9 intern jobs found

Director, Fraud Prevention and Program Oversight POSITION SUMMARY /RESPONSIBILITIES Community First Health Plans, Inc. (Community First) is an HMO providing health care services to Medicaid and CHIP, Medicare, Marketplace, and Commercial recipients. Community First must ensure that all operations are aligned with the regulatory requirements of the Texas Health and Human Services Commission (HHSC), the Texas Department of Insurance (TDI), the Centers for Medicare and Medicaid Services (CMS), and the National Association of Insurance Commissioners (NAIC). The Fraud Prevention and Program Oversight Director leads the organization’s efforts to prevent, detect, investigate, and remediate fraud, waste, and abuse (FWA) across all product lines. The role ensures program integrity by setting organizational standards, strengthening internal controls, and overseeing the Special Investigations Unit (SIU) operations, payment integrity analytics, and vendor oversight. The role...

Position Summary: The Operations Specialist is a non-driving position responsible for supporting the Operations Team through multiple tasks required for the successful support of each region’s individual needs.  The lead specialist serves as a subject matter expert, conducts new hire training and mentor to the team. Essential Functions and Job Responsibilities: Supports operations team with discovery and training as necessary with AdaptHealth processes. Responsible for providing support during process improvement initiatives to assist with driving all areas of workflow, including verification, and data analysis. Develop and maintain working knowledge of current products and services offered by the company Must be familiar with payer guidelines and reading clinical documentation to determine qualification status and compliance for all equipment and services. Working knowledge in all areas of AdaptHealth customer service, intake, daily operations and revenue cycle processes...

Senior Financial Counselor POSITION SUMMARY/RESPONSIBILITIES Coordinates the progression of charge capture, billing, and collection functions of Transplant patients in accordance with federal and state billing and compliance guidelines as well as internal policies. Performs comprehensive investigation and verification of health insurance for transplant care, inclusive of multidisciplinary services. Verifies insurance authorizations, ensures appropriate charge capture, monitors collections, and verifies accurate payment. Responsible for the complete episode of care for all potential candidates and living donor candidates, including pre-transplant financial clearance and assessment, post-transplant follow-up, coordination of services, and maintenance services for the extent of the services provided to the patient. Interfaces with external financial entities and insurers to verify authorization for all services related to transplants. Monitors reimbursement and cash...

About Rippling Rippling gives businesses one place to run HR, IT, and Finance. It brings together all of the workforce systems that are normally scattered across a company, like payroll, expenses, benefits, and computers. For the first time ever, you can manage and automate every part of the employee lifecycle in a single system. Take onboarding, for example. With Rippling, you can hire a new employee anywhere in the world and set up their payroll, corporate card, computer, benefits, and even third-party apps like Slack and Microsoft 365—all within 90 seconds. Based in San Francisco, CA, Rippling has raised $1.4B+ from the world’s top investors—including Kleiner Perkins, Founders Fund, Sequoia, Greenoaks, and Bedrock—and was named one of America's best startup employers by Forbes. We prioritize candidate safety. Please be aware that all official communication will only be sent from @ Rippling.com addresses. About the role This is an...

Overview: There’s never been a better time to join Stratus! As the market leader in brand implementation and maintenance, we transform how national brands connect with their customers. From exterior signage & interior branding to site refresh & remodel, from energy & lighting to repair & maintenance solutions, we deliver ideal solutions to meet all our client's branding needs.   From our locations across the country, to our corporate headquarters in Mentor, Ohio, every employee is a stakeholder in Stratus’ success. This environment offers endless career opportunities for individuals with a commitment to customer service, focus on execution and bias for action.   Job Summary: The Inventory Control Lead owns the end to end inventory control process across all Stratus internal manufacturing sites, as well as Stratus owned inventory stored at third party warehouses. This role serves as the enterprise owner of inventory accuracy, controls, and...

Financial Analyst - Austin, TX (Hybrid) WeDriveU is the leader in shared mobility solutions that connect communities, campuses, and workplaces. WeDriveU operates private shuttle and public transit systems across the U.S serving millions of passenger journeys a year. The company's 5,500+ team members operate 4,000 vehicles across 55 U.S. locations, providing safe, reliable and sustainable options as part of a global family of brands serving more than 1 billionbus and rail passengers on four continents. Visit wedriveu.com to learn more about our company, clients and career opportunities. General Description: The Financial Analyst will be asked to drive value across a broad spectrum of the company with a particular focus on maintaining and developing Key Performance Indicators and supporting a wide range of strategic analysis. The role will collaborate with the accounting/finance, sales, and operation departments of the company and provide reporting to all department...

Singer Industrial is one of America’s largest industrial distributors, with a North American footprint of 100+ locations and over 1,400 employees. We deliver innovative industrial solutions that drive customer productivity across industries including petrochemical, oil & gas, food & beverage, construction, marine, and power generation. We are seeking a Controller to lead financial operations for a multi-location business unit in the Fort Worth, TX area. This is a hands-on leadership role responsible for financial reporting, operational finance, internal controls, and team management. The ideal candidate brings strong manufacturing or distribution experience, a high level of accountability, and the ability to partner with operations leadership to drive performance. This is a full-time, onsite position based in Fort Worth, TX. Remote candidates will not be considered. Key Responsibilities Financial Leadership: Own monthly, quarterly, and annual financial...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a...