Manager Healthcare Provider Service Jobs in Wilmington

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

... medical coding auditor to handle provider disputes and appeals in a ... by increasing the accuracy of provider contract payments in our payer ... job as we are a..

Job Information Humana MEDICAL CODING COORDINATOR 3-Remote/Virtual in US in Wilmington North Carolina Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate ..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..

... 40) market leader in integrated healthcare with a clearly defined purpose ... Experience - Shopping, Enrollment, & Self-Service. In this role, you set ... Humana.com marketing, shopping, enrollment, and..

... 40) market leader in integrated healthcare with a clearly defined purpose ... Vice President, Digital Experience - Self-Service. In this role, you set ... execute the vision of Humana.com..

... company-specific policy and procedures, applicable healthcare standards, governmental laws, and regulations. ... to treatment to the Clinical Manager and the Participates in the ... community resources (housing, shelter, funeral/memorial..

Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..

... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner .....

Job Information Humana Manager, Fraud and Waste-Remote US in ... Wilmington North Carolina Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... medical coding auditor to handle provider disputes and appeals in a ... by increasing the accuracy of provider contract payments in our payer ... their home. We are a..

Job Information Centerwell RN Clinical Manager in Delco North Carolina The ... Delco North Carolina The Clinical Manager coordinates and oversees all direct ... decision to admit patients to service...

As a TeamHealth medical director in the Pender and Duplin County areas, your ability to enable each individual to function at the highest possible level of wellness is an essential part ..

Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

... medical coding auditor to handle provider disputes and appeals in a ... by increasing the accuracy of provider contract payments in our payer ... their home. We are a..

Job Information Kindred at Home Healthcare Account Executive in Wilmington North ... input on key customer opportunities, service line extensions and proposal or ... to appropriately represent the Company service..