A company is looking for a Coordinator, P2P Appeals to support the reimbursement cycle for healthcare clients.Key Responsibilities : Schedule Peer to Peer calls with Medical Directors and follow up on pending casesDocument information from payer calls and update multiple databasesProvide support for case entry, Peer to Peer, and appeals processesRequired Qualifications : High School Diploma or equivalent required;
Bachelor's degree preferredCall center experience preferredUnderstanding of denials processes for Medicare, Medicaid, and Commercial / Managed Care is a plusPrior experience with hospital EMRs and Payer Portals preferredProficient in MS Word and Excel, with basic formula knowledge
Peer to Peer Appeals Coordinator
A company is looking for a Coordinator, P2P Appeals in the US - Remote. ...
Rn, Coordinator Quality Peer Review
We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Works through medical staff coordinator to facilitate timel...
RN, Coordinator Quality Peer Review
We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Works through medical staff coordinator to facilitate timel...
Peer Navigator/Driver - Alternatives to Incarceration
Adheres to all policies and procedures established by HealthRIGHT 360's Health & Safety program, including but not limited to; participating in emergency preparedness drills, reporting any potential safety hazards to the appropriate party, and following proper protocols for response to emergency sit...
Travel Nurse RN - Case Manager - $2,185 to $2,422 per week in Eureka, CA
Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain high l...
Travel Registered Nurse - Case Manager - $2,621 per week in Sunnyvale, CA
Our Client is currently seeking Case Manager for positions in Sunnyvale, California for a [shift] shift. ...
Travel Registered Nurse - Case Manager - $2,397 per week in Tarzana, CA
Travel Nurse, Traveler, Contract Nurse - whatever you like to be called, Lead has the perfect position for you! We are looking for a Case Management Registered Nurse (RN) for our client in Tarzana, California. ...
Travel Registered Nurse - Case Manager - $2,781 per week in Sunnyvale, CA
We are currently seeking qualified candidates for RN.Shift 5x8 Days, 08:00:00-16:00:00, 8.Day 1 Medical, Health, Dental, Vision....
Travel Registered Nurse - Case Manager - $2,389 per week in Castro Valley, CA
Case managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. The overall goal for case managers is to improve clinical outcomes, increase patient satisfaction, and promote cost-effectiveness...
Prevention Education and Program Manager
Prevention Education and Program Manager. Under the direction of Project SAFE Director and Survivor Advocate, the Project SAFE Prevention Education and Program Manager is responsible for managing prevention, education, and awareness-raising activities on Occidental’s campus related to sexual and int...