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Regitstered Nurse InPatient Rehab Fulltime Weekends 7p-7a','00038-6179','United States-Georgia-Rome-Redmond Regional Medical Center-Rome','Full-time','!*!To deliver medical/surgical nursing care to all patients, including assessing patient needs, planning, delivering and coordinating care and reassessing/evaluating care; to ..
Medical Billing Specialist (As Needed) –Must have ... (As Needed) –Must have Hospital Billing Experience- Parallon','08591-130063','United States-Georgia-Norcross-Shared Services - ... requirement edits through the electronic billing system. · Communicates issues..
Medical Billing Specialist- Must have Hospital Billing experience (AS NEEDED)','08591-137298','United States-Georgia-Norcross-Shared Services ... are in need of experienced Billing Specialists for our Service Center ... opportunities for career growth. The..
Description The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to ..
Hospital Bill Audit Coordinator- Nashville','26013-144504','United States-Georgia-Norcross-Shared Services - Atlanta','Full-time','Admitting Registration Clerical & Scheduling','!*!Job Summary – Assist in managing and analyzing hospital bill audits by third party payers. Position will serve as ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate. The Nurse Auditor 2 work ..
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
Great benefits, overtime opportunities, and career growth opportunities are available! We promote internally and offer advancement at our local facility as well as nationwide. This is a 6 month contract to ..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
Job ID 21000I1OAvailable Openings 1Position Specific Information Full-TimePURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
... candidate will be well-versed in billing software, medical insurance regulations, and ... HMO/PPO Transfer insurance claims and billing data to billing software Create both paper and ... maintain organized..
Medical Billing and Recovery Need someone proficient in medical denial and appeals. Individual will be responsible for daily routines which included but not limited to the following: • Data Entry • ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team working remote/from home anywhere in the U.S. Responsibilities As a Board Certified ..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses to ensure high accountability of compliance and quality and claims are being reviewed correctly. This position ..
Description Do you have medical coding experience? Are you looking for a virtual position that allows the flexibility of working at home? Humana is hiring a Medical Coding Auditor. In this ..