30 jobs matching your criteria
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Registered Nurse
access_time Posted 25 days ago
account_balance Infosys BPM
location_on Aguadilla
Prior claims experience in medical coding, case management, cost containment review, medical claim management will be preferred * Exposure to anti-fraud initiatives in clinical area * Awareness of ...
CASE MANAGEMENT LDD (PHARMACY TECHNICIAN)
access_time Posted 9 days ago
account_balance Alivia Health
location_on 00968
LDD Case Manager will be responsible for the following tasks: * Review and interpret doctor ... Award and review prescription drug insurance claims that will be delivered to patients and ...
Billing & Collections Analyst
access_time Posted 26 days ago
account_balance Nazareno Services Inc
location_on 00961
Is also responsible for maintaining the Revenue Cycle Manager up-to-date of any situation that ... for outstanding claims. Responsibilities: * On Proclaim (company's billing system) review ...
Manager, Government Programs Medicaid & Med D
access_time Posted 18 days ago
account_balance Burgess Information Systems, Inc.
location_on 00726
Performs Account Management activities related to assigned Medicare and Medicaid clients. Essential ... Responsible for maintaining oversight of all informative documents released by CMS and the claims ...
Clinical Specialist I
access_time Posted 12 days ago
account_balance Pharmpix
location_on 00968
... reviewing formularies and utilization management restrictions. ESSENTIALS ROLES AND ... tool and claims processing system. 2. Keep accurate formularies in PharmPix systems based on ...
HR BUSINESS PARTNER (HEAD START)
access_time Posted 6 days ago
account_balance Boys & Girls Club
location_on 00907
... claims, salary scales review, total compensation letters, among others. * Ensure the good use of ... Responsible for the performance management process, including but not limited to: leaders ...
Manager-RCM
access_time Posted 6 days ago
account_balance COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC
location_on 00983
... medical services. The RCM Manager oversees the entire RCM process, from scheduling appointments and verifying insurance eligibility, from coding and submitting claims, to following up on unpaid ...
Medical Records Technician
access_time Posted 19 days ago
account_balance Advantmed
location_on Vega Alta
Completes medical records by reviewing information, notifying healthcare providers of any ... Strong Communication And Time Management Skills * Basic MS Office Knowledge * Flexibility to work ...
Payroll Manager
access_time Posted 1 month ago
account_balance CPH Management LLC
location_on 00907
Reviews accuracy of payroll and deductions. * Responsible for labor management system. * Work with ... medical plan and deductions allocations, union dues payment, etc. * Maintain up to date knowledge ...
Medical Records Specialist
access_time Posted 2 months ago
account_balance Rob Levine Law
location_on San Juan
Manage large amounts of incoming and outbound calls. Identify and assess customers' needs to ... Medical record review experience (preferred) * Strong communication skills with the ability to ...
Medical Records Technician
access_time Posted 1 month ago
account_balance Advantmed
location_on Gurabo
Completes medical records by reviewing information, notifying healthcare providers of any ... Strong Communication And Time Management Skills * Basic MS Office Knowledge * Flexibility to work ...
Project Manager
access_time Posted 1 month ago
account_balance CSA Group
location_on San Juan
Review and provide recommendations for plan drawings, specifications, estimates and all other ... medical conditions), race, age, creed (religion), color, sexual orientation, gender identity ...
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