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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 21000KMPAvailable 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 policy requirements. Assists ..
Medical Receptionist or Medical Biller We are currently looking for a strong Medical Receptionist/Medical Biller with at least 1 year of experience in Healthcare. Location: Oro Valley, AZ 85737 Day to ..
Job Information Humana Associate Director, Site Reliability Engineering in San Antonio Texas Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, ..
... 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..
This is a true lifestyle opportunity where you have the flexibility to set your own hours and practice parameters. Outpatient practice with phone call only. Wonderful administrative support staff handles all ..
... 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, Coding Education - Remote TX in San Antonio Texas Description Manages a team of coding educators and reports to the Risk Adjustment Director. Responsible for implementing operational ..
Hiring Remote Hospital Biller We are currently hiring for Remote Hospital Biller in Phoenix, Arizona. Requirements: Reside in Arizona Hospital Medical Billing Inpatient 2 years experience minimum Think outside the box ..
POSITION FEATURES:We work only day-shift.No Call. No evening shift. No night shift. No holidays. Limited Saturday hours and this is rotated among team.This full time opening is for our San Antonio ..
... knowledge of insurance and self-pay billing and follow up guidelines and ... communicate trends impacting account resolution. Billing Review and work claim edits. ... for resubmission. Works reports and..
Hiring Patient AR Coordinator We are currently hiring for Patient AR Coordinator's in the Phoenix Area. Requirements: Billing, claims, authorization or follow up experience. Ability to read an EOB. Customer Service ..
Job Information Humana Supervisor, Medical Coding - San Antonio in San Antonio Texas Description The Supervisor, Medical Coding extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Hospitalist need for various day & night shifts to start as soon as possible in San Antonio, TX. n nDay Shift Available Dates: n nMarch: 26-27 nApril: X nMay: 7-8, 21-22 ..
Job Information Humana Manager, Fraud and Waste-Remote US in San Antonio Texas Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in San Antonio Texas Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices ..
Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's ..
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 Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in San Antonio Texas Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
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 ..
... 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 ..