A company is looking for a Central Denials Unit Coordinator to provide non-clinical support to the utilization management team.
Key Responsibilities : Provide non-clinical support in processing adverse determinations and noticesEnsure compliance with federal regulations and health plan requirements for informational noticesDocument member service benefits and process authorizations for HMO / PPO clientsRequired Qualifications, Training, and Education : 1 year of experience in non-clinical functions for prospective utilization management review3 to 5 years of experience in a healthcare setting2 years of referrals management or related experienceHigh school diploma, G.
E.D., or equivalent; certification in a healthcare-related field preferredProficient in Microsoft Office Suite and knowledgeable in medical terminology and coding
Central Denials Unit Coordinator
A company is looking for a Central Denials Unit Coordinator to provide non-clinical support to the utilization management team. ...
RN Case Manager PRN
We care like family! Jump-start your career as a(an) RN Case Manager PRN today with HCA Florida Woodmont Hospital. Come join our team as a(an) RN Case Manager PRN. If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Case Manager ...
Admissions Coordinator / Phone Representative - Substance Abuse / Mental Health
Admissions Coordinator/ Phone Representative with experience in the Substance Abuse Treatment/ Mental Health industry. If you are a seasoned admissions coordinator with prior experience in mental health or substance abuse admissions, and you require further information regarding the role or the orga...
Certified Medical Biller
A company is looking for an Experienced Certified Medical Biller/Coder (Remote). ...
Technical Claims Specialist
Use expert technical knowledge to authorize claims and negotiate claims payments for mechanical breakdown, parts and labour rates, which can involve very high values. Partner with other departments, claims adjusters and management staff to identify options that support claims resolution and approval...
Billing/Collections Specialist
As a Billing and Collect Specialist, you handle patient accounts after medical services have been rendered; liaison between our company and our patients and health plans; verify patient information, obtaining and releasing clinical documentation, appeals/denials, responds to health plan inquiries, p...
Medical Biller
As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, commu...
Accounts Payable Data Entry Clerk
We are seeking an Accounts Payable Data Entry Clerk at our Fort Lauderdale office. ...
Medical Biller
We are seeking a detail-oriented and collaborative Medical Biller t to join our orthopedic, pain management and chiropractic business. Utilize AthenaHealth Electronic Medical Record (EMR) systems proficiently. Apply knowledge of Medical Terminology, ICD-10, and CPT Codes accurately. At least two (2)...
Medical Biller
University/college degree, or experience in medical records, claims, or billing is an asset. Previous medical office experience preferred. Medical Billing: 5 years (Preferred). ...