Join Our Team at Optum Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes
Clinical Nurse We are looking for a clinical nurse that will be responsible for performing clinical quality assessments and documentation reviews across the Classicare provider network to ensure compliance with the Center for Medicare and Medicaid
Optum Waste and Error Claims Investigator Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health
ABOUT GREYSTAR Greystar is a leading, fully integrated global real estate platform offering expertise in property management, investment management, development, and construction services in institutional-quality rental housing. Headquartered in Charleston, South Carolina, Greystar manages and operates
Duo Health Clinical Documentation Integrity Specialist Duo Health is a new type of medical group designed around the needs of patients with chronic kidney disease and their physicians. Our unique Health Mobilization platform partners multidisciplinary care
Medical Review Specialist Regular Exempt General Description: Responsible for conducting clinical reviews of post-service and pre-payment claims requiring medical documentation to determine medical necessity, coding accuracy, reimbursement appropriateness, and compliance with clinical guidelines, payment policies, and regulatory
Accounting Position Perform accounting functions involving the application of accounting standards, principles, and practices. Monitor vendors database, purchase orders, service maintenance agreements; prepare quarterly sales tax reporting; verify and analyze contract terms/limits, update contract files, review
Billing Clerk Primary job function is to work onsite as part of the patient care team in providing high quality, efficient and service-oriented patient care demonstrating the health centers core values. Under the direct supervision of
Job Title The work unit exists to provide upon request impartial, timely and statewide inspection and certification (as prescribed by federal guidelines) of commercial shipments of fresh fruits and vegetables, including food safety inspections and the
Passport Support Associate III CGI Federal is looking for experienced Support Associates to support the San Juan Passport Agency. The ideal candidates should possess excellent communication skills, have experience in working with customers in a front facing
Health Profile Evaluator Regular Non-Exempt General Description: Responsible for evaluating CHRA (Comprehensive Health Risk Assessment) forms received from Classicare policyholders and coding the documented clinical information according to the guidelines established by the unit. Essential Functions: Performs
Manager of Administrative Coding Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting
Accounts Payable Coordinator Legends Global, the leader in privately managed public assembly facilities and live events, has an excellent opening for an Accounts Payable Coordinator at The PR Convention Center. This position is responsible for providing
Premium Management Representative Regular Non-Exempt General Description: Calls medical offices to request, receive by fax, and register documents contained in the medical records of Classicare policyholders, as required and according to the different initiatives worked on
Senior Director of Technology Location: San Juan, Puerto Rico. This is a hybrid role and requires the candidate to be on-site at CB offices every Tuesday and Wednesday. Role Type: This is a full-time position. As
Fluor Project Control Role At Fluor, we are proud to design and build projects and careers. We are committed to fostering a welcoming and collaborative work environment that encourages big-picture thinking, brings out the best in
Claims Processor Analyzes claims and/or adjustments submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS-1500) and Uniform Billing Form 04 (UB-04) formats, as well as member reimbursements, by applying payment rules to determine appropriate
Utilization Operational Supervisor Regular Exempt GENERAL DESCRIPTION: Oversees and monitors the administrative operations of the Utilization Management unit, ensuring effective management of the precertification process in accordance with organizational standards. Provides direct supervision to Utilization Management
Contracting Senior Specialist Regular Exempt General Description: Coordinates visits, participates in contracts, and collaborates on negotiating financial agreements for the companys Provider Network. Analyzes financial impact reports to recommend contracting models and ensures that the coding of
Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures. Assist the