Interpreting criteria, policies, and procedures to provide the best care or services for members. Coordinating and communicating with teams and providers to facilitate optimal care and treatment. Identifying and resolving complex technical and operational problems within department(s)
A health insurance company has a current position open for a Telecommute Nonclinical Specialist. Individual must be able to fulfill the following responsibilities: Provide non-clinical support for the policies and procedures. Contribute to the administration of utilization management.
A healthcare company has a current position open for a Virtual Coding Review Analyst. Must be able to: Conduct coding reviews of medical records. Process and/or review claims in a timely manner. Document coding review findings within investigative case tracking system. Required Skills:
Qualifications Include: Master’s degree or higher in a related field (Nutrition, Public Health, Education, Etc. ) Online and/or classroom teaching experience, preferably in a similar subject. Professional experience in a related field desired.
High school diploma or GED. Live within 1. 5 hours of the Care Center. Desktop computer or laptop with high speed internet along with web camera for live virtual discussion. A compatible headset that works with your computer.
A healthcare technology solutions company has a current position open for a Remote Coding Review Analyst. Candidates will be responsible for the following: Conducting coding reviews of medical records. Processing and/or reviewing claims in a timely manner.