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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 ..
Job ID 21000DVXAvailable Openings 1Position Specific Information Sign on bonus of $2000.00 PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if ..
Job ID 21000FLOAvailable Openings 1Position Specific Information Full time 40 hours Oklahoma CIty Sign on bonus of $2000.00 PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares complex investigative and ... Qualifications Bachelor's degree or significant..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Tulsa Oklahoma Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Business Tax Services - Manager - Healthcare Tax Exempt Duties: The candidate will be maintaining and developing strong client relationships on various federal tax consulting/compliance engagements. Advising clients on a variety ..
Job Information Humana Manager, Fraud and Waste-Remote US in Tulsa Oklahoma Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
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. Responsibilities ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
SSM Health St. Anthony is seeking an OB/GYN in Shawnee, OK Join Supportive Colleagues - 4 Physicians & 2 AP's 1:4 Call Group - Great Work/Life Balance Enjoy Small Town Feel ..
Job ID 21000C7SAvailable Openings 1PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior ..
Job Information Humana Billing & Reconciliation Representative 2-Remote in ... in Tulsa Oklahoma Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..
Job ID 21000BGLAvailable Openings 1Position Specific Information Full time 40 hours per week supporting 2 clinic locations Sign on bonus of $10,000.00 PURPOSE AND SCOPE: Provides psychosocial services to patients treated ..
PURPOSE AND SCOPE:Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-center staff and other ..
Business Tax Services - Senior Manager - Healthcare Tax Exempt Duties: The candidate will be serving non-profit clients including health care providers, higher education institutions, private foundations, health plans, and other ..
Job Information Humana Director, Billing & Enrollment - Humana Military ... that is responsible for key Billing and Enrollment functions in support ... enterprise as relates to key billing and..
... Professional - Product Owner, Premium Billing Systems in Tulsa Oklahoma Description ... Implementation Professional to join the Billing and Reconciliation team. This Senior ... for one of our Premium..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..
Details Department: Stepdown Intermediate Care Schedule: 36 hours weekly, full time day shift Hospital: Ascension St John Medical Center Location: Tulsa, Ok Benefits Paid time off (PTO)Various health insurance options & ..
Job Description Introduction The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
... is looking for an experienced Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares investigative and audit ... areas Bachelor's degree or significant..
PURPOSE AND SCOPE:Supports FMCNA's mission core values expected behaviors and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy and procedure requirements.Provides psychosocial services ..