Clinical Medical Review Nurse
payer/health insurance side of HEDIS or with a HEDIS vendor (ex. Cotiviti, Inovalon, Reveleer) Preferred Qualifications...
payer/health insurance side of HEDIS or with a HEDIS vendor (ex. Cotiviti, Inovalon, Reveleer) Preferred Qualifications...
or with a HEDIS vendor (ex. Cotiviti, Inovalon, Reveleer) Preferred Qualifications: Bachelor's degree in Nursing, Associates Degree...
as well as PointClickCare and Inovalon is a significant plus. Key Responsibilities: Prepare and process inpatient and outpatient claims...
setting up Inovalon clearinghouse EDI enrollments and EFTs for all payors and providers. In addition, you will be conducting... experience. Ability/Inovalon clearinghouse preferred. Must be able to function independently and use excellent judgment...
of related experience and education preferred. Proficiency with Meditech Expanse & Inovalon Clearing House. Lean Yellow, Green...
/Applications Used: Desktop/Laptop/Mobile Device. Required to use Inovalon scheduling app, HealthStream , Microsoft Office UHS...
for various departments and management using QlikView, Inovalon’s Quality Spectrum Insight-XL (QSI-XL), MS Access, MS Excel...
. We have several on-line programs currently being used by our staff: Matrix is used as our EMR. Inovalon is our on-line scheduling...
conditions are documented in the medical record in a manner compliant with CMS/DHHS, Inovalon policy, and client requirements... and take appropriate action as specified in Inovalon policies, and as determined by reasonable professional judgment and ethical...
medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Inovalon policy, and client... escalation and take appropriate action as specified in Inovalon policies, and as determined by reasonable professional judgment...