agency, managed care organization and appropriate medical contact. Ensures claims files are properly documented and claims... to move claim towards appropriate claim closure which may include appeal to hearing or Board of Review. Represents company...
in quality review and interrater reliability processes Qualifications: MD, DO, or PhD from an accredited medical school... experience Experience with managed care and health plan benefits Strong understanding of medical policy and application...
content creation and planning across all platforms. Manage channel planning, briefing, content review, trafficking and asset..., organization, and time management skills. Agile thinker who works well in the grey and in a fast-paced environment...
organization. Responsibilities: Review aging reports and work insurance accounts to ensure timely resolution and reimbursement... Operations Management oversees the business and administrative operations of a medical practice. The Collections team...
and existing security clearance required on day 1 Raytheon, managed by Collins Aerospace Collins Aerospace, an RTX company... teams Must possess ability to coordinate and lead activities as well as strong organization and analytical skills...
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical... Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...
and Intake packets and Managed Care Plans. Three (3) years prior experience in medical or behavioral health in a health care... into the organization’s electronic health records and RPMS systems. The PEC accurately reviews records for errors and corrects...
for coordinating, communicating and facilitating the care of patients with Medical, Behavioral and Maternal Health needs. The navigator... at Hackensack Meridian Health includes: All patients who are admitted for medical care will be screened for potential eligibility...
organization. Reporting directly to the Chief Medical Officer (CMO), the ACMO will oversee daily medical group operations, drive... initiatives, peer review, and credentialing Support prior authorization review and medical necessity determinations...
and Coordination Manager in Ambulatory Oncology. The Knight Cancer Institute provides total patient centered medical care... Coordinators and Managed Care Coordinators to ensure that all appropriate business-related information is gathered prior to the...