. Job Responsibilities • Loads product onto the truck daily • Stocks product to par levels and maintains accurate documentation of product levels via appropriate software. • Report sales, waste, customer concerns, and/or machine malfunctions daily • Report on necessary maintenance or repairs needed on the vehicle to management immediately.
• Maintain services and upkeep the cleanliness of vehicles and equipment. • Performs all job duties in a safe manner by adhering to all driving regulations, company safety policies and procedures. • Maintains a friendly, efficient, and positive attitude towards customers,
clients, and co-workers At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers.
In order to meet our commitments, job duties may change or new ones may be assigned without formal notice. Qualifications • Must possess a valid driver’s license • Must be able to obtain DOT license. • Previous experience as a driver preferred • Demonstrates interpersonal and communication skills, both written and verbal • Must have the ability to work independently with limited supervision • No preventable fatal accident while operating a CMV in a lifetime • No suspension of driving privileges for moving violations in the
past 3 years This role may have physical demands including, but not limited to, lifting, bending, pushing, pulling and/or extended walking and standing.
This role may also require uniforms and/or usage of Personal Protective Equipment (PPE). Education About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, interaction, gender, pregnancy, disability, interactionual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law.
About Aramark The people of Aramark proudly serve millions of guests every day through food, facilities, and uniform services in 19 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential.
Learn more about working here at http: // or connect with us on Facebook , Instagram and Twitter.
of HR functions (including but not limited to): Customer Service - Providing top notch HR customer service by carrying out various Human Resources programs and procedures for all company employees Benefits Administration - Leave management, open enrollment, audit reporting, and employee education and communication Onboarding - Welcome new employees by conducting new hire orientations and assisting managers with onboarding Training and Development - Help us be better by assisting in company training efforts Terminations - Assist with off-boarding processing Unemployment Claims - Assist in providing information related to unemployment claims Employee Records - Maintain confidential, personnel
and other HR records for all employees Assist leadership with routine financial reporting Process (& occasionally problem-solve) the teams' biweekly payroll Provide support as requested by the station's Business Manager Perform other related duties/projects as required and assigned What do we need from you?
Bachelor's degree in Human Resources or related field(s) Minimum of 1-2 years of Human Resources experience An eagerness to learn new skills and advance your HR career Love working with a team but can keep yourself busy and prioritize your own time and projects A focus and passion for delivering great customer service to various levels of management and employees A self-starter
with a high level of attention to detail and strong analytical, problem solving, organization and multi-tasking skills Ability to maintain strict confidentiality in HR and accounting related matters Excellent interpersonal and communication skills Solid experience with Microsoft Office is expected On the job experience with HR tasks including payroll.
Previous experience working with a range of experience levels (i. e. you might have worked across a few departments to complete a project, or two.) Previous experience in a role charged with the responsibility of payroll, human resources, personnel & employment matters. Sinclair Broadcast Group, Inc.
is proud to be an Equal Opportunity Employer and Drug Free Workplace! About Us Make your mark in Media with Sinclair Broadcast Group, a diversified media company dedicated to connecting people with content everywhere! We have consistently led the broadcast industry since our inception, and now Sinclair owns the largest regional sports network business and one of the largest television broadcast portfolios in the country. In addition, we have affiliations with all of the major broadcast networks, own Tennis Channel, and several multicast networks including TBD and Comet. Our content is distributed over-the-air, on multi-video providers, and through our industry-leading digital media platforms.
We're at the forefront of Next Gen technology, enabling innovative new ways to engage with broadcast content like never before. We also recently launched a free TV streaming service called STIRR. Our success is the direct result of our extraordinary employees and management team who believe in our vision and are dedicated to ensuring a great future for our employees. We are advancing the world of Media and want YOU to join our winning team! About the Team The life-blood of our organization is our people.
We have a compelling story, a goal-oriented culture, and we take really good care of people. How good? Here is a glimpse: great benefits, open door policy, upward mobility and a strong desire to see you succeed. Ready to be part of a winning team? Let's talk.
Hospitality and travel jobs refer to positions within the tourism industry where the primary focus is on providing services to guests and travelers. These roles often include hotel staff, airline employees, tour operators, and cruise line workers, among others. The hallmark of these jobs is a commitment to excellent customer service, a passion for creating memorable experiences, and the ability to handle diverse needs with a smile. These positions may require flexible hours, adaptability, and often come with opportunities to explore different cultures and destinations.
of everyone we touch, and we re always looking for people like you to join our mission. And making a difference isn t the only perk of traveling with us. Start your medical travel career with Fusion Medical Staffing and gain access to competitive pay packages, comprehensive benefits, corporate discounts and perks, a clinical team to support you along your journey, and a recruiter determined to help you succeed.
We ve got your back so you can focus on what you do best: helping others. _______________________________________________________Registered Nurse - Oncology Position: Registered Nurse Specialty: Oncology13 week Oncology Registered Nurse travel assignment Client in Wichita, KS is
looking for a Oncology Registered Nurse to help them out for 13 weeks. At Fusion Medical, we truly believe that as people taking care of people, together we can do anything.
Benefits Include: Paid Time Off (PTO) after 1560 hours Highly competitive pay Best in the industry Medical, Dental, and Vision Short term disability 401(k) Aggressive Refer-a-friend Bonus Program Your recruiter is available 24-7 Reimbursement for licensure and CEU s Qualifications/Requirements: One to three years experience as a Registered Nurse preferred Other certifications may be required for this position Critical thinking, service excellence and good interpersonal communication skills, ability to read/comprehend
written instructions, ability to follow verbal instructions, PC skills Physical Abilities: Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bending.
The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Communicates and collaborates with physicians and other health team members. Provides and coordinates patient care with other health team members. Monitors patients' responses to interventions and reports outcomes. Administers medications as ordered with appropriate documentation.
Monitor and evaluates patients before, during, and post procedure depending on unit. Shares on-call responsibilities with a 30-minute response time if required. Maintains cleanliness of rooms and adequate stock of supplies. Transports patients as needed. Performs other duties as assigned. Required Essential Skills: Interpersonal Skills - to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and a professional appearance. Technical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.
Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail. Sensory - Visual acuity, ability to effectively communicate Fusion is an EOE/E-Verify Employer About Fusion Medical Staffing: Fusion Medical Staffing provides career opportunities to healthcare professionals by helping medical facilities fill their staffing needs.
Fusion staffs a variety of specialties within the nursing and allied healthcare fields. We offer competitive pay packages and benefits that travelers deserve. At Fusion, you can seriously choose your own adventure! Fusion's purpose is to ensure that everyone we touch has a better life. We strive to be humble, driven and positive in all our actions! Specialty Fields: Cardiopulmonary Cath Lab Home Health Laboratory Long Term care Nursing Radiology Therapy Associated topics: ambulatory, asn, care unit, domiciliary, hospice, infusion, maternal, psychatric, tcu, unit
to improve the lives of everyone we touch, and we re always looking for people like you to join our mission. And making a difference isn t the only perk of traveling with us. Start your medical travel career with Fusion Medical Staffing and gain access to competitive pay packages, comprehensive benefits, corporate discounts and perks, a clinical team to support you along your journey, and a recruiter determined to help you succeed.
We ve got your back so you can focus on what you do best: helping others. _______________________________________________________Registered Nurse - Medical/Surgical/Telemetry Position: Registered Nurse Specialty: Medical/Surgical/Telemetry13 week Medical/Surgical/Telemetry
Registered Nurse travel assignment Client in Tulsa, OK is looking for a Medical/Surgical/Telemetry Registered Nurse to help them out for 13 weeks.
At Fusion Medical, we truly believe that as people taking care of people, together we can do anything. Benefits Include: Paid Time Off (PTO) after 1560 hours Highly competitive pay Best in the industry Medical, Dental, and Vision Short term disability 401(k) Aggressive Refer-a-friend Bonus Program Your recruiter is available 24-7 Reimbursement for licensure and CEU s Qualifications/Requirements: One to three years experience as a Registered Nurse preferred Other certifications may be required for this position Critical thinking, service excellence
and good interpersonal communication skills, ability to read/comprehend written instructions, ability to follow verbal instructions, PC skills Physical Abilities: Remain in a stationary position, move about, move equipment (50-100lbs), pushing, pulling, bending.
The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Communicates and collaborates with physicians and other health team members. Provides and coordinates patient care with other health team members. Monitors patients' responses to interventions and reports outcomes.
Administers medications as ordered with appropriate documentation. Monitor and evaluates patients before, during, and post procedure depending on unit. Shares on-call responsibilities with a 30-minute response time if required. Maintains cleanliness of rooms and adequate stock of supplies. Transports patients as needed. Performs other duties as assigned. Required Essential Skills: Interpersonal Skills - to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and a professional appearance. Technical/Motor Skills - Ability to grasp, fine manipulation, pushing/pulling and able to move about when assisting with procedures and/or using department equipment.
Mental Requirements - Must be able to cope with frequent contact with the general public, customers, and meeting deadlines under pressure. Must be able to work under close supervision occasionally as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail. Sensory - Visual acuity, ability to effectively communicate Fusion is an EOE/E-Verify Employer About Fusion Medical Staffing: Fusion Medical Staffing provides career opportunities to healthcare professionals by helping medical facilities fill their staffing needs.
