Must be able to work independently. Must then be comfortable and effective working remotely. Must be a strong critical thinker and very deadline driven. Must be able to manage projects and direct the work coming from a vendor. Must have extensive medical device experience.
Ability to travel up to 50% of the time within the State of Kansas. High school diploma or GED. 1+ years of experience working with Medical Providers. 1+ years’ experience with Medicaid. 1+ year experience in providing training or education. Proficiency of MS Outlook.
Local travel of up to 40% may be required. 1-3 years in case management, disease management, managed care or medical or behavioral health settings. Social Worker, MSW - Master's Degree. Must have valid driver's license with good driving record.
Occasional travel required. 2+ years related work experience to include 1+ years of related experience in health insurance industry. High school diploma or equivalent. Knowledge of ICD-9, ICD-10, CPT, and HCPCS coding. MS Outlook Experience. Knowledge of medical terminology.
Qualifications Include: Ability to travel locally as required up to 10% of the time. LBSW/BSW. Bachelor's degree or equivalent experience. Minimum of 2+ years experience in medical social work or case management. Ability to comply with all state requirements.
1-3 years in case management, disease management, managed care or medical or behavioral health settings. Active, unrestricted State Registered Nursing (RN) license in good standing in the State of Washington. Must have valid driver's license with good driving record.
A provider of healthcare business and operational services needs applicants for an opening for a Telecommute Medicaid Clinical Review Manager in Tampa. Core Responsibilities of this position include: Applies inpatient InterQual criteria to Medicaid inpatient admissions.
Skills and Requirements Include: Medical Transportation Billing and Coding Experience a must. High School Diploma or equivalent. Must be able to type 35 wpm. Must be able to bill a minimum of 60 pre-billed claims per day. Working knowledge of Microsoft Outlook and Word.
Minimum 2 years recent experience in medical-oriented scheduling environment. Must be adept at handling large call volumes, preferably with use of VOIP call systems. Working knowledge of the following systems: EPIC/Cerner and/or PHS.
Bachelor's Degree in medicine, science or equivalent degree. qualification in Project Management or equivalent (PMI certification. Specific therapeutic experience in In-Vitro Diagnostics, Orthopedic/Spine, Cardiovascular devices and comprehensive knowledge of medical device GCP is essential.