• Utilization Management Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …of practice of Utilization Management and reimbursement methodologies and treatment coding . + Manages policies and procedures of inpatient and outpatient services. ... of services and approved claims. + Prepares retrospective reviews, case appeals, billing coordination, and clinical support. + Manages the analysis of utilization… more
    CareFirst (07/12/25)
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  • Administrative Director - Psychiatry…

    Beth Israel Lahey Health (Burlington, MA)
    …Oversee the revenue cycle in assigned divisions, ensuring accurate charge capture, billing , insurance verification, and co-pay collection to optimize financial ... workflows to ensure best practices are followed in patient care, documentation, coding , and medical record maintenance. 4. Collaborate with clinical teams to monitor… more
    Beth Israel Lahey Health (06/28/25)
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  • Administrative Director for Behavioral…

    East Boston Neighborhood Health Center (MA)
    …monitoring of the departmental budget; BHC productivity/utilization review, and documentation/ coding / billing practices and improvements. 11.Provides high quality ... consider joining our team! + Medical & Dental Coverage + Life and Disability Insurance + Privileges at Boston Medical Center for Providers + 401(K) Retirement Plan +… more
    East Boston Neighborhood Health Center (06/26/25)
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  • Licensed Practical Nurse (LPN) or Medical…

    Avera (Tea, SD)
    …have complete and accurate diagnoses and that documentation supports the appropriate billing / coding levels. + Ensures that all documentation enhances compliance ... into the future. + PTO available day 1 for eligible hires. + Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan + Up… more
    Avera (06/25/25)
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