Jobs near Mason: 5,188
RS
Relevance Score ranked on: INVESTIGATOR
Investigator Assistant
MASON, 4241 IRWIN SIMPSON RD
Collects, researches, and validates bills and claims data against relevant guidelines. Assists in preparation of statistical and financial analysis reports. Requests medical records and additional documentation required for investigation. Completes initial file set-up and tracks cases. Processes and ...
Search Terms: Investigator, Assistant, Technology, Healthcare, Compensation
86.7
0mi
Updated: September 19
Investigator II - Carelon Payment Integrity
MASON, 4361 IRWIN SIMPSON RD
Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claims systems for review of facility, professional, and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may ...
Search Terms: Investigator, Payment, Integrity, Healthcare, Business Services
86.7
0mi
Updated: September 19
Sr. Internal Fraud Investigator
Cincinnati
Position Highlights. Partners with their assigned Line of Business, other Risk/ Compliance/ Audit (RCA) professionals, and RCA Managers to, depending on their function, create, implement, maintain, review or oversee an effective risk management framework. Participates in projects and/or activities th...
Search Terms: Internal, Fraud, Investigator, Intern, Project Management
78.8
19mi
Updated: September 17
Fraud Investigator
Cincinnati
U.S. Bank is seeking a highly motivated and detail-oriented individual to join our Fraud Investigations team. The primary responsibility of this role is to investigate allegations of potential fraud and, when applicable, prepare and file Suspicious Activity Reports (SARs). The role operates in a fast...
Search Terms: Fraud, Investigator, Microsoft, Banking, Business Services
76.2
19mi
Updated: August 29
Delivery Specialist
Mason
Search Terms: Delivery Specialist, Delivery, Specialist, Automotive, Business Services
0
0mi
Updated: September 19
DO NOT CLOSE - USA - Bass Pro/Cabela's Background Screen for Current SGH Associates - DO NOT DELETE
Mason
Our Sales Associates are vital to the success of Sunglass Hut. You will bring an authentic, fun and energic experience to all customers while helping them find premium quality eyewear. MAJOR DUTIES AND RESPONSIBILITIES Consistently deliver sales plan and company objectives through cultivating new and...
Search Terms: Sales Associate, Customer Experience, Associate, Retail
0
0mi
Updated: September 19
Clinical Provider Auditor I
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Accounting, Healthcare
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
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