Overview The Payer Compliance Specialist I – RCM plays a key role within USAP as it is responsible for analyzing allowed amounts received on USAP claims, to determine appropriateness per contract. This position will review electronic and
Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for
About Altruist Altruist is transforming the multi-trillion dollar wealth management industry by building an AI platform for wealth professionals. We partner with financial advisors nationwide, empowering them to grow, optimize time and resources, and deliver superior
ABOUT BESTOW Life insurance is one of the worlds most important products. Its also one of the hardest to build, distribute, and modernize. Bestow exists to change that. Bestow is a leading vertical technology platform serving
About Altruist Altruist is transforming the multi-trillion dollar wealth management industry by building an AI platform for wealth professionals. We partner with financial advisors nationwide, empowering them to grow, optimize time and resources, and deliver superior
Who We Are Revantage, a Blackstone Real Estate portfolio company, is a global provider of corporate services. With a corporate purpose of ‘In Pursuit of Better,’ Revantage delivers value-added services and world-class talent for Blackstone Real
Hi, were Oscar. Were hiring an Associate Director, Learning and Development to join our Claims team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving
Billing Specialist (REMOTE) - (Texas ONLY) Little Spurs Pediatric Urgent Care Centers is seeking an experienced biller to join our dynamic team. Under general direction, the billing specialist will exercise independent judgement while adhering to established
Remote Provider Research & Resolution Specialist NTT DATA, Inc. is currently seeking a Remote Provider Research & Resolution Specialist with 2+ years of experience in medical claims, provider credentialing, or medical billing/coding. This role supports a leading
Clinical Quality Consultant For The Oncogenetic Program Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve
Medical Director For The Oncogenetic Program Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health
Remote MSDRG Auditor The DRG Validation Auditor is a member of the CGI Healthcare Compliance, DRG Validation Team, with responsibility for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries
Job Title This position is National Remote. Youll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Opportunities at Northern Light Health, in strategic partnership with Optum. Whether
Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system accurately
Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for