Talent.com
Healthcare Plan Configuration Specialist

Healthcare Plan Configuration Specialist

VirtualVocationsKalamazoo, Michigan, United States
job_description.job_card.30_days_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 • Kalamazoo, Michigan, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Behavioral Health Coding Auditor

Behavioral Health Coding Auditor

VirtualVocationsKalamazoo, Michigan, 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
Certified Medical Coder III

Certified Medical Coder III

VirtualVocationsKalamazoo, Michigan, 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_30
  • serp_jobs.job_card.promoted
Certified Medical Coder - IL

Certified Medical Coder - IL

VirtualVocationsKalamazoo, Michigan, 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
  • serp_jobs.job_card.new
Radiation Oncology Coder

Radiation Oncology Coder

VirtualVocationsKalamazoo, Michigan, 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

VirtualVocationsKalamazoo, Michigan, 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
  • serp_jobs.job_card.new
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsKalamazoo, Michigan, 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
  • serp_jobs.job_card.new
Oregon Licensed Clinical Nurse Auditor

Oregon Licensed Clinical Nurse Auditor

VirtualVocationsKalamazoo, Michigan, 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
Alabama Licensed Medical Reviewer

Alabama Licensed Medical Reviewer

VirtualVocationsKalamazoo, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Reviewer II to perform medical reviews and support medical claims.Key Responsibilities Conducts medical claim reviews and determines medical necessity based on ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
CPC Certified Multispecialty Coder

CPC Certified Multispecialty Coder

VirtualVocationsKalamazoo, Michigan, 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
  • serp_jobs.job_card.new
Healthcare Implementation Analyst

Healthcare Implementation Analyst

VirtualVocationsKalamazoo, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for an Implementation Business Analyst to create business requirements and liaise between Business Operations and Technology IT teams for new projects and improvements.Key Resp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Illinois Certified Health Information Coder

Illinois Certified Health Information Coder

VirtualVocationsKalamazoo, Michigan, 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
  • serp_jobs.job_card.new
HEDIS Coding Quality Auditor

HEDIS Coding Quality Auditor

VirtualVocationsKalamazoo, Michigan, 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
Health Information Specialist I

Health Information Specialist I

VirtualVocationsKalamazoo, Michigan, 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
Medical Reviewer Contractor

Medical Reviewer Contractor

VirtualVocationsKalamazoo, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Reviewer / Safety Reviewer III.Key Responsibilities Provide medical oversight for scientific review and approval of promotional and medical materials Collaborate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Certified Outpatient Medical Coder

Certified Outpatient Medical Coder

VirtualVocationsKalamazoo, Michigan, 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
Remote Medical Insurance Verifier

Remote Medical Insurance Verifier

VirtualVocationsKalamazoo, Michigan, 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
Remote Medical Records Processor

Remote Medical Records Processor

VirtualVocationsKalamazoo, Michigan, 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_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensed Physician Reviewer

Licensed Physician Reviewer

VirtualVocationsKalamazoo, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Physician Reviewer - Utilization Review.Key Responsibilities Conduct timely medical reviews to ensure compliance with quality parameters Make clinical determinations b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours