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Authorization Specialist
maintain and update authorization requests in the utilization management system Assists the utilization management team with tracking and documentation of authorizations and referrals Required Qualifications High School diploma or GED required Entry-level
Medical Records Specialist
CMS and Joint Commission regulations preferred Experience with electronic medical records (EMR) preferred Healthcare revenue cycle experience preferred CRCR certification required within 9 months of hire (company paid) No specific degree required; entry-level
Clinical Research Coordinator, VA Licensed
study visits Prepare IRB submissions and maintain compliance with research protocols and regulatory standards Manage data entry and documentation, ensuring study files are audit-ready and in accordance with GCP guidelines Required Qualifications: Entry-level
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Texas Licensed Coding Specialist
Key Responsibilities Review and code inpatient and outpatient Company records according to coding guidelines Mentor and proctor lower-level coding staff as needed Maintain quality and productivity standards in coding practices Required Qualifications
Medical Billing Specialist
secure timely payments Required Qualifications 1+ years of medical billing experience in a healthcare setting Strong understanding of CPT, ICD-10, and government regulations related to medical billing Detail-oriented mindset with excellent data entry...speed and accuracy High level of discretion and interpersonal skills to handle sensitive information
Credit Resolution Specialist
review activities accurately Required Qualifications, Training, and Education High School Diploma or equivalent experience preferred 1 - 3 years' experience in a hospital business environment performing billing and/or follow-up functions preferred Entry-level...understanding of hospital billing form requirements (UB04 and HCFA 1500) Entry-level knowledge of ICD-10, HCPCS/CPT coding, and medical terminology Understanding of Managed Care contracts and Gov't Medicare and Medicaid programs payor regulations
California Licensed LVN QI Nurse
Key Responsibilities: Review health plan grievances and assign appropriate severity levels and issue codes Create written documentation of quality-of-care findings and upload into applicable systems Prepare cases for peer review committee and coordinate
California Licensed QI Nurse
Key Responsibilities: Review health plan grievances and assign severity levels and issue codes Create documentation of quality of care findings and ensure timely resolution of member grievances Assist in the Quality Medical Director and Peer Review
Medical Records Specialist
with facility or corporate standards Required Qualifications Knowledge of CMS and Joint Commission regulations preferred EMR experience preferred Healthcare Revenue Cycle experience preferred CRCR certification required within 9 months of hire Entry-level
Health Information Specialist
production environment Required Qualifications and Education Proficient in Microsoft Office, including Word and Excel Ability to work full-time, Monday to Friday, from 8 AM to 4:30 PM EST Comfortable with remote work and virtual communication tools Entry-level