Fusion staffs a variety of specialties within the nursing and allied healthcare fields. We offer competitive pay packages and benefits that travelers deserve. At Fusion, you can seriously choose your own adventure! Fusion's purpose is to ensure that everyone we touch has a better life. We strive to be humble, driven and positive in all our actions! Specialty Fields: Cardiopulmonary Cath Lab Home Health Laboratory Long Term care Nursing Radiology Therapy Associated topics: bsn, care, ccu, domiciliary, intensive care, neonatal, nurse clinical, recovery, registed, staff nurse
Nurses with great opportunities throughout the United States. We are recognized in the industry, not by our size, but the quality of our professionals, committed service, staff and consultative approach. As a dedicated healthcare professional, you want choices in your profession choices that suit your lifestyle, your professional goals, and your personal needs.
Stability believes that our Customers and Nurses come first! You deserve a healthcare staffing company that delivers on its promises excellent compensation, personalized service and support every step of the way. If you are a registered nurse interested in Travel, Local Travel or Per Diem Nursing opportunities, Stability has the right assignment for you! Associated topics: bsn, care unit, hospice, intensive care, mhb, nurse clinical, psychatric, psychiatric, staff nurse, surgical
connect top-tier healthcare professionals with world-class facilities. We take time to fully understand your needs and match you up with incredible candidates. In doing so, we hold ourselves accountable by following our core values, mission, and vision.
We aim to be the most respected healthcare staffing company with a commitment to enhance the well-being of the communities we serve. Some of the industry-leading benefits enjoyed by Host Healthcare travel nurses and travel allied healthcare professionals include: Access to thousands of jobs in every state in the U. S. and at all major healthcare facilities Day One Medical, Dental, and Vision with low premiums Keep your benefits for up
to 30 days between assignments 401(k) matching available Personalized Compensation Packages The Highest Referral Bonus in the Travel Nursing and Allied Industry Paid, Private, Fully Furnished, Pet-Friendly Housing Dedicated Recruiter and 24/7 Customer Care Line Per Diem Allowance and Paid Travel Licensure and Certification Reimbursement Free Liability Coverage Voluntary Benefits: Critical Illness, Hospital Indemnity, Accident, and Pet Insurance Equal Employment Opportunity Associated topics: ambulatory, asn, cardiothoracic, coronary, domiciliary, intensive care unit, maternal, neonatal, registed, surgery
new travel job in Oklahoma City, OK 73104. This rewarding travel job offers a contract duration of 13 weeks and a Day shift. With us, you'll enjoy a superior pay and benefits package starting on day 1, along with our personalized service where we set the gold standard in clinician care.
As a Joint-Commission-certified agency, we promise a seamless and stress-free experience. As a Pediatrics travel nurse, you will provide compassionate and high-quality care to patients ensuring their well-being and recovery. Job Details Facility: OU Health - Oklahoma Children's Hospital Location: Oklahoma City, OK 73104 Contract Lenth: 13 Weeks Shift: Days Start Date: ASAP Qualifications 2 years of Pediatrics
staff experience or equivalent BSN Degree or Associate of Science in Nursing Current nursing license A valid State Issued Driver's License or State IDIf you are an experienced Pediatrics Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you re interested.
We'll get you started on your next travel nurse adventure in Oklahoma City, OK 73104. About Advantis Medical: Advantis Medical is ranked #1 by travel clinicians because of our relentless focus on matching our travel clinicians with their next dream assignment. We accomplish this by making significant investments in technology and pair that with personalized concierge-level service from our
expert recruiters. You can choose to work with one of our dedicated recruiters and receive white glove service while they do all the work for you, or you can take control of the search yourself and apply directly to one of our thousands of jobs.
Either way, we take the stress and hassle out of finding your next dream travel assignment. Call 214-###-#### to get connected to a recruiter now! Associated topics: asn, infusion, intensive care, maternal, nurse clinical, psychiatric, recovery, registered nurse, staff nurse, tcu
clinicians with their next dream assignment. We accomplish this by making significant investments in technology and pair that with personalized concierge-level service from our expert recruiters. You can choose to work with one of our dedicated recruiters and receive white glove service while they do all the work for you, or you can take control of the search yourself and apply directly to one of our thousands of jobs.
Either way, we take the stress and hassle out of finding your next dream travel assignment. Call 214-###-#### to get connected to a recruiter now! Associated topics: bsn, cardiothoracic, domiciliary, hospice, intensive care, maternal, neonatal, nurse, nurse clinical, nurse rn
