Handling charge entry, claim submission, and payment posting. Following up with patients. Following up on denials. Qualifications Include: Experience with medical billing in multiple disciplines. Ability to adhere to all company regulations. Any other requirements set forth by the company.
Must be able to: Develop and implement quality improvement interventions. Resolve deficiencies impacting plan compliance. Perform data analytic and reporting activities. Required Skills: High School or GED. Current unrestricted RN license. 2+ years of experience in Quality Improvement.
MD, PharmD, or PhD degree. 5+ years of experience with a medical education company or clinical equivalent. Experience in developing medical and marketing concepts through critical analysis of data. Excellent communication skills. Strong knowledge of pharmaceutical marketing.
Data collection from referrals and completion of applicable paperwork. Interpret, verify and accurately enter data into computer to process orders. Answer telephone calls in a professional, friendly, helpful manner. Position Requirements Include: HS diploma or equivalent.
Perform market specific data collection and provider outreach. Perform medical record review for HEDIS and HEDIS-like measures. Perform over-read of medical records. Qualifications for this position include: 1+ year healthcare/health plan experience. 1+ year HEDIS experience and/or knowledge.
Verifying and abstracting specific clinical and demographic data. Position Requirements Include: Ability to participate in department staff training programs. High school diploma or equivalent. Completion of coding certificate program. RHIT/RHIA or CCS.
Performing data audits to ensure data accuracy. Required Skills: 10% travel required. 2 years minimum work experience in healthcare required. Extensive Business Relationship Management experience. GPO experience or pharmacy contracting experience.
Performing detailed-level analysis, interpret data results. Researching obstacles within processes. Qualifications Include: Ability to present findings to appropriate stakeholders in an understandable manner. 3+ years of project management experience.
Excellent customer service skills including proper grammar, tonalities and clear diction. Proficient in Microsoft Office Suite, dataentry and electronic mail applications. Ability to continuously display a positive attitude and follow directions.
Investigate discrepancies. Complete dataentry of provider information. Required Skills: 6 months of in-person training. Knowledge of insurance principles. PC proficient, dataentry skills with a high degree of accuracy. High school diploma or equivalent.