The Claims Team Lead – Medical Management, is responsible for assisting with the oversight of a team of medical professionals. In this role, the Claims Team Lead – Medical Management will be responsible for department Quality
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves
Join Our Team as a Clinical Assistant! Position Details: Full Time (40hrs/ benefits) 8-4:30 Monday - Friday Pay ranges from $17.40-$25.66 This position may be eligible for up to a $5,000 sign on bonus Position Summary:
Become a part of our caring community Join our dedicated outpatient team at the Eastside clinic, where patient-centered care is our top priority, In this role you will directly report to the Center Administrator and play
Help us change lives At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most.
Help us change lives At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most.
Up To $25,000 Sign On Bonus For Qualified RNs! Summary The Registered Nurse (RN) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, payers, and the Guthrie Clinic health system business
Position OverviewAs part of the Revenue Integrity team, the CDM Analyst is responsible for managing and coordinating the Charge Description Master (CDM) and Charge Generation Tracker (CGT) for United Health Services Entities 0101 (UHS) which utilizes
Medical Coder The Medical Coder is responsible for assigning ICD-10-CM and/or CPT/HCPCS codes as appropriate and abstracting pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P,
Cost Avoidance Specialist I Under the direction of the Cost Avoidance Supervisor, the Cost Avoidance Specialist I monitors activities related to cost savings and recoveries of medical claim payments; identifies and verifies members other health coverage
Job Title To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects. To accurately research and process paper and electronic medical, outpatient, ancillary,
Job Title Research and Resolve Complex Claims Issues Job Description To research and resolve complex claims issues which cross interdepartmental lines and communicate the outcome to providers and affected Partnership managers. Develops and maintains provider training
Job Title Insurance/Payer Information Specialist Job Description Primary Job Duties Gathers, updates and verifies insurance/payer information and ensures accurate entry into the practice management system. Verifies insurance type and eligibility for care. Prioritizes referrals based on