Must be able to: Analyze medical information from medical records. Accurately code diagnostic and procedural information. Seek out missing information and create complete records. Qualifications for this position include: High school diploma/GED or equivalent.
A research company is seeking a Remote Medical Informatics Analyst. Must be able to: Collect and analyze metric-based global intelligence. Conduct independent standalone site outreach projects. Manage time and project requirements based on study contract. Qualifications Include:
A healthcare company is searching for a person to fill their position for a Telecommute Clinical Coverage Review Medical Director. Core Responsibilities Include: Conducting coverage review based on individual member plans. Daily clinical review and evaluation of all service requests.
Coordinating services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff. Providing patient and provider education. Must meet the following requirements for consideration: Graduate from an Accredited School of Nursing. Current state’s RN license.
Using a holistic approach, consulting with clinical colleagues, supervisors, medical directors and/or other programs. Identifying and escalating quality of care issues through established channels. Applicants must meet the following qualifications:
Must be able to: Call to obtain insurance authorizations for medical procedures. Analyze the patient's clinical record to find the information needed. Must meet the following requirements for consideration: Ability to work within an EMR - specific training provided, but experience needed.
2-4 years experienced in a fast-paced, high-volume recruiting and/or staffing environment. Prior pharma sales recruiting or Pharma/Biotech/Clinical/Medical recruiting experience. Successful candidates will have excellent organizational, time management, communication, and interpersonal skills.
Knowledge of official guidelines for coding and reporting. Knowledge of MS-DRGs and reimbursement methods for Medicare, CHAMPUS, Medicaid, other payers. Familiar with charge master and use of CDM for reference. Knowledge of medical terminology, anatomy, physiology, and pharmacology.
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.
Skills and Requirements Include: Remote position must be located in Arizona to interview. 3+ years of scheduling experience and/or prior medical experience. MS Office Suite, intermediate Excel and PowerPoint skills. Call Center Member experience.