Minimum 2 years recent experience in medical-oriented scheduling environment. Bilingual in any of the following languages: Spanish. Adept at handling large call volumes, preferably with use of VOIP call systems. Experience with basic insurance guidelines.
Ensuring delivery of medically necessary, appropriate, timely, cost-effective and quality health care services. Reviewing retrospective, prospective, and concurrent reviews. Required Skills: Three years of utilization management or discharge planning.
Demonstrate a good working knowledge of medical terminology, human anatomy, and coding. Must possess knowledge of third party reimbursement regulations and billing practices. Possess moderate knowledge of level 1 and 2 modifiers.
Building relationships with key stakeholders within accounts. Qualifications for this position include: Boise, Idaho or Spokane, Washington Travel within assigned territory is up to 50% and will provide customer-focused service and effectively support business goals. some regional, overnights.
A medical device company has a current position open for a Telecommute Medical Education Software Territory Manager. Candidates will be responsible for the following: Generating proposals and sales quotations.
Completing initial medical records reviews of patient records within 24-48 hours of admission. Required Skills: Travel may be required to meet the needs of the facilities. Active state Registered Nurse license. Graduate from a Nursing program, BSN, or graduate.