Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but weve been part of the national landscape for more than seven decades, with our roots firmly
Licensed Medicare Sales Agent *Work Remotely in the comfort of your own home * *Must have active health insurance license in the state that you reside* *You will be a captive agent* HealthPlanOnes mission is to help
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well
Employee Type:Regular Work Shift:Day - 8 hour shift (United States of America) Join Team Tidelands and help people live better lives through better health!Clinical Documentation Specialist Are you passionate about quality and committed to excellence? Consider
Become a part of our caring community The Senior Quality Improvement Professional leads efforts to improve clinical quality and provider performance for the Humana Healthy Horizons in South Carolina Medicaid Plan. You will develop and implement
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices.
Become a part of our caring community The Member Services Advisor (Consumer Experience Lead) role focuses on membership growth, member retention, and enhancing the overall member experience. In this role, you will leverage the voice of
We are seeking a qualified Executive Director for our Palliative department in our Beaufort area. This candidate should be compassionate with excellent management skills to assist our palliative/hospice patients in the area. This role would be
Become a part of our caring community The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the
Spanish Bilingual Healthcare Call Center Representative Its fun to work in a company where people truly BELIEVE in what they are doing! Were committed to bringing passion and customer focus to the business. Location: Remote (Virtual
Denial Management Specialist The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. * Only applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana,
Healthcare Call Center Representative Its fun to work in a company where people truly BELIEVE in what they are doing! Were committed to bringing passion and customer focus to the business. Location: Remote (Virtual Environment) Company:
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within Medicare reconsideration
Part-Time/Hybrid Registered Dietitian Position RD Nutrition Consultants LLC is seeking a Registered Dietitian Nutritionist to join our network of exceptional clinicians. You will have the ongoing support of our dedicated team, allowing you to focus on