Utilization Review Specialist (RN) At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with strong
Billing Compliance Education And Administrative Specialist Under the direction of the Physician Billing Compliance Director, the Billing Compliance Education and Administrative Specialist will provide substantial expert knowledge and understanding and use of instructional design concepts to create materials in
Utilization Review Specialist (RN) At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with strong
Revenue Cycle Team Leader The Revenue Cycle Team Leader is responsible for managing and developing their team while assisting Manager in problem solving, resolution of collection issues, recognition and reporting of reimbursement trends, and daily operations
Job Title Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes
Job Title Responsible for obtaining appropriate reimbursement for accounts receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-site hospitals and telehealth locations while maintaining timely claims
Business Analyst, Provider Network Molina Healthcare is hiring for a Business Analyst, Provider Network. Highly qualified candidates will have the following experience: Salesforce knowledge, a certification is helpful Managed Care / Healthcare experience in the Provider
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
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