• Ensure that all claims received are processed accurately and promptly in accordance with program guidelines • Perform quality audits on claims adjudicated by claims processors and/or team leads • Reviewing and addressing provider and customer inquiries externally and internally regarding claim adjudication • Handling escalated, high dollar or complex claims for audit • Developing and maintaining claims operations policies and procedures in the claims operations manual • Resolving pended healthcare claims, prior approval requests and responding to providers • Analyzing claims to determine whether or not the claims should be approved or denied for payment • Applying knowledge of medical coding and various medical claims forms to the claims process • Managing daily workflow for a team of processors, including training of new processors and ongoing updated operational processes • Generating reports and analyzing the data using Microsoft Excel • Auditing the work of claims processors • Subject Matter Expert (SME) for claims processing and adjusting within and outside of the claims team

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves ensuring the safety and reliability of operations while contributing to energy efficiency and sustainability goals. - Establish a safety-centric team culture. - Ensure compliance with DOT requirements and manuals. - Proactively prevent accidents and enhance safety. - Drive continuous safety improvement throughout the organization. - Report incidents, support investigations, and take action. - Operate and maintain the facility in compliance with permits. - Develop and maintain a proactive equipment maintenance plan. - Coordinate and perform maintenance activities efficiently. - Oversee planned maintenance outages and manage records. - Identify upgrades for safety and facility reliability. Qualifications - High School graduate or GED. - Minimum of 5 years of direct experience with operation and maintenance in an industrial setting. - Ability to successfully pass a DOT background check. - Minimum of 2 years experience with operations in Renewable Natural Gas or Natural Gas Pipeline Operations (preferred). - Formal and relevant technical training through military service, trade school, or technical training schools desired. - Bachelor of Science degree in an engineering or technical discipline is a plus. - Must have a working knowledge of reading and interpreting system drawings and/or P&IDs. - Strong working knowledge of Microsoft Excel, Word, and Outlook. - Demonstrated organizational and leadership skills. Benefits - Health insurance - Retirement plans - Paid time off - Performance incentives, bonuses, or commissions may be available. - Comprehensive benefits package - Opportunity for career growth in energy solutions sector.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As an intern with Mutual of Omaha, you’ll get a hands-on experience on how a Fortune 500 company runs its day-to-day business. Learn from our experts on claims evaluation, management, and adjudication for disability claims. This is a year-round, part-time internship beginning May 18, 2026 or July 13, 2026. Full-time training required for this class will be for four weeks, in a hybrid format. What You'll Do - Perform end-to-end evaluation, management, and adjudication of disability and supplemental health claims. - Communicate with employers, medical professionals (including physicians) and claimants. - Engage in effective and efficient work processes to contribute to the achievement of company business objectives. - Complete projects and work assignments as directed by management. - Collect, maintain, and analyze information. Compile reports, communicate findings and make recommendations. What You'll Bring - Currently enrolled in a school with aspirations of graduating with a degree relevant to the business area. - Strong knowledge of and ability to use various business software applications on a personal computer, including word processing, spreadsheet, and database applications. - Skills in oral and written communication, human relations, creativity. - Ability to analyze and interpret information, exercise judgment, be flexible. - Able to work effectively in a team environment. - You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do. - Ability to work at our home office in Omaha, Nebraska; Chattanooga, Tennessee; or in a hybrid environment. Preferred - Graduating on or after May 2028 from a relevant college degree program. Benefits - Hourly Wage: $18.00 - 401(k) plan with a 2% company contribution and 6% company match. - Work-life balance with vacation, personal time and paid holidays.

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 culture of creativity and experimentation. - Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: - Bonus Incentives - Paid Certifications - Tuition Reimbursement - Comprehensive Benefits - Career Advancement - This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards. Ability to code and a clear understanding of the coding principles and guidelines for various specialties including Neurosurgery, Intervention Radiology, ENT, General Surgery, Cardiology, Anesthesia, Emergency Department. Job Responsibilities: - Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at HIM facility coding for both inpatient and outpatient accounts. Performs annual performance, randomized and quality assurance reviews to assess comprehension of training efforts. Also assists in CHAN and other external audits. - Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs. Assists with Task Force, CDE and quality department related education. Creates presentations, develops learning material, handbook and other educational materials. - Edits/Denials/Coding - Assists with edits, denials and appeals. Also assists with coding and working holds on an as needed basis. - Training - Assists with training new and existing staff. Develops all training materials and coding aids for both formal training and use by coders in daily work. Identifies coders to be cross-trained and suggests areas for training improvement. Assists in the implementation and administration of effective systems, processes, and procedures. - Coordinating - Coordinates the presentation of ongoing professional seminars and materials via audio-conferences, webinars, and other publications. Maintains education records on all staff to include attendance records for all coding related educational activities. - Resource - Serves as a technical resource for all involved personnel; ensures that information is accurate and current, meeting professional coding standards. Performs miscellaneous job-related duties as assigned. - Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW (Included Provider verbiage). Assists with the creation of various documents and reports as requested. Immediately provides reports related to compliance risks when requested. Experience We Love: - 5+ years of coding experience. - 3+ years of auditing experience. - Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite. - Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information. - Consistently achieves quality and productivity standards. - Ability to organize and complete work in a timely manner. - Ability to read, write and effectively communicate in English. - Ability to understand medical/surgical terminology. - Above average written and verbal communication skills. - Position may require 20-40% travel to client sites. Minimum Education: - Associates Degree or Equivalent Experience Required Certifications: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): - CPC (Certified Professional Coder) - CCS-P (Certified Coding Specialist-Phys Based) - CCS (Certified Coding Specialist) - CMPA (Certified Professional Medical Auditor) - RHIA (Registered Health Information Administrator) - RHIT (Registered Health Information Technician) #LI-HB1 #LI-REMOTE Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 - Innovation - Work-Life Flexibility - Leadership - Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: - Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. - Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. - Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. - Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range. EEOC – Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights