Out-of-Network Negotiations Manager Responsible for day-to-day operations for all activities related to out-of-network negotiations, such as negotiating pre- and post-service Single Case Agreements (SCAs) on claims authorized on behalf of EmblemHealths network as well as out-of
About IDR Founded in 2020, IDR is a global expert network delivering fast, reliable, and cost-effective insights through a vetted pool of experts. With over 250 employees across eight global offices, IDR operates 24/7 and is trusted by leading
About IDR Founded in 2020, IDR is a global expert network delivering fast, reliable, and cost-effective insights through a vetted pool of experts. With over 250 employees across eight global offices, IDR operates 24/7 and is trusted by leading
About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality
Client Coordinator (Remote) Pay: $15.00/hour Schedule: Monday-Friday, 8:00 AM-4:30 PM CT Location: Remote Join a Growing Healthcare Operations Team Are you detail-oriented, tech-savvy, and looking to build or grow your career in healthcare administration? We are
Client Coordinator Location: Remote Duration: 3-Month Contract-to-Hire Position Overview We are seeking a detail-oriented Client Coordinator to support case processing, eligibility reviews, and medical record management in a fast-paced healthcare environment. This role is responsible for reviewing
Description The Client Coordinator is responsible for working through CMS portals, processing the cases and entering into the database. They will be reviewing for eligibility.This position is responsible for data preparation, data entry, data tracking, documentation,
What if you could shape a career as unique as you? At WSP, you can always find opportunities to grow and do what matters to you. Make the most of our global reach to discover new
Position Purpose: Maintains relationships with physicians, hospitals, ancillary providers and Fidelis internal Provider Network Management Dept. Acts as first line contact for providers/hospitals on claims projects and other non-routine claim issues. Oversees, in conjunction with the
Description The Document Management Technician is responsible for preparing, organizing, scanning, processing, and maintaining medical and company documentation to ensure records are accurate, complete, and compliant with HIPAA and company standards. This role supports medical review,
Description The Document Management Technician is responsible for preparing, organizing, scanning, processing, and maintaining medical and company documentation to ensure records are accurate, complete, and compliant with HIPAA and company standards. This role supports medical review,
Vālenz Health® is the destination for employers, brokers, payers, and providers to reduce costs, improve quality, and elevate the healthcare experience. Through advanced technology and clinical expertise, Valenz creates a distinctly different approach to a complex