interpreting medical payer policy requirements. Identifying problem accounts/processes/trends. Applicants must meet the following qualifications: 1+ year Case Management, Utilization Management, and/or Clinical Appeals experience. State RN or LPN License required (Active/Inactive)
5 years client management / account management experience; to include a working knowledge of sales and marketing. A creative thinking entrepreneur, problem solver and who is an independent worker and self-motivator. Experience with customer service training and be a great communicator.
A healthcare company has a current position open for a Telecommute Account Manager Client Service. Core Responsibilities Include: Managing contract relationships and service delivery to clients. Negotiating renewal contracts and upsell products to clients.
Working from assigned coding queue, completing and re-assigning accounts correctly. Assigning codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines. Validating admit orders and discharge dispositions. Skills and Requirements Include: Travel 1-10%
Core Responsibilities of this position include: Being accountable for the execution of the clinical protocol. Being accountable for the scientific implementation of a clinical trial. Being accountable for the scientific conduct of a clinical trial. Skills and Requirements Include:
Lead a team of Provider Data Performance Account Managers. Participate in development, maintenance, and improvement of implementation processes. Applicants must meet the following qualifications: Travel 25% 3 years of experience understanding of HIPAA and PHI compliance.
Evaluating the quality and integrity of the reported data, site efficacy, and drug accountability. Conducting qualification visits, site initiation visits and monitoring visits at assigned clinical sites. Act as PAREXEL's sole contact with assigned clinical sites.
Core Responsibilities Include: Working directly with an acute care facility. Coding inpatient hospital accounts. Required Skills: 2+ years of experience in inpatient coding. AHIMA Certification (CCS, RHIT, RHIA) Able to work remotely.
Managing and is accountable for clinical and non-clinical professional employees and/or supervisors. Applicants must meet the following qualifications: Travel in the state for audits with your team members on a quarterly basis. 2 years of Case Management experience.
Knowledge of CQI principles and ability to manage change. Must possess Care Connects platform experience. A working knowledge of account management, customer relations and business management are essential.