Job Title Responsible for handling administrative and medical appeals that require clinical input or interpretation, directing and coordinating all aspects of denied claims, provide coordination of comprehensive clinical documentation to third-party payers and state agencies to
Transplant Financial Counselor - Transplant Marrow To coordinate and manage the financial aspect of the transplant program. To maximize financial reimbursement for transplant services rendered. Serves as a resource and financial counselor for transplant candidates and
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
Key Responsibilities • Act as the principal technical authority for integration engineering across Maximus UK, providing deep leadership across Boomi-based integration solutions. • Define and maintain integration engineering standards, patterns, guardrails, and best practices for system-to-system