JOB SUMMARY: The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate reimbursement of payment on claims. The Specialists will take actions such as identification of outstanding overpayment of claims, collection of claim overpayments, handling
Acadian Client Services has an immediate opening for a full-time Billing Specialist (Medicare HMO) to join their team in Lafayette, LA. Job Location: Lafayette, LA - This position is based in the office. The hours are Monday-Friday,
JOB SUMMARY: The Recalculation Examiner is responsible for researching and reprocessing claims that were previously adjudicated and need to be reconsidered for all lines of business. The examiner will use their resources, knowledge and decision-making acumen
JOB SUMMARY: To provide administrative and clerical support to ensure the efficient operation of the department. KEY RESPONSIBILITIES: • General clerical duties including copying, scanning and faxing. • Develops and maintains files and logs as related
JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
Job Title HMP contracting and credentialing experience in the skilled nursing sector...
Administrative Support To provide administrative and clerical support to ensure the efficient operation of the department. Key Responsibilities General clerical duties including copying, scanning and faxing. Develops and maintains files and logs as related to department
Job Title Responsibilities: Run the AR every 4 weeks. Make sure the claims were paid correctly. Denials must be checked, sent appeal, check authorization and eligibility. Make phone calls if the denial is not clear, have
We are searching for a Medical Assistant II with our Employee Health Clinic - someone who works well in a fast-paced setting. In this position, you will provide patient care and excellent customer service in a
We are searching for a Registered Pharmacy Technician - someone who works well in a fast-paced setting. In this position, you will assist the pharmacist in the preparation related to the repackaging and compounding, filling, and
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being
About Altais: At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks.
In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an individuals health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate
Overview At Wipfli, people count. At Wipfli, our people are core to everything we do—the catalyst behind our ability to create exceptional impact and extraordinary results. We believe in flexibility. We focus on relationships. We encourage