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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 ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... NC, 28083 School - ST, Healthcare Contract - Full Time I'm ... to charlottestaffing@maxhealth.com! Benefits At Maxim..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Nights Huntersville, NC, 28078 Homecare, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
Job Information Kindred at Home RN Clinical Manager Home Health Full Time in Greenville North Carolina The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. ..
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 ..
... 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..
... 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..
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 ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Charlotte North Carolina Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
Job Information Centerwell Medical Records Specialist in Greenville North Carolina The primary function of the Medical Records Specialist is to provide clerical support for the Medical Records department. Prepare patient assessment ..
Job Information Humana Manager, Fraud and Waste-Remote US in Charlotte North Carolina Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Description The Licensed Clinical Social Worker is responsible for the daily activities across multiple service functions area. The Licensed Clinical Social Worker operates within a clinical environment assess and evaluates members' ..
Job Information Kindred at Home RN Leadership Opening! Join our Team and Grow your Nurse Career! in Charlotte North Carolina The Clinical Manager coordinates and oversees all direct care patient services ..
Job Information Kindred at Home Intake Coordinator Home Health PRN in Charlotte North Carolina The Intake Coordinator is responsible for the overall coordination of Agency referrals for Medicare and non-Medicare clients ..
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 ..
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 ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Days Charlotte, NC, 28215 Homecare, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
Job Information Kindred at Home RN Clinical Manager Home Health Full Time - Kannapolis, NC in Kannapolis North Carolina The Clinical Manager coordinates and oversees all direct care patient services provided ..
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 ..
Job Information Centerwell Medical Records Specialist Home Health Full Time in Charlotte North Carolina The primary function of the Medical Records Specialist is to provide clerical support for the Medical Records ..
... 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..
Job Information Centerwell RN Clinical Manager in Salisbury North Carolina The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Charlotte North Carolina Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices ..
