review or claims processing Knowledge of medical terminology Proficiency in Microsoft Excel, including reading... daily quality checks to ensure data accuracy and compliance Review case studies and audits and escalate issues...
intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination of benefits.... Must adhere to the Medical Center's Quality Standards and maintain a positive patient experience at all times. Responsibilities...
Analyst / Project Lead to review telecommunications solutions and architectures for FAA systems to ensure they meet FAA... of an FAA Telecom service. This will include but not be limited to supporting the review IP configurations and IP supplemental...
through regulatory analysis, policy review, and technical writing. In this role, you will be responsible for reviewing managed... includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical...
supports operations for remotely managed accounts by performing on-site supervision of Security Professionals (SPs..., or when changes to post orders are made, this may include orientation to the post, review of post orders, routine...
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...
retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies... of employment! Medical, Dental, Vision, 401K, Paid Holidays & Vacation Hours (For Full Time positions). Link to our benefits: Paid...
in Indianapolis IN, is a certified woman-owned (WBE) professional services organization with over 1500 employees located in offices... in Managed Service Programs (MSP), Employer of Record / Payrolling Services, National Recruitment, and Staffing Services...
Anticipated End Date: 2025-12-23 Position Title: Medical Management Specialist I Job Description: Medical... as required by law. Schedule: M-F 8AM to 5PM EST, no weekends or holidays. The Medical Management Specialist I is responsible...
. They will be responsible for implementing the mission, vision, policies, goals, and objectives of the organization and the nursing/clinical... activities, and the Continuous Quality Improvement (CQI) process. Maintains current knowledge of program(s) via literature review...