- Ventura County (Ventura, CA)
- …strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification combined with extensive supervisory experience overseeing other ... coding specialists. PAYROLL TITLE: Senior Program Administrator (https://www.governmentjobs.com/careers/ventura/classspecs/newprint/2959) EDUCATIONAL/BILINGUAL INCENTIVE: Incumbents may be… more
- State of Colorado (Limon, CO)
- …a commercial, institutional or industrial setting (such as hospital, hotel, senior care living facility or correctional facility) operatingcommercial grade washers ... of the department's action. For more information about the appeals process, the official appeal form, and how to...position, please direct your inquiries to our Employee Relations Specialist , Kristen Lange, at doc_###@state.co.us or call ###. ALL… more
- Evolent (Dover, DE)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians… more
- Rochester Regional Health (Rochester, NY)
- …requirements of third party payors are maintained. Creates departmental reports for senior management. RESPONSIBILITIES + Oversees the review process of third party ... the medical management department in the tracking, trending and reporting of appeals and charge recovery information. + Conducts reviews of cost outliers and… more
- Children's Mercy Kansas City (Kansas City, MO)
- …to maximize efficiency and cost effectiveness + Contributes as a partner with Senior Leadership as healthcare subject matter expert. + Acts as liaison to facilitate ... the work of Nurse Case Managers, Social Workers, and Utilization Review specialist team members and support staff + Analyzes, evaluates, and recommends operational… more