A health insurance company is seeking a Telecommute Medical Coding Auditor. Candidates will be responsible for the following: Reviewing medical record information to identify all appropriate coding. Completing appropriate paperwork/documentation/system entry.
Ensure that each patient receives the time and care they need. Schedule appointments, verify insurance, complete pre-certifications, make referrals in addition to other job related duties. Skills and Requirements Include:
Skills and Requirements Include: Case Management Certification (CCM) required. Active licensed RN in state of employment. Three years clinical or managed care experience. Interqual (or Milliman) knowledge. Computer literate.
A kidney care company has an open position for a Telecommute Dialysis Risk Manager. Candidates will be responsible for the following: Providing day-to-day risk management support to the field for all clinical and technical issues.
Maintain forecast for current and following quarter (Q+1), top deals, and overall pipeline health. Required Skills: Travel for direct, face-to-face contact with customers. Proven experience in using quantitative and qualitative analysis to assess partnership performance.
A healthcare company has an open position for a Telecommute Payer Payments Technical Sales Engineer. Core Responsibilities Include: Bridging the payer sales and implementation organizations. Translating payment, implementation, market and client VOC into accurate and timely implementations.
Travel based on the sport needs and locations. Ability to troubleshoot. Possess a strong computer background with ability to network and trouble shoot. Careful attention to detail in striving for 100 percent accuracy. Sports knowledge. High School Diploma or Equivalent.
10+ years managed care / health insurance industry experience. Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes.
Must be able to: Develop, implement, and evaluate individualized patient care plans. Advocate patient welfare. Serve as a liaison between patients, their families, and healthcare providers. Position Requirements Include: Day driving to area appointments is required. Current RN CT License.
In-depth knowledge of managed care and/or the post-acute marketplace (DME, home health) Experience leading business requirement sessions and process mapping. Demonstrated work experience in execution of strategic planning. Advanced proficiency in Microsoft Excel, PowerPoint, and Visio.