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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 21000M07Available Openings 1Position Specific Information This is a per diem opportunity in a surgery center that will be utilized on an as needed basis. The center is open Monday ..
ResponsibilitiesnThe Biller is responsible to bill all insurance companies, workers� compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing ..
... in Las Vegas Nevada Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry as a whole. The ... patient information is accurate including..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Las Vegas Nevada Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices ..
Job Information Centerwell Medical Records Specialist PRN in Reno Nevada The primary function of the Medical Records Specialist is to provide clerical support for the Medical Records department. Depending on branch ..
... 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..
... NV in Henderson Nevada Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry as a whole. The ... patient information is accurate including..
Description Manages a team of coding educators and reports to Risk Adjustment Director. Responsible for implementing operational and clinical best practices in the risk adjustment methodology, understanding clinical suspects and appropriate ..
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 Code 2170138 For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of ..
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 Description Position Summary EMPLOYER PAID PENSION PLAN OF 29.25% OF YOUR ANNUAL SALARY! GENEROUS BENEFITS PACKAGE! **OPEN TO CURRENT UMC EMPLOYEES ONLY** Responsible for making decisions and completing the application ..
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 ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Las Vegas, NV, 89030 Homecare, Healthcare Contract - Full Time I'm ... as assigned/necessary Benefits At Maxim..
Job Code 2170615I $2000 Sign-On Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs ..
Job Description Position Summary EMPLOYER-PAID PENSION PLAN OF 29.75% OF YOUR ANNUAL SALARY! GENEROUS BENEFITS PACKAGE! Position Summary: Performs specialized professional level administrative, organizational, systems, budgetary and related analysis for Hospital ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in Las Vegas Nevada The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, ..
... Clinic in Henderson Nevada Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry as a whole. The ... patient information is accurate including..
