Talent.com
Healthcare Plan Configuration Specialist

Healthcare Plan Configuration Specialist

VirtualVocationsLaredo, Texas, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.

Key Responsibilities :

Develop, configure, and maintain healthcare plan designs and benefit configurations

Ensure plan configurations support auto adjudication and comply with regulations

Perform testing of plan configurations to ensure accurate claims adjudication

Required Qualifications :

Associate's degree in healthcare administration, information systems, or a related field

Minimum of 2 years of experience in plan building and system configuration in healthcare

Strong knowledge of healthcare policies and compliance requirements

Proficiency in healthcare management systems and software

Experience with auto adjudication systems and technologies preferred

serp_jobs.job_alerts.create_a_job

Configuration Specialist • Laredo, Texas, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
CPC Certified Medical Coder

CPC Certified Medical Coder

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Coder I.Key Responsibilities Manage multiple coding related projects ensuring compliance with standards and timely deliverables Stay updated on coding guidelin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Oregon Licensed Clinical Nurse Auditor

Oregon Licensed Clinical Nurse Auditor

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Nurse Auditor, HEDIS who will conduct clinical quality audits and improve quality within the healthcare network. Key Responsibilities Conduct clinical quality a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Remote Medical Insurance Verifier

Remote Medical Insurance Verifier

VirtualVocationsLaredo, Texas, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Certified Medical Coder III

Certified Medical Coder III

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Coder III with Cardiology experience.Key Responsibilities Review and submit 64 encounters per day related to various cardiology services Maintain coding knowle...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
  • serp_jobs.job_card.promoted
Certified Medical Coder - IL

Certified Medical Coder - IL

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a HIM Certified Coder.Key Responsibilities Accurately code hospital inpatient, outpatient, and professional fee encounters using appropriate coding systems Provide inter...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Health Information Specialist I

Health Information Specialist I

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Health Information Specialist I - OnBase Indexer.Key Responsibilities : Perform chart processing functions including preparation, scanning, indexing, and quality review ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Radiation Oncology Coder

Radiation Oncology Coder

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Radiation Oncology Coder Remote.Key Responsibilities Review accounts for accuracy using the charge capture audit system in compliance with guidelines Compare medical r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Certified Coder Physician

Certified Coder Physician

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Coder Physician.Key Responsibilities Abstract, code, sequence, and interpret clinical information from various medical records Assign correct principal and secondary d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Remote Medical Records Processor

Remote Medical Records Processor

VirtualVocationsLaredo, Texas, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a REMOTE Medical Records Processor.Key Responsibilities Process medical record requests by handling calls from patients, insurance companies, and attorneys Document info...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
HEDIS Coding Quality Auditor

HEDIS Coding Quality Auditor

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Coding Quality Auditor, HEDIS.Key Responsibilities Conduct clinical quality audits and identify issues for quality improvement within the HEDIS project Collect and org...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Michigan Licensed Clinical Document Specialist

Michigan Licensed Clinical Document Specialist

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Document Specialist for a full-time remote position.Key Responsibilities Utilize clinical, coding, and Clinical Documentation Integrity (CDI) knowledge to enha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Behavioral Health Coding Auditor

Behavioral Health Coding Auditor

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Coding and Compliance Auditor-Behavioral Health.Key Responsibilities : Perform operational and financial audits of provider claims to identify overpayments and resolve r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
CPC Certified Multispecialty Coder

CPC Certified Multispecialty Coder

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.part_time
A company is looking for a Part-time Multispecialty Coder - Physician.Key Responsibilities Code E / M for multispecialty physician outpatient and inpatient charges Code office-based procedures whe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Healthcare Data Analyst

Senior Healthcare Data Analyst

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Healthcare Data Analyst.Key Responsibilities Analyze medical and pharmacy claims to develop and maintain data products Apply advanced models and queries to reso...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Information Analyst

Health Information Analyst

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Health Information Discharge Analyst I.Key Responsibilities Reviews inpatient records to ensure completion of discharge summaries and identifies deficiencies Updates d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Outpatient Medical Coder

Certified Outpatient Medical Coder

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Certified Outpatient Medical Coder, Professional Billing.Key Responsibilities Reviews medical records to assign appropriate diagnostic and procedural codes Assigns cha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals Reviewer.Key Responsibilities Process appeals while ensuring compliance with regulatory milestones Review medical records for documentation and billin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Pre-Certification Coordinator

Pre-Certification Coordinator

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Pre-Certification Coordinator I (Remote) - Surgery.Key Responsibilities Initiates and facilitates the pre-determination process with insurance companies Maintains dail...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30