- St. Luke's University Health Network (Allentown, PA)
- …of insurance authorizations. + Responsible for writing appeal letters or retrospective medical review requests. Prompt resolution of imaging and surgical cases ... via in-basket message and provide peer to peer info for scheduling. + Review payer medical policies and contact the health plan's UR department for first attempt… more
- Molina Healthcare (Ann Arbor, MI)
- …policies, CPT guidelines, internal policies, and contract requirements. This position completes a medical review to facilitate a referral to law enforcement or ... and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip,...to document relevant findings of a post pay clinical review . This position manages documents and prioritizes case load… more
- Regeneron Pharmaceuticals (Warren, NJ)
- …portions of clinical trial protocols and amendments + Assists with and may author/ review documents related to trials, such as medical monitoring plans, SAPs, ... guidelines as well as applicable SOPs regarding clinical safety + Performs clinical/ medical data review , including safety monitoring and activities and… more
- Northwell Health (Riverhead, NY)
- …preparation by ensuring required lab results and documentation are available in the medical record for practitioner review (for practices using paper medical ... meet patient needs including preparing, organizing and filing reports into the medical record. **Job Responsibility** 1.Collaborates with members of the health care… more
- Northwell Health (Brooklyn, NY)
- …preparation by ensuring required lab results and documentation are available in the medical record for practitioner review (for practices using paper medical ... meet patient needs including preparing, organizing and filing reports into the medical record. Job Responsibility 1.Collaborates with members of the health care team… more
- Trinity Health (Brighton, MI)
- **Employment Type:** Part time **Shift:** **Description:** **Position Purpose:** The Diagnostic Medical Sonographer is responsible to review the Physician Order ... for the exam/procedure. The Sonographer performs a variety of specialized medical ultrasound examinations/procedures to obtain high quality images for diagnostic… more
- Northwell Health (Islandia, NY)
- …preparation by ensuring required lab results and documentation are available in the medical record for practitioner review (for practices using paper medical ... results, entering information into the patient's electronic or written chart. Ensures medical record is accurate, complete and meets medical coding requirements.… more
- Northwell Health (Great Neck, NY)
- …preparation by ensuring required lab results and documentation are available in the medical record for practitioner review (for practices using paper medical ... meet patient needs including preparing, organizing and filing reports into the medical record. Shift varies depending on provider schedules; 8-hour shifts starting… more
- US Tech Solutions (Columbia, SC)
- …decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. **Responsibilities:** + ... May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes a… more
- North Carolina Central University (Durham, NC)
- …and non-pharmacologic treatment modalities. + To make accurate decisions based upon the review of patient symptoms and medical records. + To manage complex ... personnel, patients and their families, and internal and external agencies directing review processes. + Communicate Complex medical information to patients and… more