• Nurse Risk Management Analyst, Clinical

    University of Pennsylvania (Philadelphia, PA)
    …care insurance to help you cover some of the costs of long-term care services received at home , in the community or in a nursing facility. If you apply when ... of atmospheres, Philadelphia is the perfect place to call home for work and play. The University offers a...defense counsel in the interpretation and understanding of the medical aspects of malpractice claims . Teamwork and… more
    University of Pennsylvania (06/03/25)
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  • Accountant I/II/Senior

    Ventura County (Ventura, CA)
    …analyze (Accountant I) or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide ... merit increase within the pay range upon completion of at least 1,040 hours (approximately 6 months) assuming work...up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your… more
    Ventura County (06/02/25)
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  • Medical Director (Based in TX)

    Molina Healthcare (Fort Worth, TX)
    …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
    Molina Healthcare (06/08/25)
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  • Medical Director - SIU (Special…

    CVS Health (Sacramento, CA)
    At CVS Health, we're building a world of health...do it all with heart, each and every day. Medical Director - SIU (Special Investigations Unit) CVS Health - ... mission to safeguard healthcare integrity and protect patient well-being. As the Medical Director of Healthcare Fraud Investigations, you'll lead our efforts to… more
    CVS Health (05/30/25)
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  • Health Information Manager ( Medical

    Sunnyside Nursing and Post-Acute Care (Torrance, CA)
    …completion rate to the Executive Team. + Management and oversight of employees in the Medical Records department. Requirements + At least 5 years experience as a ... to all our patients with a goal to return home . Our team of qualified professionals provides compassionate care...qualified professionals provides compassionate care by: + Maintaining high medical integrity + Fostering a team spirit among staff… more
    Sunnyside Nursing and Post-Acute Care (03/27/25)
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  • Medical Office Associate I, Per Diem, Days…

    Atlantic Health System (Summit, NJ)
    Medical Office Associate (Front Desk Receptionist) Responsible for providing day-to-day support operations by performing administrative tasks and ensuring ... high-quality customer service to patients. Medical office associate manages both the front and back...insurance coverage and assists the billing department with processing claims . + Communicates test results to patients when directed… more
    Atlantic Health System (06/07/25)
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  • Medical Records Coder III, Complex

    University of Rochester (Rochester, NY)
    …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Medical Coder III functions as an advanced coder in the abstraction ... and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and ...- Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides… more
    University of Rochester (03/17/25)
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  • Billing Specialist

    Pediatric Movement Center (Hagerstown, MD)
    …STAFF: "I'm truly at a loss for words for how quickly y'all have made me feel at home as a new employee. PMC is a true unicorn in its workplace culture and ... Hub City Business Competition, Winner of The Hotlist, Best Medical Specialist, and Best Attraction for Kids to name...YOU WORK HARD WE BELIEVE YOU SHOULD BE REWARDED! At PMC we know our staff works hard. We… more
    Pediatric Movement Center (04/23/25)
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  • Medical Records III, Complex

    University of Rochester (Rochester, NY)
    …advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in ... and manipulates database. Responds to or clarifies internal requests for medical information. **ESSENTIAL FUNCTIONS** + Uses thorough knowledge of coding systems… more
    University of Rochester (04/07/25)
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  • Field Investigator - Macp/ACP/OOP

    Command Investigations (Detroit, MI)
    …premier servicer for insurers and defense attorneys throughout Michigan, and our Assigned Claims Plan (ACP) unit is actively expanding to meet the increasing demand ... information, conduct special investigations, examine coverage/loss, and combat fraud, one case at a time. Our ACP team provides industry-leading service to clients… more
    Command Investigations (04/19/25)
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