Healthcare Payments Specialists Jobs in Alaska

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 ..

**Providence is calling a Clinical Laboratory Assistant Outreach (Lab Outreach Admin, Variable** **Shift, 1.0 FTE - 40 hours per week) to Providence Alaska Medical Center in Anchorage, Alaska.** **We are a ..

**Providence is calling a CAT Scan Technologist ( Radiology,Day-Shift, 1.0 FTE) to St Elias Specialty Hospital in Anchorage, Alaska. We are a community of caregivers delivering every day on our Mission ..

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 ..

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 Anchorage Alaska Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

**Providence is calling a Histology Technician II (Anatomic Pathology, Day** **Shift, 1.0 FTE - 40 hours a week) to Providence Alaska Medical Center in Anchorage, Alaska.** **We are a community of ..

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 ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Anchorage Alaska Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

Job Information Humana Care Management Support Specialist in Anchorage Alaska Description A day in the life of a CMSS would consist of being aligned to one of over 6 different tasks ..

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 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 ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

... investigating and resolving instances of healthcare fraud and abuse by medical ... to determine accuracy of claims payments. Review of applicable policies, CPT ... the intranet job listing. Molina..

**Providence is calling a Clinical Nurse Specialist Advanced - ED (Ak Nursing Prof Support, Days, 1.0 FTE) to Providence Alaska Medical Center in Anchorage, Alaska. We are a community of caregivers ..

... 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..