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:
A health insurance company is searching for a person to fill their position for a Telecommute Service Operations Business Consultant. Core Responsibilities of this position include: Transforming the current team SQL DB into a functional reporting tool.
50% travel. 5 years of combined experience within managed care / health care provider setting. Bachelor's Degree. 3 years of experience in Medicare Risk Adjustment. 5 years of experience in client facing role in health care related program delivery / program management.
Trouble shooting when a provider, type of service, or level of care cannot be readily found. Must meet the following requirements for consideration: Associates Degree or higher, with 2-3 years of experience in administrative support position.
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.
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.
Candidates will be responsible for the following: Managing network participation, care with specialty networks, care with DME providers and transfers. Recommending services for Plan members utilizing care alternatives. Identifying potentially unnecessary services and care delivery settings.
Being relationship manager within the designated territory. Qualifications Include: State Life and Health License (Series 6 and 63 welcome) BA/BS degree from four-year college or university. Minimum of five years' experience in executing point-of-sale transactions with life insurance products.