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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 Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Springfield Missouri Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Homecare Springfield, MO, 65802 Homecare, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
Job Information Humana Manager, Fraud and Waste-Remote US in Springfield Missouri Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
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 ..
Sign On Bonuses for RN's and LPN's! Full Time: $10,000 Part Time: $5,000 POSITION SUMMARY: The Clinical Reimbursement Coordinator (RN) manages the overall process and tracking of all Medicare/Medicaid case-mix documents ..
Job Information Humana Manager, Fraud and Waste-Remote US in Springfield Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Springfield Missouri Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
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 ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Required Skills Skills/Abilities Excellent written and verbal communication skills. Excellent organizational and time management skills. ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Homecare Springfield, MO, 65804 Homecare, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
... 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 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 ..
... reviewsnImproving efficiencies based on KPIsnOptimize coding/billing. Related to Athena templates and ... management experience preferrednnDispatchHealth is redefining healthcare delivery through mobile and virtual ... delivery through mobile and virtual..
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 Information Humana Staff RX Clinical Programs Oncology Pharmacist in Springfield Missouri Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Nurse Springfield, OH, 45502 Homecare, Healthcare Contract - Full Time I'm ... your home. Benefits At Maxim..
... 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..
Sign On Bonuses for RN's and LPN's! Full Time: $10,000 Part Time: $5,000 Put your licensed practical nursing skills to a different use as a MDS Coordinator at Genesis! We are ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Springfield Missouri Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
... is a leading provider of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion! We Care ... that is responsible for census,..
Job Information Humana Associate Director, Site Reliability Engineering in Springfield Missouri Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, Site ..
