Healthcare Appeal Analyst Jobs

Coordinator Appeals Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 21107 Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, ..

... seeking a full time Claims Auditor/Analyst who will m anagethe claims ... Qualifications Education/Training Bachelors degree in Healthcare Administration, Business Administration, or related ... years in managed care or..

Job Requirements Minimum of 4 years of healthcare billing/coding experience (Required) HIPAA compliance proficiency (Required) Experience with Medicare and secondary payer billing / posting / appeals (Heavily Preferred) Experience using eCW ..

... nUse your strengths as Clinical Appeal ConsultantnIn this role, you'll coordinate ... you'll coordinate and support clinical appeal and special inquiry activities as ... and compliance as related to..

Medical Review Nurse Job ID 2021-5688 Job Locations US-Remote | US-VA-Henrico Category Administration / Clerical Type Regular Full-Time Overview NCI is a leading provider of enterprise solutions and services to U.S. ..

... calling a Board Certified Behavior Analyst (1.0 FTE, Days) to work ... July/early August Board Certified Behavior Analyst with expertise in autism and ... neurodevelopmental disorders. Board Certified Behavior..

Job Details Social Services Analyst 1/2/3 This listing closes on ... recruitment as a Social Services Analyst 1, 2 or 3 depending ... salary for the Social Services Analyst 3..

The sales position is focused on obtaining new club memberships.u00a0 This is accomplished primarily through calling leads generated through marketing activities, cold calling prospects, club tours and contests. Sales reps are ..

Job DescriptionAs the Clinical Pharmacy Manager you will:u2022 Provide direct supervision and support to the clinical pharmacist prior authorization/Coverage Determination review team, Quality Analysts, and Pharmacy Technician leadership teamu2022 Oversee end-to-end ..

Concierge Internal Medicine rnConsider Concierge MedicinernrnConverting your private internal medicine practice using a time-tested program will ensure your success in transition from an corporate-driven numbers game to a practice where you ..

Posted: April 9, 2021 Location: Irving, Texas Show Map Salary: Open Discipline: Admin / Clerical Description Summary: Responsible for the duties and services that are of a support nature to the ..

OverviewnNCI is a leading provider of enterprise solutions and services to U.S. defense, intelligence, health and civilian government agencies. Coupled with a refined focus on strategic partnerships, we are successfully bridging ..

ResponsibilitiesnUtilization Review Manager is responsible for the oversight of third party payer utilization review (UR) and the denial management (DM) process. The Manager functions as an appeal/denial expert and takes an ..

Community & State Health Plan Chief Medical Officer - OklahomaThe C&S Plan Chief Medical Officer has accountability for ensuring that local health plan, Enterprise Clinical Services (ECS) and UnitedHealthcare (UHC) initiatives ..

OverviewnThe Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Collaborates with physicians/providers to gather insights and inputs. Provides ..

The Orthopedics Coder will be primarily supporting coding for Spine and Ortho Oncology. Job Location: Boston, MA Req ID: 38925BR Job Summary: This position is responsible for the assignment of ICD-10-CM ..

Essential Functions:nnPlans weekly menus in accordance with the community policies and procedures, and incorporates a variety of nutritional foods and foods in seasonnMaintains an adequate inventory of foods and supplies from ..

Posted: 16 hours ago Category: Management Medical Director Wellpath Key West Medical Director Wellpath Woodstock Medical Director Wellpath Franklin Medical Director Wellpath Indiana Medical Director Wellpath Salisbury Medical Director Wellpath Fort ..

Concierge Internal Medicine rnConsider Concierge MedicinernrnConverting your private internal medicine practice using a time-tested program will ensure your success in transition from an corporate-driven numbers game to a practice where you ..

... denials management. The Denial Management Analyst understands advanced concepts within Revenue ... requirement of this position. The analyst serves as an internal consultant ... assists in the writing of..

OverviewnRN Director of Clinical Services position available in our Portland Home Health Agency. Up to $10,000 Sign-On!n nMake Lives Better Including Your Own.n nThe happiness of those we serve is dependent ..

Concierge Internal Medicine rnConsider Concierge MedicinernrnConverting your private internal medicine practice using a time-tested program will ensure your success in transition from an corporate-driven numbers game to a practice where you ..

OverviewnMake Lives Better Including Your Own.n nThe happiness of those we serve is dependent on the happiness of our associates, so youu2019ll receive competitive compensation and a benefits package with additional ..