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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 ..
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Job ID 21000J2BAvailable Openings 1Position Specific Information $10,000 Sign on Bonus!PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing ..
Job ID 21000MEWAvailable Openings 1Position Specific Information $5000 Sign on BonusPURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing ..
Job Information Humana Manager, Fraud and Waste-Remote US in Boston Massachusetts Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Boston Massachusetts Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
TeamHealth has an excellent opportunity for a psychiatrist to join our team at Arbour-HRI Hospital in Brookline, Massachusetts. HRI Hospital is a freestanding 62-bed mental health facility located in Brookline, Massachusetts. ..
Job ID 21000N0UAvailable Openings 1PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior ..
Opportunities with Reliant Medical Group. When you join Reliant, you’ll be part of a community-based, multi-specialty, physician-led medical group. Everyone works collaboratively on a common purpose: improving the quality, cost and ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Cambridge Cambridge, MA, 2139 ST, Healthcare Contract - Full Time I'm ... you! John Hawks | Maxim..
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 ..
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 ..
... 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 ID 21000GD1Available Openings 1PURPOSE AND SCOPE: Director of Information Governance & Record Management reports directly to Chief Information Security Officer (CISO) and will provide oversight and direction for the activities ..
... 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..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Boston Massachusetts Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
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 Call Center Pharmacy Claims Technician, Remote in Boston Massachusetts Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
We are seeking a full-time BE/BC Internal Medicine Physician to complement our cardiology team.n nn Very established patient basen All out-patientn Evening, and weekend call nn Remote call onlynnn Currently have ..
Physician-directed, community-based medical group seeks BE/BC Family Medicine physician.Our well-established practices are true full-spectrum family practice so you can do what you love - we have patients of all ages from ..
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 ..
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 ..
Job Information Kindred at Home RN Clinical Manager $25,000 Sign on Bonus in Boston Massachusetts $25,000 sign-on Bonus Available Position located in Sandwich, MA The Clinical Manager coordinates and oversees all ..