- Providence (TX)
- …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain complete documentation for each ... patient safety projects, through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote work for… more
- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management. **Use your skills to make an impact**… more
- Sedgwick (Dover, DE)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote ADA Accommodation Coordinator- Bilingual French, Hindi, Bengali or more **We are ... looking for Remote candidates who are bilingual in any of these...within the United States. **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and… more
- McLaren Health Care (Shelby Township, MI)
- …department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately ... **:** 1. Responsible for completing quality assurance audits on professional coding specialists , onboarding audits and training of newly hired coding specialists… more
- Robert Half Accountemps (Spokane, WA)
- …multiple detail-oriented and experienced healthcare Collections & Accounts Receivable (A/R) Specialists to support a long-term collections project. This role is 100% ... remote , but candidates must be able to work standard...following up on high volume and aged and backlogged claims . You should have experience with both government and… more
- Trinity Health (Livonia, MI)
- …and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, ... ESSENTIAL FUNCTIONS: 1. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. 2.… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …Teams, Global Value & Real-World Evidence Teams, and Publications Management Specialists to plan and execute publication activity. **Job Description** + Lead ... post-congress coverage reporting + Collaborate with Publications Management Team specialists to manage publication vendors, budgets, and operational activities as… more
- AdventHealth (Altamonte Springs, FL)
- …Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being ... understanding that together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital inpatient accounts… more
- Centene Corporation (Jefferson City, MO)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Johns Hopkins University (Baltimore, MD)
- …III_** who will be responsible for the collection of unpaid third-party claims and independent resolution of complex appeals, using various JHM applications and ... Communicates with payers to resolve issues and facilitate prompt payment of claims . Communicates with providers regarding appeals and medical policy denials and… more
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