As a Client Service Specialist, you will be responsible for receiving and responding to inbound customer inquiries, performing outreach to providers and members, providing program support for contract members, and providing technical and administrative support for
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
Looking for a career where you love what you do and who you do it with? You’re in the right place. Healthcare here is different – we’re locally owned and led by our physicians, and all
Sr. Mgr. Business Analytics Were building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, youll be surrounded by passionate colleagues who care deeply, innovate with
Manager Of Medical Information Management The Broadlawns Medical Center campus includes an acute care hospital, primary and specialty care clinics, urgent care and emergency services, lab, radiology, dentistry, inpatient and outpatient mental health, crisis team, and
UM / Data Entry Tech Principal Accountability: Screens information received and refers members to the appropriate provider and/or contacts the provider directly for members. Facilitates the authorization process for requests that do not require clinical criteria
Provider Liaison The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Program Integrity is seeking a Provider Liaison to join our team! The Medicaid Provider Liaison serves as a resource for
Clinic Supervisor The Broadlawns Medical Center campus includes an acute care hospital, primary and specialty care clinics, urgent care and emergency services, lab, radiology, dentistry, inpatient and outpatient mental health, crisis team, and community-based behavioral support
Billing Representative II Are you looking for an opportunity to do amazing work helping others? Youve come to the right place. Lets make a difference! Primary Health Care (PHC) was founded in 1981 by Dr. Bery
Medical Assistant Demonstrates ability to recognize urgent/emergent needs of patients and initiate appropriate emergency procedures as needed. Demonstrates current level of knowledge of various payor regulations by functioning within those guidelines. Follows clinic procedure/protocol for the
Medical Coder The Medical Coder ensures optimum reimbursement for medical services through accurate and timely reporting and posting of all physician and ancillary services. Our team consists of individuals who enjoy being challenged, continuously learning, and
We are seeking an experience Medical Biller/Coder to join our OB/GYN medical practice. The ideal candidate will have at least 2 years of experience in medical billing with strong knowledge of coding, insurance claims, and denial management.
Medical Scribe (Full-time in Primary Care Setting) At CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nations leading
Utilization Management Nurse We are seeking a dedicated Utilization Management Nurse to provide timely and appropriate prior approval services to members and healthcare providers. The role involves making clinical determinations based on medical policies and criteria,
100% Remote - Utilization Management Nurse We are seeking a dedicated Utilization Management Nurse to provide timely and appropriate prior approval services to members and healthcare providers. The role involves making clinical determinations based on medical
Essential Duties and Responsibilities: - Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments. - Provide written clinical rationales for CA Workers Compensation
Company Description Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated
Company Description Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 85 years’ worth of trust. We are not motivated by
UM / Data Entry Tech Principal Accountability: Screens information received and refers members to the appropriate provider and/or contacts the provider directly for members. Facilitates the authorization process for requests that do not require clinical criteria
Required Qualifications (Non‑Negotiable) U.S. citizenship Must reside within 50 miles of the nearest VA Medical Center Active credential from AHIMA (RHIA, RHIT, CCS, CCS‑P, CCA, CDIP) or AAPC (CPC, CPC‑H, or successor) Completion of an accredited