Conducts such activities as account investigation, follow-up and collections on unusual and complex accounts. Serves as lead worker and trainer for junior level staff; and other duties as assigned. EDUCATION and/or EXPERIENCE High school diploma or
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Job Description: Job Description Location & Work Requirements This is a primarily telephonic position (approximately 90%), with occasional travel required to meet members in the field (subject to change based on business and member needs). The
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
Newport News, Virginia Hiring Range$23.00 - $29.90/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON
Newport News, Virginia Hiring Range$23.00 - $29.90/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON
Newport News, Virginia Hiring Range$23.00 - $29.90/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON
Medical Coding Specialist Under direct supervision, assigns accurate ICD-10 diagnoses, CPT-4 procedure coding and appropriate modifiers derived from medical record documentation for complex and multi-specialties that include Emergency Room (ER), ER E/M charging, OP Trauma, Hospital and
RN Care Manager This is a primarily telephonic position (approximately 90%), with occasional travel required to meet members in the field (subject to change based on business and member needs). The RN Care Manager (RNCM) manages
Patient Account Representative III - Pediatric Billing Conducts such activities as account investigation, follow-up and collections on unusual and complex accounts. Serves as lead worker and trainer for junior level staff; and other duties as assigned.
Authorization Specialist (Remote) Kolmac Integrated Behavioral Health and Concerted Care Group (CCG) is a leading outpatient treatment provider in the Mid-Atlantic region. We are committed to treating individuals whose lives have been impacted by substance use
Utilization Management Coordinator Pay Range: $20.24hr - $24.24hr The Utilization Management Coordinator will provide administrative and operational support for utilization management activities, including authorization processing, benefit verification, claims inquiries, and coordination with members and providers. The
Professional Fee Coding Auditor & Educator We are seeking an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must currently possess both
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