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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 ..
Position: Medical Billing Specialist Pay: $18-25/hr (based on ... the next step in your healthcare career while making a positive ... patients? We are hiring motivated healthcare professionals like you..
Position: Medical Billing and Coding Specialist Pay: $18-22/hr ... looking to expand your medical billing and coding experience with one ... ? We are hiring motivated healthcare professionals like you..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Ridgeland Mississippi Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
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 Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Ridgeland Mississippi Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Job Information Centerwell RN Clinical Manager in Meridian Mississippi The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..
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 ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Process Billing by receiving, interpreting, processing, and submitting through various edits to third party payors ..
... 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..
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 ..
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 Humana Call Center Pharmacy Claims Technician in Ridgeland Mississippi Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy ..
... 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..
Job Information Humana Manager, Fraud and Waste-Remote US in Ridgeland Mississippi Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Essential Functions: This position coordinates and provides direct patient care to ambulatory walk-in infusion patients ..
Job Information Centerwell RN Clinical Manager in Tupelo Mississippi The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..
Job Information Centerwell RN Clinical Manager in Carthage Mississippi The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..
... 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 Kindred at Home RN Clinical Manager in Union Mississippi The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and ..
... lives by joining a successful healthcare company, apply today! A Day ... registration, insurance, demographic, scheduling, and billing data. Utilize Microsoft Office Word/Excel/Outlook, ... (2) years of relevant medical..
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 ..