Travel: 30-50% (some weekends required) 8+ years pharmaceutical/CRO/medical sales experience required. Bachelors degree, or equivalent, required. Thorough knowledge of medical and pharmaceutical industry, terminology and practices. Proven ability in presenting and negotiating.
2 years coding experience. Extensive knowledge of ICD -9/10 Familiar with HCC coding. A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes. Ability to work in a fast paced production environment while maintaining high quality.
Determining medical appropriateness of inpatient and outpatient services. Ensuring proper utilization of health services. Identifying solutions to problems and non-standard requests. Applicants must meet the following qualifications: 2+ years of acute hospital clinical experience.
Familiarity with Milliman and InterQual guidelines. In-depth knowledge of current standard of medical practices. Strong knowledge of case-management processes. Detailed knowledge and competency in all types of medical-necessity decisions. Strong nursing expertise in managing patients.
Must be able to: Determine medical appropriateness of inpatient and outpatient services. Ensure proper utilization of health services. Identify solutions to problems and non-standard requests. Skills and Requirements Include: 2+ years of acute hospital clinical experience.
Applicants must meet the following qualifications: Travel up to 40% 5+ years of professional sales experience selling into Life Sciences, Pharmaceutical, Medical Supplies, Medical Device, or Biotech organizations. Proven track record of meeting or exceeding assigned quotas.
A medical solutions company is in need of a Telecommute Regional Business Manager. Candidates will be responsible for the following: Developing strategies to increase market share. Locating, reviewing and analyzing sales groups.
Must have at least 2-5 years of community/medical interpreting experience. Certifications such as those endorsed by NCHI and NBCMI: CCHI or CMI respectively. Credentialed in medical interpreting. Strong aptitude and passion for customer service and interpreting.
A healthcare company is in need of a Telecommute Medicare Appeals Specialist. Core Responsibilities Include: Completing and documenting thorough clinical investigation of all appeals. Reviewing outcome of appeal, either independently or in conjunction with medical director.
Reviewing, analyzing, and coding diagnostic information within a patient's medical record. Ensuring compliance with established ICD-10 and CM coding guidelines. Ensuring to follow third party reimbursement policies, regulations and accreditation guidelines.