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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 21000JSKAvailable 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 ID 21000M0KAvailable Openings 1Position Specific Information Must have LMSW LCSW preferred, but not required PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Homecare Danbury, CT, 06810 Homecare, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
Job Information Humana Associate Director, Site Reliability Engineering in Bridgeport Connecticut Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, Site ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Bridgeport Connecticut Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation 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..
Job Code 85704 Job Description rJob Description r Performs billing, collections, third party reimbursements, computer data entry and retrieval. Helps in posting charges to accounts. r Job Responsibility r r r ..
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 Humana Staff RX Clinical Programs Oncology Pharmacist in Bridgeport Connecticut Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
Join a team of dynamic, results oriented professionals! Named among The World's Most Admired Companies by Fortune Magazine Named among America's 100 Most Trustworthy Companies by Forbes magazine Named among Great ..
... 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 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 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 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. The ..
A thriving and well-regarded Private Practice group in Southwest Connecticut seeks a Board Certified (or Board Eligible less than 2 years) General/Adult Psychiatrist for a rare opening in the organization. The ..
Location: New Haven, CT Department: ABA Services Posted: 05/25/2023 Location Name: Connecticut Wage: TBD Come join a team of passionate therapists providing excellent pediatric therapy to children throughout the United States! ..
Job ID 21000M0TAvailable Openings 1Position Specific Information Dialysis experience required PURPOSEAND SCOPE: Ensures appropriate provision of outpatient dialysis servicesand treatments within assigned hospitals/facilities by coordinating, scheduling, and directing outpatient care staff ..
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 ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. This position is for Enclara Pharmacia, a Humana company. Enclara, ..
Job Information Humana Manager, Fraud and Waste-Remote US in Bridgeport Connecticut Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Director of the Pediatric Residency Program Category: Academics Subscribe: Department: College of Health Professions [CHP] Locations: Fairfield, CT Posted: Apr 19, 2023 Closes: Apr 21, 2023 - 11:59 PM EDT Type: ..
