- HCA Healthcare (Las Vegas, NV)
- …opportunity compelling, we encourage you to apply for our Medical Insurance Collections Specialist opening. We promptly review all applications. Highly ... individual is recognized. Submit your application for the opportunity below: Medical Insurance Collections SpecialistHCA Healthcare **Benefits** HCA Healthcare,… more
- Zurich NA (Schaumburg, IL)
- Medical Bill Review Senior Nurse 123154 Zurich Insurance is currently looking for a ** Medical Bill Review Senior Nurse** to work from our Schaumburg, ... quickly and completely, provide status updates to ensure customer satisfaction. + Review assigned medical bills, apply technical insights, applying discretion… more
- Medical Mutual of Ohio (OH)
- …of service provided, length of stay and level of care. + Extrapolates and summarizes medical information for physician review or other external review . + ... insurance industry. + Experience in clinical documentation improvement, medical coding or medical documentation investigation preferred. **Professional… more
- Conduent (Charlotte, NC)
- …and be part of a culture where individuality is noticed and valued every day. ** Medical Review Auditor Analyst (Remote - Charlotte Area)** **Are you a strong, ... please apply!** **Job Summary:** Conduent is seeking an experienced Medical Review Auditor Analyst to join our...+ Experience in an auditing role, healthcare industry, or insurance is highly desired but not required. + Experience… more
- Conduent (Baton Rouge, LA)
- …part of a culture where individuality is noticed and valued every day. As a Medical Benefit Review Services Associate, Region 3, you will help disadvantaged and ... addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability … more
- Conduent (Baton Rouge, LA)
- …part of a culture where individuality is noticed and valued every day. The Medical Benefit Review Services Associate position presents an exciting opportunity to ... addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability … more
- Trinity Health (Des Moines, IA)
- …Case Management staff utilizing admission criteria guidelines-and second level physician review process when appropriate. Interacts with insurance providers to ... a place to go when you're in need of medical attention. Our Mission is based on improving the...physician to advocate and communicate via Peer to Peer Review for discussion with insurance for admission,… more
- Medical Center Hospital (Odessa, TX)
- …processes, including the collection and analysis of various computer-based data related to Utilization Review , Care Coordination, and Commercial Insurance . ... + Position Summary: Assists UM Department with utilization reviews… more
- University of Washington (Seattle, WA)
- …and demonstrate competency according to laboratory and CAP/CLIA requirements. + Review patient medical history and summarize clinical histories pertinent ... of Laboratory Medicine and Pathology** has an outstanding opportunity for a **VARIANT REVIEW SCIENTIST** . **WORK SCHEDULE** + 100% FTE (40 hours per week) +… more
- Prime Healthcare (Garden Grove, CA)
- …expedited reviews and appeals. Document and track all communication attempts with insurance providers and health plans. Utilization review tech will follow ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/206176/utilization- review -tech-ii/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityGarden Grove Hospital Medical … more
- HCA Healthcare (Nashville, TN)
- …geographical market and productivity. What you will do in this role: + Conduct medical record review , validate admission status order, conduct a medical ... authorized or denied and document in Midas + Utilize critical thinking skills to review and apply medical necessity criteria * Proficient in the application and… more
- The Arora Group (Bethesda, MD)
- …providers in gathering clinical information and may also provide education on the medical review process. + The Contractor performing as the License Practical ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse...their families, and retirees at Walter Reed National Military Medical Center . Scheduled hours are from 0700AM -… more
- Houston Methodist (Houston, TX)
- …appropriateness of inpatient or observation services following review of relevant medical documentation, medical guidelines, and insurance benefits and ... (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...determinations + Recent work experience in a hospital or insurance company providing utilization review services +… more
- City of Baytown (Baytown, TX)
- …Medical plan + FREE access to gyms, Shipt, and Walmart+ through our employee medical insurance + Gym partnership with Lee College Wellness Center & swimming ... Plan Review Supervisor Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/4889444) Apply Plan ...live and work well - 365 days a year. Medical + United Healthcare + Effective the first day… more
- City of Boise (Boise, ID)
- Plans Review /Permit Technician Print (https://www.governmentjobs.com/careers/boiseid/jobs/newprint/4939344) Apply Plans Review /Permit Technician Salary $16.15 ... the Planning and Development Services Department as a Plans Review /Permit Technician. A Plans Review /Permit Technician performs...be offered other benefit plans. Healthcare: + ZERO premium medical coverage option for you and your family +… more
- St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
- …Position Summary: This role works collaboratively with clients, admissions, finance, medical departments, and insurance companies to support the admission ... + Coordinate the exchange of required documentation between providers, staff, and insurance companies. + Work with the medical providers and clinicians… more
- New York State Civil Service (Buffalo, NY)
- …Comments All OMH employees receive a generous benefits package including:* NYS medical , dental, & vision insurance * Access to tuition assistance programs* ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Greater Binghamton Health Center, P26033 Occupational Category Health… more
- New York State Civil Service (Bronx, NY)
- …Comments All OMH employees receive a generous benefits package including:* NYS medical , dental, & vision insurance * Access to tuition assistance programs* ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P25595 Occupational… more
- BriteLife Recovery (Englewood, NJ)
- …and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder ... The UR Specialist works closely with clinical staff, admissions, medical providers, and third-party payers to support patient access...+ Minimum of 2-3 years of experience in utilization review , case management, or insurance coordination in… more
- City of Baytown (Baytown, TX)
- …Medical plan + FREE access to gyms, Shipt, and Walmart+ through our employee medical insurance + Gym partnership with Lee College Wellness Center & swimming ... Plan Review Specialist - Planning Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/4643621) Apply ...live and work well - 365 days a year. Medical + United Healthcare + Effective the first day… more