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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 • ..
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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 21000M9KAvailable Openings 1Position Specific Information This is a Remote / Work From Home positionPURPOSE AND SCOPE: The Patient Account Representative – Verifications provides administrative support to the daily verifications ..
... matters by completing the necessary billing steps: review of client billing guidelines, notation of delivery method ... e-billed, paper, email), ensure necessary billing fields have been populated for .....
... 5 or more years of healthcare revenue cycle management experience may ... experience may suffice (to include, billing, coding, collections for Medicare and ... with Auditing and monitoring of..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Atlanta Georgia Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
... 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..
WalgreensnJob DescriptionOur pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll ..
Position Reports to Client Information Manager The Client Business Intake Coordinator/Specialist is responsible for performing duties relative to compliance client/matter business intake and setup functions using the Firm’s electronic intake application. ..
... admitting procedures, pre-bill protocols, physician billing, nursing home billing, error codes and MUMMS. Manage ... admitting procedures, pre-bill protocols, physician billing, nursing home billing, error codes and MUMMS. Conducts..
PURPOSE AND SCOPE: Supports the Organization’s mission, vision, core values and customer service philosophy. Adheres to the Organization’s Compliance Program, including following all regulatory and policy requirements.Assists physicians in performing a ..
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 ..
Job Description This is a 20 /week part time position with hybrid in clinic and remote flexibility. A weekend day and evening availability are preferred. Licensed Clinical Social Worker LCSW Licensed ..
Job Information Centerwell RN Clinical Manager in Decatur Georgia The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..
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 ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in Decatur Georgia The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..
Job Description This is a 20 hour per week part time position with hybrid in clinic and remote flexibility. A weekend day and evening availability are preferred. Licensed Clinical Social Worker ..
Job Information Humana Call Center Pharmacy Claims Technician in Atlanta Georgia Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy ..
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 ..
... 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..
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 ..
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