- Highmark Health (Columbia, SC)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Holcim US (Holly Hill, SC)
- Health and Safety Coordinator Requisition ID: 12908 Location: Holly Hill, SC, US, 29059 Pay Type: Salary Travel Requirement: <10% **COMPANY OVERVIEW** Holcim is ... and distribution of relevant KPI. + Assists supervisors and managers on incident investigations . Works with HR and site management to provide support on best working… more
- Cardinal Health (Columbia, SC)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Columbia, SC)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Columbia, SC)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Columbia, SC)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Pilgrim's (Sumter, SC)
- …various clerical/administrative duties as needed + Help with hiring and help conduct investigations . We offer a full range of benefits including health care, life ... insurance, and a 401 (K) plan. EOE, including disability/vets more
- Sharing Hope SC (West Columbia, SC)
- …review of Clinical Services staff payroll submissions. + Assists with manager investigations on Low/Normal priority occurrence reporting. + Other duties as assigned. ... critical care and/or emergency care; + Certified Procurement Transplant Coordinator (CPTC) certification within 2 years of hire; +...hire; + 2 years experience as a Clinical Donation Coordinator ; OR, + An equivalent combination or education and… more