of required reporting and quality improvement plans. Coordinate, facilitate and conduct medical record reviews to support quality...
improvement plans. Coordinate, facilitate and conduct medical record reviews to support quality activities Performs...
Job Description: Prioritizes approved invoices and check requests according to payment terms. Assist with month-end accruals as needed. Familiarizes with company policies and navigating steps in Dynamics GP, Certify and CentreSuite. ...
information sessions about medical/coding topics and FWA trends/schemes;Special Investigation case studies). SIU case..., but not limited to Legal, Medical Management, Provider Operations and Claims Operations. Provide operational oversight to SIU Vendors...
Job Description: Provides general production support: Monitor daily production performance and inventory levels as assigned. Conduct data and trend analysis to identify areas of improvements. Triage daily production issues. Recomme...
to provider inquiries regarding claims, benefits and highly complex issues that include medical or payment policy questions...
solutions to Management and other applicable business areas including, but not limited to Legal, Medical Management, Provider...
Job Description: Job Description Evaluation: Administers job description process: Reviews job evaluation requests for new or revised job descriptions to determine appropriate job leveling and FLSA exemption status. Utilizes job evaluatio...
working knowledge of HMSA's plan provisions, eligibility requirements, benefits, claims processing, medical policies, payment... channels while at the same time providing the highest level of service to customers. In concert with the Contact Center...
to provider inquiries regarding claims, benefits and medium complex issues that include medical, or payment policy questions...