- Highmark Health (Olympia, WA)
- …the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared ... determination. At times, the incumbent may conduct additional research beyond medical policy review to make coverage determinations. **ESSENTIAL RESPONSIBILITIES** +… more
- Community Health Systems (Franklin, TN)
- …we serve. Our team members enjoy a robust benefits package including medical , dental and vision, insurance, and 401k. **Essential Functions** + Performs follow-up ... or a related field preferred + 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required +… more
- The Cigna Group (Newburyport, MA)
- …skills to handle inbound calls from patients and learn more about their medical history and challenges with fertility. This is not your average customer service ... for appropriate action. **Why join us?** + Health coverage effective day 1 (including medical , dental, vision) + Holiday, PTO, and OT pay + 401K with company match… more
- Option Care Health (Trenton, NJ)
- …Ambulatory Infusion Suite strategy, Patient Advocacy partnerships, Professional Medical Society partnerships, Field Force alignment, Market Access coordination, ... within the Area. + Establish and develop relationships with the Professional Medical Societies within the Area and create strategies to drive business results.… more
- aptihealth (Clifton Park, NY)
- …behavioral healthcare. aptihealth is a digital technology platform with an affiliated medical group that makes it easier for people to access speedy high ... teams + Track and document patient progress and clinical findings Benefits + Comprehensive Medical , Dental, and Vision plans available + Paid Time off, Sick Time and… more
- CVS Health (Albany, NY)
- …responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of ... * Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health. * Experience conducting health-related assessments… more
- Molina Healthcare (TX)
- …enhance the continuity of care for Molina members. + Assesses for medical necessity and authorize all appropriate waiver services. + Facilitates interdisciplinary ... coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns. + Identifies critical incidents and develops prevention… more
- Henry Ford Health System (Detroit, MI)
- …college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. + Must have through knowledge of anatomy, ... physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. Strong organizational and...engage in team meetings and activities. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT and… more
- AdventHealth (Orlando, FL)
- …for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare ... understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations Qualifications **The expertise and… more
- Mount Sinai Health System (New York, NY)
- …Sinai Health System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working ... developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering… more