- HCA Healthcare (Richmond, VA)
- …TX, UT, VA). Do you want to join an organization that invests in you as a Senior Appeals Analyst? At Parallon, you come first. HCA Healthcare has committed up to ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Senior Appeals Analyst like you to be… more
- Guardian Life (Richmond, VA)
- …agency relationships, and ensuring customer satisfaction at the highest level. The Senior Disability Insurance Underwriter will work with adjacent departments, ... conveying decisions in a polite, confident, and professional manner. + Consult with Medical Director and Mentors and/or senior underwriting staff for the purpose… more
- CenterWell (Richmond, VA)
- …medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... **Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims.… more
- City of Norfolk, Virginia (Norfolk, VA)
- …paid holidays, vacation and sick leave, employer paid pension plan, basic life insurance , voluntary participation in medical and dental, Section 457 deferred ... a Deputy Commonwealth's Attorney and the mentorship of two Senior Assistant Commonwealth's Attorneys and rotate through four divisions...compensation, long-term disability, optional life insurance for self, spouse and children, medical … more
- Evolent (Richmond, VA)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... overall accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +… more
- Evolent (Richmond, VA)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications** + MD/DO/MBBS Degree + Current,… more
- Evolent (Richmond, VA)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... overall accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +… more
- Evolent (Richmond, VA)
- …assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical ... standard and expedited appeals . + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate… more
- Evolent (Richmond, VA)
- …is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... of the request and provides clinical rationale for standard and expedited appeals . . Utilizes medical /clinical review guidelines and parameters to assure… more
- Evolent (Richmond, VA)
- …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical /clinical review guidelines and parameters to assure… more
- Cardinal Health (Richmond, VA)
- …Collections is responsible for the timely follow-up and resolution of insurance claims. This role ensures accurate and efficient collection of outstanding ... balances from insurance payers, working to reduce aging accounts receivable and...+ Analyze denials and underpayments to determine appropriate action ( appeals , corrections, resubmissions). + Track and follow up on… more
- Southland Industries (Dulles, VA)
- …vesting + Annual incentive program based upon performance, profitability, and achievement + ** Medical , Dental, Vision Insurance - 100% Paid for Employee** + Term ... to heating, ventilating, and air-conditioning systems under supervision of Senior Engineers. + Performs basic calculations for a project,...one of the country's largest MEP building systems firms appeals to you and you're ready for the next… more
- Cardinal Health (Richmond, VA)
- …may need to happen to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively ... Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily… more
- City of Norfolk, Virginia (Norfolk, VA)
- …paid holidays, vacation and sick leave, employer paid pension plan, basic life insurance , voluntary participation in medical and dental, Section 457 deferred ... Deputy City Attorneys, Assistant City Attorneys or, occasionally, other senior staff, essential functions include but are not limited...compensation, long-term disability, optional life insurance for self, spouse and children, medical … more
- Guardian Life (Richmond, VA)
- …manage contracts and financial reimbursement rates with DSOs + Make presentations to senior -level management of DSOs + Identify and report to leadership team on ... for all assigned DSOs. Respond to provider inquiries, concerns, complaints, appeals and grievances within assigned timeframes. Collaborate across teams to resolve… more