Job Description The Denials Specialist is responsible for reviewing, analyzing, and resolving denied claims within the client’s revenue cycle operations. Reviewing denied claims via Athena worklists and payer portals Identifying root causes of denials (coding issues,
Description We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established policies and
About the Role We are seeking a Claims Analyst II to examine and process both paper and electronic healthcare claims. In this role, you will review, adjudicate, and process claims while ensuring compliance with policy guidelines,
UM Genetic Counselor - Medical Reviewer Location: Remote MUST LIVE IN CALIFORNIA Schedule: Monday-Friday, 8:00 AM - 4:30 PM PST Overview We are seeking an experienced Genetic Counselor - Medical Reviewer to support utilization management activities