Search Results: 13 vacancies
The Clinical Denial Specialist writes and submits professionally written appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language. Appeals are submitted timely and tracked through final outcome...
The Clinical Denial Specialist conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained,...
Performs advanced level work related to clinical denial management. The individual is responsible for managing claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, and others as assigned.
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Full-Time Clinical Professor in Business Communication
Description
The Asian Institute of Management (AIM) was established in 1968 and was the first educational institution in Southeast Asia to be accredited by AACSB. It is located...
Licensed Pharmacist (PRC)
Graduate of BS Pharmacy preferably Major in Clinical Pharmacy or Doctor of Pharmacy (Pharm D)
At least 1 years expereince in the same role
Proficient with computer applications.
With good oral and written communication skills.
...been recognized as one of the top 5 companies for Digital Social Innovation. CLIRNET's platform has played a crucial role in guiding clinical decisions for 89% of doctors with a remarkable 91% Net Promoter Score.
Role Description
This is a full-time hybrid role...
...benefits, features and value of the products.
Maintaining strong relationships with the healthcare professionals by regularly visiting clinics, attending conferences and events and providing educational materials and resources to keep healthcare professionals informed about...
...by the Company Physician.
# Provide nursing care and assistance to injured or ill employees.
# Promote and disseminate information about health and diseases through toolbox meeting and clinic consultation.
# Perform other related tasks that may be assigned....
...should be reviewed for accuracy and completeness)
Coordinate, establish, and maintain relationships with the facility's occupational clinic
Preferred but not required to have OSHA-30 training and CSP certification
Everybody loves pizza, which means they also love...
...information and quality of delivery by monitoring, auditing,
reviewing, analyzing, documenting work processes that further improves clinical operations standards. Performs quality audits, validates results
and communicates recommendation among responsible departments....
...join our Chronic Care
Management Team. This team member will serve our patients by utilizing best-in-class
operational and clinical models. You will be making a life changing impact on our rural Medicare
participants by delivering patient centric, team and community...
...Mason District Hospital, situated in Havana, IL, is actively searching for a compassionate Nurse Practitioner to join their Manito clinic. The incoming Nurse Practitioner will assume responsibility for a well-established patient panel following a retirement, providing...
...starting out and looking for your first big opportunity, Aequor has the inside track on the top jobs available in today's healthcare and clinical markets. At Aequor, our top priority is to be the best resource to help you connect with the perfect career opportunity and take...