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... is currently seeking an experienced Healthcare Consultant to join our team. ... reporting and analysis Medical records, billing, and audits Business process efficiencies ... Preferred Credentials and Experience A..
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 21000G0RAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
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 ..
... 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..
PURPOSE AND SCOPE:As the Patient Services Coordinator this position coordinates scheduling pre-procedure communication medical record documents EMR demographic data entry requirements for payers and Revenue Cycle greets patients and answers multi-line ..
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 ..
... 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..
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 ..
Job Information Centerwell RN Clinical Manager in Hoover Alabama The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..
Job Information Kindred at Home RN Clinical Manager Home Health Full Time in Mobile Alabama Now offering a $20,000 Sign On Bonus!!! The Clinical Manager coordinates and oversees all direct care ..
Job Information Kindred at Home RN Clinical Manager Home Health Full Time in Florence Alabama The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Birmingham Alabama Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
Job Information Kindred at Home RN Clinical Manager in Phenix City Alabama The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, ..
Job Information Kindred at Home RN Clinical Manager in Pike Road Alabama The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, ..
Job Information Kindred at Home RN Clinical Manager in Dothan Alabama The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and ..
... 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 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 ID 21000J5VAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Birmingham Alabama Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
