Develops, maintains and enhances the claims review process. Assists management with developing unit goals, policies and procedures.
Investigates potential fraud and over-utilization by performing the most complex medical reviews via prepayment claims Audit, RN, Hospital, Lead, Healthcare, Benefits, Compensation
RN Hospital Bill Audit/Appeal Lead
The RN Hospital Audit/Appeal Lead is responsible for leading a team of clinicians responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record...
Rn Hospital Bill Audit/appeal Lead
Investigates potential fraud and over-utilization by performing the most complex medical reviews via prepayment claims Audit, RN, Hospital, Lead, Healthcare, Benefits, Compensation. ...
RN Hospital Bill Audit/Appeal Lead
RN Hospital Bill Audit/Appeal Lead. RN Hospital Audit/Appeal Lead. Hospital Bill Audit/Itemized Bill Review Appeal Experience preferred. Hospital Bill Audit Experience preferred. ...
RN Appeals Writer (Government Audit)
ALJ hearings; collaborating with internal and external legal resources in an effort to. Medicare and Medicaid appeals documentation and briefs in support of denied cases. ...
Staff Rn Iii-lead
Evidence-based Practice, Nursing Research, Quality of Practice, Patient Satisfaction Scores, External Reporting/Benchmarks The Staff Registered Professional Nurse III (Staff RN III) is licensed to practice professional nursing in the state of Georgia, in good standing and without limitations; has a ...
Staff RN III-Lead
Evidence-based Practice, Nursing Research, Quality of Practice, Patient Satisfaction Scores, External Reporting/Benchmarks The Staff Registered Professional Nurse III (Staff RN III) is licensed to practice professional nursing in the state of Georgia, in good standing and without limitations; has a ...
RN Appeals Writer (Government Audit)
ALJ hearings; collaborating with internal and external legal resources in an effort to. Medicare and Medicaid appeals documentation and briefs in support of denied cases. ...
Business Analyst
The Business Analyst will work to contribute and support initiatives and projects; develop and present analytic operational reports; and create modify, and/or simplify operational processes and procedures. Evaluates business processes, document requirements, uncover areas for improvement, and develo...
Senior IT Internal Auditor
A company is looking for a Senior IT Internal Auditor who will perform complex internal audits across the organization. ...
Operations Manager
Plans and manages liquid products production operations to meet GSF objectives for quality, efficiency and customer satisfaction. Plans and coordinates liquid product operations for a specific product (e. Coordinates communication with staff, maintenance, and other departments to ensure effective op...