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Risk- Patient Safety Manager - Nebraska Spine Hospital - FT (0.8 – 32 hrs/wk) Days, Monday-Friday','Full-time','Risk Management','Days','Days','64','64','None','None','NEBRASKA-OMAHA-NEBRASKA SPINE HOSPITAL','','!*! Nebraska Spine Hospital - Nationally Recognized Spinal Care. The choice for complex ..
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BILLING REP (1.0) CHI Health CUMC-Bergan Mercy','Full-time','Pharmacy','8am-4:30pm','8am-4:30pm','80','80','None','None','NEBRASKA-OMAHA-SERVICE CENTER-SOUTH BLDG','','!*!Job Summary: This position contributes to the mission of CHI Health by ensuring medical and pharmacy benefits are accurately billed, as well as ..
... FT Days - Service Center (Omaha)','Full-time','Professional Non-Clinical','Days','Days','80','80','Occasional','Occasional','NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG','','!*! CHI Health ... of this network that includes 2,820 licensed beds and serves as ... Communicate with provider to resolve..
Description Humana's Claims Cost Management (CCM) organization is ... support our efforts for ensuring claims payment accuracy, so that our ... to day work of reviewing claims payments for clinical/coding..
... FT days - Service Center (Omaha)','Full-time','Professional Non-Clinical','FT days','FT days','80','80','None','None','NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG','','!*!CHI ... of this network that includes 2,820 licensed beds and serves as ... Communicate with provider to resolve..
... Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing ... reporting. The Consumer Service Operations Professional 2 evaluates metrics for early identification ... of..
... related issues which may include claims inquiries, enrollment issues, travel attestations, ... Manual (TRM), and the TRICARE Policy Manual (TPM). Assist with questions ... with qualifying ASD diagnoses. Provide..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... Revenue Cycle - Service Center (Omaha)','Full-time','Professional Non-Clinical','FT days','FT days','80','80','None','None','NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG','','!*!CHI ... of this network that includes 2,820 licensed beds and serves as ... Communicate with provider to resolve..
... of employees and intervenes appropriately. 2. Maintains all client, medical, psychological ... as confidential according to CHIHealth policy. 3. Serves as a liaison ... the processing of Workers’ Compensation..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination ... Cultural Competency Enable personal & professional growth Develop analytics and reporting ... business Actively identifies and owns process improvements and..
... to enhance the clinical delivery process. The Associate Director, Utilization Management ... multiple managers or highly specialized professional associates. Detailed Responsibilities include: Leads ... Leads National Medicaid Utilization Management..
Description The Medical Coding Coordinator 2 extracts clinical information from a ... records. The Medical Coding Coordinator 2 performs varied activities and moderately ... Responsibilities The Medical Coding Coordinator 2..
... Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, ... Care Manager, Telephonic Behavioral Health 2 work assignments are varied and ... Care Manager, Telephonic Behavioral Health..
... to enhance the clinical delivery process. The Associate Director, Compliance Nursing ... multiple managers or highly specialized professional associates. The Associate Director, Compliance ... Responsibilities include: Leads Medicaid operational..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical ... the Autism Care Demonstration (ACD) policy, TRICARE Operations Manual (TOM) Chapter ... session notes to the provider's claims..
Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
