management and insurance experience Preferred Experience Experience in coding, medical record review, auditing, and insurance... on compliant charging, billing, and coding practices. Collaborates with Managed Care and Compliance to resolve reimbursement...
). [Required] Strong medical background and knowledge of managed healthcare systems, medical quality assurance, quality improvement, and risk... continuing adoption of evidence based medicine by the medical staff and the protocols that come with evidence based model...
, LCR, PMS, and Signature. Request copies of medical record as necessary. Review all claims for electronic edits.../Duties of Position Billing to all non-government payors (including medical insurers, auto insurers, workers compensation...
A .gov website belongs to an official government organization in the United States. Secure .gov websites use HTTPS... met. Ensures requirements are managed, objectives and appropriate performance and service-level metrics are defined for IT programs...
Anticipated End Date: 2026-01-12 Position Title: Medical Mgmt Specialist I Job Description: Location: This role... requires travel to our Washington, D.C. office 4 days each week. The office is located at 609 H. Street NE. The Medical...
and Medicaid payers and managing the LastPass platform for the organization. The role will be responsible for web portal... and providing on-going support specifically for the operations group. Additionally, will provide support to the Managed Care team...
;assist in referrals to specialists if needed;assist in obtaining durable medical equipment, review pricing for high-cost... care guidelines to compare patient’s current level of care with industry standards. Use claims processing tools to review...
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...
of Health Affairs, medical directors, MMG leadership, and faculty representatives in the creation and oversight of managed care... and clinical business operations. The Director will supervise the daily management of the medical group concerning all elements...
. We are doing big things. Come join us at eXp Realty - a 7x Glassdoor Best Places to Work organization! What you will do: The... state license law, REALTOR association membership and MLS participation, along with the transaction review process...