JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the
The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. Youll be required to create an account or sign in to an existing one.
The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. Youll be required to create an account or sign in to an existing one.
UNICEF works in over 190 countries and territories to save children’s lives, defend their rights, and help them fulfill their potential, from early childhood through adolescence. At UNICEF, we are committed, passionate, and proud of what
The Clinical Risk Educator is responsible for developing and delivering educational content designed to improve accurate and complete clinical documentation practices. This role supports the clinical audiences of our external partner practices as well as Aledade’s
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track
Company :Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs (MA and ACA) through Hierarchical Condition Category (HCC) coding, medical coding,
Essential Job Functions Build trusted-advisor relationships with healthcare executives (CFOs, VPs of Revenue Cycle, HIM Directors, and CMOs). Conduct virtual and on-site visits to mine existing accounts for and develop new business prospects. Partner with Sales,
Overview Join Avance Care — A Leading Force in Independent Primary Care! Avance Care is a rapidly growing network of 35 primary care practices across the Triangle (Raleigh-Durham-Chapel Hill), Charlotte, and Wilmington, NC. We are committed
Employment Type:Full time Shift: Description:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential.
This is a remote contract position. Job Duties: Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment Meet department production and quality standards Research regulatory guidelines for supporting documentation Prepare coding reports using excel Prepare
Contract Duration- 9 months Working arrangement: Combination of on-site (Kyiv, Ukraine) and remote work UNICEF works in over 190 countries and territories to save children’s lives, defend their rights, and help them fulfill their potential, from early
Work ScheduleStandard (Mon-Fri) Environmental ConditionsOffice Job Description Join us as Project Manager Clinical Supplies to manage the end-to-end supply chain for clinical trials, ensure timely and efficient distribution of trial materials, maintain optimal inventory levels, and
HILT CRC is seeking a Green Metals Industry Engagement Manager located preferably in Perth, Australia. You will coordinate activities across the iron and steel sector, ensuring research aligns with industry needs. The ideal candidate will possess strong