environment Utilization review or claims processing Knowledge of medical terminology Proficiency in Microsoft Excel... to changing workflows Perform daily quality checks to ensure data accuracy and compliance Review case studies and audits...
) is an award-winning, woman-owned, minority, small business. As a member of the SCP organization you will work as a contractor... SCP include: Medical insurance Vision insurance Dental insurance Disability insurance 401(k) Paid Time Away...
, and ATM managed services. Our customers include financial institutions, retailers, government agencies, mints, jewelers... only) Benefits & Perks: A strong, team-oriented culture Eligible for benefits after 30 days of employment! Medical, Dental, Vision...
authorization. Coordinates authorizations for procedures and testing requested by providers for their managed care patient. Reviews... requests. Work on all pending utilization review patients, and achieve authorization for the following day. Getting emergent...
’s SAAS platform to ensure Privileged Roles are managed to ADI’s Policy and Standards, as well as ensure compliance... Governance team members to directly manage all aspects of the User Access Review (UAR) process for the enterprise-supported...
Management Team. · Supervise Utilization Review (UR), Chronic Disease Management (DM) and/or Case Management (CM) team... of medical claims and ICD-10, CPT, HCPCS coding · Excellent verbal and written communication skills for upward and downward...
organization. The ABM will be responsible for the supervision and leadership of 6-10 representatives within the area assigned..., and the assignment of key "priority" accounts within the medical community, managing 6-10 representatives. Develops...
with colleagues to coordinate review of contract deliverables. Experience using project management tools to implement and track... quality regulations and policy with experience providing review of regulatory language. Strong verbal skills to efficiently...
Discharge planning experience Chart review experience Medical/Behavioral setting experience (i.e., hospital, managed care... organization, or joint medical/behavioral outpatient practice) Dual diagnosis experience with mental health and substance abuse...
organization in a cross-collaborative way. At Novo Nordisk, we create value by having a patient-centered approach... practitioners, medical assistants, pharmacists, nurses and other paramedical customers and current co-promotion partners. Internally...