Job Description: The RNCM manages a panel of rising and high intensity members to support integrated chronic disease and behavioral health care for the members. The RNCM collaborates with members to create a care plan and
Job Description: The RN Care Manager (RNCM) manages a panel of clinically complex members to support impactable clinical programs, quality gap initiatives and ED and IP utilization. The RNCM collaborates with members to create a care
Job Description: Location & Work Requirements The operational model for this role is primarily remote, with required on-site components based on specific member and business needs. This operational model is subject to change based on evolving
Job Description: Location & Work Requirements This is a primarily telephonic position (approximately 80%), with occasional travel required for field or clinic visits (on average once per week, subject to change based on business and member
Job DescriptionAs a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for
Sr. Payer Policy Analyst At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. Youll be inspired to discover more, develop new skills and pursue
Coding Specialist Since 1971, Wilmington Health has been committed to providing TRUE Care to our community in Wilmington and Southeastern North Carolina. Physician-owned primary care and multi-specialty medical practice, Wilmington Health provides a comprehensive, coordinated, and
RN Care Manager The RNCM manages a panel of rising and high intensity members to support integrated chronic disease and behavioral health care for the members. The RNCM collaborates with members to create a care plan
Patient Revenue Management Organization At Duke Health, were driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us
Facility Revenue Manager, Ambulatory Surgery Centers - Remote, M-F Reporting to the PRMO Senior Revenue Manager, the revenue manager coordinates activities performed by the staff responsible for charge capture, coding, charge entry, insurance follow-up, reimbursement analysis,
Clinical Documentation Integrity Specialist At Duke Health, were driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us
RN Care Manager The operational model for this role is primarily remote, with required on-site components based on specific member and business needs. This operational model is subject to change based on evolving organizational and member
Executive Case Manager Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris revolutionizes the path from
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
100% Remote! Pay: $18-22/hour We are looking for Medical Billing Specialists with experience in back-end A/R follow-up, resolution of aged accounts, and working denials for Hospital and/or Physician Billing. Our team assists healthcare providers and hospital
JOB DESCRIPTION Job Description 100% Remote! Pay: $18-22/hour We are looking for Medical Billing Specialists with experience in back-end A/R follow-up, resolution of aged accounts, and working denials for Hospital and/or Physician Billing. Our team assists