Healthcare Billing Jobs in Louisiana

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 21000I16Available Openings 1Position Specific Information This position supports Frenova Renal ResearchPURPOSE AND SCOPE: Responsible for the collection, accuracy and validity of clinical research data for assigned clinical studies in ..

Jobs Rated 122nd The Case Manager is responsible for assuring the patient receives quality care and that outcomes are achieved in a timely and cost effective manner. Collaborates with the social ..

... 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:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to ensure ..

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 Information Humana Manager, Fraud and Waste-Remote US in New Orleans Louisiana Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..

Job Information Kindred at Home RN Clinical Manager Home Health Full Time in West Monroe Louisiana $10,000 Sign-On Bonus Available! The Clinical Manager coordinates and oversees all direct care patient services ..

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 Kindred at Home RN Clinical Manager in Marksville Louisiana The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and ..

Job Information Centerwell Medical Records Specialist in Lafayette Louisiana The primary function of the Medical Records Specialist is to provide clerical support for the Medical Records department. Prepare patient assessment packets, ..

... 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..

... 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 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 Manager, Fraud and Waste-Remote US in Baton Rouge Louisiana Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..

Job Information Humana Manager, Fraud and Waste-Remote US in Shreveport Louisiana 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 Metairie Louisiana Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..

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 Humana Manager, Fraud and Waste-Remote US in Metairie Louisiana Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

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 Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..

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 Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Metairie Louisiana Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..