Position Title: Physician Reviewer – Pediatric Nephrologist Organization: ManagedMedicalReviewOrganization (MMRO...) Employment Type: Independent Contractor Industry: Healthcare About MMRO ManagedMedicalReviewOrganization (MMRO...
, must be available to work during PST business hours. Responsibilities: Compliance Review: Audit product labeling for essential elements... Reporting & Presentation: Review complex technical reports and deliver presentations to internal and external stakeholders...
Medical Records Clerk - Temporary A healthcare organization is seeking a Medical Records Clerk for temporary support... Medical Office Administration Hospital & Clinic Operations Compliance & Risk Management Managed Care & Insurance Operations...
Plan, including construction execution, quality assurance, safety & health, subcontracting, staffing, organization chart..., bidder evaluation, and selection. Review, approve, and communicate internal and external reports including budgeting, cash...
, preferably in an HMO or Managed Care setting A thorough understanding of medical claim processing and customer service standards... and identify Lean improvements to all unit workflows. Responsibilities: * Review and process provider dispute resolutions...
potential and is located in Oak Brook, IL(Hybrid). Please review the job description below and contact me ASAP... insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities...
Plan and/or Government Program implementations, including Medicaid, Medicare Part D, Managed Care, and Part B. This role... organization’s strategic growth in the PBM industry. Responsibilities: Manage and lead new Health Plan implementations...
successful candidate will review, research, and resolve claim denials and appeals for various insurance companies while identifying payment...: Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed. Contacting insurance...
the creation of 3D prints and physical mock-ups. Review prototypes for color, material, and finish (CMF) accuracy..., etc. In addition, Cella by randstad digital offers a comprehensive benefits package, including: medical, prescription, dental, vision...
recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long... required) with Concentra Physician ReviewMedical Director to discuss quality of care and credentialing and state licensure issues. Maintain...