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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 ..
Description: Providence is calling a OB Surgical Technician (0.6 FTE, Day Shift) to Providence Little Company Of Mary Torrance Hospital in Torrance, CA. Apply today! Applicants that meet qualifications will receive ..
ROLE SUMMARYLead a team of Translational Oncology Leads and Clinical Biomarker Assay Leads within the Oncology Research and Development organization responsible for developing and implementing robust clinical biomarker plans and sourcing ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Torrance California Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
**Providence is calling a Physical Therapist (Full-time/Day-Shift) to Providence Little Company Of Mary San Pedro Hospital in San Pedro, CA.** **Apply today! Applicants that meet qualifications will receive a text with ..
Reporting to the Director, of Clinical Research, the Clinical Research Coordinators (CRC) are responsible for all aspects of clinical research activities and work in close cooperation with study physicians. The CRCs ..
Physician Billing Specialist - FT/Days (Hybrid 8hrs)','MEM007254','!*!Cardiology/Hybrid Review daily assigned tasks through the applications and as assigned . Contact insurance companies, other third party payers regarding claims status and payments via ..
... when needed, obtain authorization for payment of monies to settle claims. ... position includes:** Knowledge of national healthcare trends, multi-disciplinary professional practice models, ... and understanding of hospital clinical..
... who meet all conditions for payment- this is in addition to ... and other members of the healthcare team including students; facilitates formal ... nursing, other members of the..
**Providence St. Joseph Health is calling an Associate Patient Access Representative PSJH (On-Call, Days) to our location in Orange, CA.** **Apply Today! Applicants that meet qualifications will receive a text with ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana FP&A Lead, Medicaid Market in Torrance California Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
PRIMARY DUTIES AND RESPONSIBILITIES The Collector serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution. Completes assigned ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
... we believe in providing extraordinary healthcare to our communities and an ... Care stands for excellence in Healthcare. Across our family of medical ... for contract negotiations. Collaborate with..
PRIMARY DUTIES AND RESPONSIBILITIES The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency ..
... Health is a nonprofit, regional healthcare network that serves approximately 3 ... multispecialty medical (physician) group, home healthcare services and hospice care, as ... Top Hospitals, and College of..
... Engineer Overview of Position Change Healthcare (CHC) is looking for a ... Node based NextGen Payments. Change Healthcare engineering team is architecting a ... increasingly collaborative, and more efficient..
