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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 ..
Job ID 21000HVMAvailable Openings 1Position Specific Information 12400 N Meridian ST, Two Meridian Carmel, IN 46032PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the ..
Job ID 21000M1FAvailable 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 Centerwell RN Clinical Manager Home Health Full Time in Avon Indiana The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..
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 ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Shift Evansville, IN, 47715 Homecare, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
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 ..
... 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 ID 21000MCCAvailable 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 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 ..
PURPOSE 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. Ensure provision of quality ..
POSITION FEATURES:Sign On Bonus: $10,000 PURPOSE 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 The Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Responsibilities The ..
PURPOSE 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. Ensure provision of quality patient ..
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 ..
DescriptionFulfill the goals of our organization as well as the needs of our patients. Apply your skills to achieve results of a truly rewarding nature. Allow others to live more satisfying ..
Work type: Full Time Hourly Location: Systems Office - Indianapolis, IN Categories: Office/Clerical General Description of Position: To assist in the management of statewide testing initiatives, to include but not limited ..
Description Humana Healthy Horizons in Indiana is seeking Provider Claims Educators (Medicaid) who will be responsible for: conducting root cause analyses of claims data to track and trend claims denials or ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Shift Vincennes, IN, 47639 Homecare, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
Requirement: RN licenseA clinical background as a nurse is required. We prefer experience in a critical care, ED, Emergency Room, Surgical, Cath Lab, IR, ASC or EP setting.This is an out-patient ..
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the ..
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 ..