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Confidential
A company is looking for a Medical Insurance Accounts Receivable Representative Specialist 2. Key Responsibilities: Verify patient eligibility and authorization for healthcare services Update patient demographics and insurance information...
Confidential
A company is looking for an Appeals and Grievances Medical Director - Plastic Surgeon. Key Responsibilities: Perform individual case review for appeals and grievances related to medical services Communicate with medical directors and network...
Confidential
A company is looking for a Psychiatry Clinical Curriculum Committee member. Key Responsibilities: Evaluate overall product framework and design Establish and maintain content quality standards Review discipline-specific topic lists and assist...
Confidential
A company is looking for a Neurology Clinical Curriculum Committee member. Key Responsibilities: Evaluate overall product framework and design Establish and maintain content quality standards Review discipline-specific topic lists and assist...
Confidential
A company is looking for a Clinical Content Writer - Neurology. Key Responsibilities: Produce learning objectives, decision-making trees, and scripts for the Clinical Sciences project Create clinically-relevant content accessible to first-time...
Confidential
A company is looking for a Registered Nurse for a remote position. Key Responsibilities: Conduct high volume outbound calls to patients, providers, and pharmacies regarding medication adherence and chronic disease management Assist patients in...
Confidential
A company is looking for a Behavioral Health Inbound Outbound Queue Associate. Key Responsibilities: Perform intake of calls from members or providers regarding services via telephone, fax, EDI Screen requests for appropriate referral to...
Confidential
A company is looking for a Senior Associate IDI Underwriter. Key Responsibilities: Evaluate IDI applications and make underwriting decisions based on morbidity, financial, and occupational risks Collaborate with medical directors and...
Confidential
A company is looking for a Plain Language Summary Writer (Remote) for their Regulatory and Medical Writing Team. Responsibilities: Critically evaluate, analyze, and interpret medical literature for study design, statistical significance,...
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A company is looking for a Bilingual Spanish Intake Specialist. Key Responsibilities: Talks directly with patients and their families to determine their needs, medical history, and special requirements Schedules various appointment types for...
Confidential
A company is looking for a Remote Intake Specialist - Bilingual. Key Responsibilities: Talks directly with patients and their families to determine their needs and medical history Schedules various appointment types for multiple locations...
Confidential
A company is looking for a Coding Specialist for a remote, nationwide position. Key Responsibilities: Review physician documentation and apply appropriate CPT and ICD-10 codes Notify physicians of insufficient or ambiguous documentation and...
Confidential
A company is looking for a Pre Visit Services Registration Insurance Team Senior Patient Account Representative Key Responsibilities: Perform patient scheduling and registration Enter charges and balance batches Handle billing, collection,...
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A company is looking for a Results Communicator to relay medical results and feedback between healthcare professionals. Key Responsibilities: Facilitate call patching between referring physicians and radiologists Call referring physicians to...
Confidential
A company is looking for a Quality Assurance Representative to review Medicare and Medicaid claims and ensure accuracy before submission. Key Responsibilities: Review all claims and assign a level of service Review medical records to ensure...
Confidential
A company is looking for an Inbound Outbound Queue Associate. Key Responsibilities: Supports comprehensive coordination of medical services including intake, screening to Aetna Medical Services Programs Performs intake of calls from members or...
Confidential
A company is looking for a Clinical Content Editor in Neurology. Key Responsibilities: Oversee the editorial process in the production and publication of clerkship-specific content for the Clinical Sciences product Collaborate with teams and...
Confidential
A company is looking for a Long Term Disability Analyst. Key Responsibilities: Obtain information from claimant, employer, and medical providers to make Long Term Disability decisions Analyze medical and financial information to determine...
Confidential
A company is looking for a Clinical Content Editor - Psychiatry. Key Responsibilities: Oversee the editorial process in the production and publication of clerkship-specific content for Clinical Sciences product Produce, edit, and review...
Confidential
A company is looking for an Electromechanical Engineer in the Life Sciences & Technology industry. Key Responsibilities: Lead engineer responsible for EUMDR remediation PD work Develop, research, design, implement, test, and evaluate...
Confidential
A company is looking for a Military Benefits Call Center Specialist. Key Responsibilities: Respond to inbound phone calls from retired military beneficiaries and medical providers Assist with claims and billing inquiries from hospitals and...
Confidential
A company is looking for a Documentation Specialist for a fully remote position. Key Responsibilities: Create and generate electronic forms requesting patient documents from physicians Collect and manage patient eligibility documents such as...
Confidential
A company is looking for an Infusion Representative, Clinical Services. Key Responsibilities: Handle site of service transitions based on medical policy via telephone, internet, web-chat, or written correspondence Consult and educate members...
Confidential
A company is looking for a Customer Support Specialist III. Key Responsibilities: Engage in proactive and responsive communication with medical equipment customers, providing education and resources on at-home sleep tests and sleep therapy...
Confidential
A health plan is looking for a Claims Examiner to process hospital and medical claims, resolve claims of moderate complexity, as well as research, resolve and respond to inquiries. Key Responsibilities: Process hospital and medical claims...
Confidential
A company is looking for a Senior Clinical Scientist. Key Responsibilities: Act as the clinical point of contact for scientific issues and questions for internal and external stakeholders Lead the Medical Monitoring team in performing...
Confidential
A company is looking for a Documentation Specialist. Key Responsibilities: Create and generate electronic forms requesting patient documents from physicians Collect and manage patient eligibility documents such as prescriptions, certificates of...
Confidential
A company is looking for a Healthcare Data Entry Specialist. Key Responsibilities: Support the Credentialing Dept. for a Government Programs TIN Consolidation Project Assist with data entry, provider correspondence, and documentation...
Confidential
A company is looking for a Patient Account Representative. Key Responsibilities: Follow up on unpaid accounts with payers through phone or websites Review accounts for underpayments and resolve payment with payers Perform appeals with payers...
Confidential
A company is looking for a Bilingual Mandarin Patient Financial Counselor for a remote position. Key Responsibilities: Furnishing patients and healthcare providers with treatment estimates Collecting estimated liabilities from patients and...
