Pharmacy Claims Auditor Salary in Ohio

M.L. Best Consulting is proud to lead the search for a strategic and dynamic executive to assume leadership and transformation of the Revenue Cycle function for our client Metro Health System, a premier $2B net revenue healthcare organization in Cleveland, OH. The ideal candidate for this SVP of Revenue Cycle position will provide executive leadership, oversight, strategy of all Revenue cycle management functions within the system. A successful candidate for this role would be adept at managing change at scale, a masterful diplomatic strategist. Key Responsibilities Contributes to patients safety by supporting the System-wide programs and policies addressing a safe environment for patients and the reporting of safety concerns to the appropriate individuals. Directs and supports the leadership team (and ultimately all employees) of all the billing related operations including insurance verification, claims submission, transaction processing, revenue recovery, denial management, and othe

We are currently growing the Compliance function and looking for talented individuals to join the team. As a company operating in a highly regulated industry, the Compliance team is a critical function supporting the business’ strategy and operations. As the Senior Compliance Analyst, you will: Develop, coordinate, implement and oversee the Compliance Program Ensure the Compliance Program meets current legal requirements, assess compliance risks, and ensure that the organization is responsive to those risks Promptly investigate compliance concerns and violations, maintain written documentation of each possible violation and the results of each investigation, and issue reports describing the nature of the allegations, the discovery of information obtained during the investigation, the Compliance Officer’s findings, and any recommended remedial and/or disciplinary measures Communicate and collaborate closely with other members of the Legal team and organizational partners to resolve comp

Mortgage Trailing Document Specialist Pay range: $17.00 hourly Schedule: Monday - Friday 7:30 AM - 4:00 PM Location: St Paul MN 55108 Benefits: Medical, Dental , Vison, Life AD&D, STD,LTD, 401K, EAP, 10 Holidays + 1 Floating Holiday How to Apply: Please apply directly to this position and include your resume updated with your most recent work history and mortgage experience. Recruiter: Kim 651-461-0183 or Position Title: Mortgage Trailing Docs Mortgage Trailing Documents Specialist is responsible for managing and processing the documentation that follows a mortgage loan after it has been originated and closed. This role involves ensuring that all required paperwork is accurately completed, signed, and filed in compliance with regulatory standards and company policies. The Mortgage Trailing Documents Specialist typically works closely with loan officers, underwriters, title companies, and borrowers to obtain any missing or updated documentation needed to complete the loan file. Job Resp

Theranica USA, Inc. is hiring a Finance Manager in New Jersey - Summary: We are seeking a highly skilled Finance Manager to join our medical device startup organization - Theranica USA, Inc., which is already generating material and growing revenues. The Finance Manager will play a key role in overseeing all financial aspects of the US organization. This position requires solid analytical skills, and a deep understanding of the medical device industry environment, mainly dealing with Specialty Pharmacies, HUB distribution models and Durable Medical Equipment (DME) distributors in the US, with profound experience of all "Gross To Net" (GTN) processes and aspects in the medical device industry, including all the relationships with medical insurance entities and Payors. Key Responsibilities: Financial Planning and Analysis: Develop and manage the annual budgeting process in alignment with company goals and objectives. Monitor financial performance against budget and provide insights into

Job Summary: Responsible for the implementation and adherence to the Company Standard of Practice as it relates to the provision of the highest quality health care service to our customers. Responsibilities Job Duties: Follows the Company Standard of Practice to dispense prescriptions Performs all quality assurance steps to insure a technically accurate prescription is dispensed. Reports dispensing incidents in a timely manner, in accordance with company guidelines Follows all State and Federal regulations governing the practice of Pharmacy Oversees the initial submission, resubmission and collection of all third party claims Manages and balances the pharmacy inventory to ensure maximum turns while still remaining in-stock for customer needs. Insures prescription files and other manual records are maintained in accordance with all state and federal guidelines Insure outstanding customer service is exhibited by all employees at all times Insure all loss Prevention policies are followed

Job Posting Title: Director, Office of Research & Sponsored Projects Job Description: The Director of the Office of Research & Sponsored Projects serves as the Institute's primary administrative authority and resource on all aspects of the research enterprise; serves as the Institute's Authorized Organizational Representative and Corporate Signer for externally-funded and research-related agreements; and manages the grants lifecycle for all federally and privately funded, extramurally sponsored projects. The Director is directly responsible for executing tasks related to proposal submissions and award administration and remaining current and conversant on federal and private regulations governing sponsored project funding. The Director works collaboratively with faculty, foundation and corporate philanthropy, advancement, corporate partnerships, Institute, and The Claremont Colleges Services business offices to foster a robust sponsored project pipeline and ensure compliance with all f