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Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..
Job Information Humana Manager, Specialty Pharmacy Sales in Boston Massachusetts Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Boston Massachusetts Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..
About Latinos for Education Latinos for Education (L4E) is a fast-growing non-profit organization that supports a national ecosystem of Latino education leaders to access highly influential roles and opportunities. Our mission ..
Job Information Humana Medical Claims Processing Representative 2 in ... in Boston Massachusetts Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..
... On Bonus for External Candidates Medical Assistant roles with Reliant Medical Group. When you join Reliant, ... of a community-based, multi-specialty, physician-led medical group. Primary care and specialist .....
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..
Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
REQUISITION NUMBER: 102912 JOB DESCRIPTION Cintas is seeking a Customer Service Representative - Bilingual In Spanish to provide customer service to both our internal partners and our external customers through various ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Job Information Humana Medicare Sales Field Agent - Worcester, MA (Bilingual) in Worcester Massachusetts Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and ..
... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... Management Behavioral Health Nurse completes medical record reviews from medical records sent from Behavioral Health ... of..
The city of Lowell is the perfect example of scenic New England. Over the years Lowell has gained a reputation as a great holiday destination, thanks to its mix of interesting ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Professional, Web Content & French CA Translations (Remote) Date: May 31, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment ..
Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
