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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 ..
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 ..
Job ID 21000KD4Available Openings 1Position Specific Information This is a full time Interventional Radiology Technologist in our Salt Lake City, UT vascular surgery center. Hours are Monday through Friday 7:30am to ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... 84010 Home Health - ST, Healthcare Contract - Full Time I'm ... Possible overtime Benefits At Maxim..
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 Manager, Fraud and Waste-Remote US in Sandy Utah Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
... 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..
... medical record documentation for incorrect billing and coding. The ideal candidate ... ensure capture of all relevant billing discrepancies. Identifies the root cause ... reviews of provider codes 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..
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 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 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 ID 210006PPAvailable Openings 1Position Specific Information Full time 40 hours / week. Primary location in West Jordan UT with travel to Layton UT 1-2 times per week. Mileage is reimbursed ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Lake City, UT, 84116 Homecare, Healthcare Contract - Full Time I'm ... Vent (Paid Training Available!) Maxim..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Job Information Humana Manager, Fraud and Waste-Remote US in Salt Lake City Utah Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud ..
Job Description Join the Coram/CVS team as a Patient Care Coordinator and you will support branches with the initial admission of patients onto service with the Company. In this role, you ..
Job Information Humana Associate Director, Site Reliability Engineering in Sandy Utah 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 Sandy Utah Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Sandy Utah Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
... in the annual budget Support billing, billing issues and collection activities Ensure ... direct experience or related experience.in healthcare supervisory or administrative role Experience ... administrative role Experience in..
