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Description The Medical Coding Coordinator 2 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Concierge Broker Professional 2 investigates, analyzes, and develops creative solutions to client specific problems related to systems, claims, networks, providers, eligibility, billing, collections, etc. through active cross-functional team participation ..
Description The Large Group Medical Underwriter computes rates for both ... Responsibilities As a Large Group Medical Underwriter you will make the ... the product. The Large Group Medical Underwriter..
Assignments in Cleveland, 13 weeks, 12 hr days or nights available, 2 years recent experience, Strong MS/Tele level 1 needed, OH will become compact state in January 2023 We can help ..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Job Information Humana Senior Insurance Product Compliance Professional in Cincinnati ... Cincinnati Ohio Description The Senior Insurance Product Compliance Professional Performs consultation ... certificate language development. The Senior Insurance Product..
Description The Behavioral Health Medical Director responsible for behavioral health ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health Medical Director..
Job Information Humana Medical Claims Processing Representative 2 in ... in Cincinnati Ohio Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Job Information Humana Insurance Product Manager 2 - Part D in Cincinnati Ohio Description The Part D Team is responsible for leading, planning and tracking all phases of the product life ..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health..
Job Information Humana Insurance Product Management Representative 2 in ... in Cincinnati Ohio Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..
... Stars and Risk Adjustment National Medical Director in Cincinnati Ohio Description ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment National..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
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 ..
... Professional - Disability and Life Insurance in Cincinnati Ohio Description The ... for Humana's Disability and Life insurance products. The Senior Compliance Professional ... expert for Disability and Life..