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Description Humana is seeking a Genetic Counselor to assist in the detecting and investigation of potential fraud and provide clinical guidance to the Special Investigators handling the cases. This is an ..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses to ensure high accountability of compliance and quality and claims are being reviewed correctly. This position ..
Expanding department seeks full time outpatient adult psychiatrist to join 2 other adult psychiatrists to provide consultation and treatment to patients with mental, addictive, behavioral or emotional disorders. BE or BC ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Tampa Florida Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
... 40 market leader in integrated healthcare whose dream is to help ... including but not limited to Billing and enrollment, Claims, Encounter Reporting, ... (typically 8 years) working in..
... 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 will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Company Summary Taking care of our customers, our communities and ..
Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..
Clinic is seeking a BE/BC general neurologist to join 3 Neurologists in our thriving neuroscience department. Clinical neurophysiology services available in-house: EEG, EMG, evoked potential capabilities, accredited Sleep Disorders Center and ..
Job Code 2166904I At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of ..
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 ..
Thriving PHYSICIAN OWNED AND OPERATED multi-specialty group is seeking a BE/BC Orthopedic Hand Surgeon to join our existing hand surgeon in a 100% adult & pediatric hand surgery practice and call ..
Thriving PHYSICIAN OWNED AND OPERATED multi-specialty group is seeking a BE/BC OBGYN to join busy practice. Join an expanding group looking for high-quality team players to deliver top-of-the-line care to the ..
Description The Referral Coordinator 2 schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator 2 performs varied activities ..
Description The Risk Management Lead - Home Health works as a partner with Home Solutions teams to evaluate and analyze business processes, potential issues, and strategic opportunities to minimize risk, ensure ..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
Description o Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical ..
... maximizing revenue to meet Genesis HealthCare Business Excellence goals. RESPONSIBILITIES/ACCOUNTABILITIES:Ensure claims/bills ... of claim status or other billing information as directed.* Resolve Claim ... various career paths available! Genesis..
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 ..
Thriving PHYSICIAN OWNED AND OPERATED multi-specialty group is seeking a BE/BC General Urologist to join busy practice. Excellent opportunity to perform all aspects of general urology. Each physician is provided with ..
... 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..
Thriving PHYSICIAN OWNED AND OPERATED multi-specialty group is seeking a BE/BC Vascular Surgeon to join busy practice. Join an expanding group looking for high-quality team players to deliver top-of-the-line care to ..