ELIGIBILITY COORDINATOR I. POSITION SUMMARY. The Eligibility Coordinator is responsible for maintaining member data in EZ-CAP. Ensures that all eligibility data is current and accurate. Responsible for resolving eligibility inquiries and communicating outcomes to other departments within AMM. RESPONSIBILITIES-DUTIES. Responsible for verifying members eligibility including coordination of benefits. Responsible for manually entering new members in ...
Job Description - UM Coordinator. Reports to the Clinical Operations Manager. The Utilization Management Coordinator is responsible for processing and assisting with 80-100 authorizations per day, reviewing authorizations for accuracy such as completeness which includes correct address, correct provider, all appropriate CPT codes, ICD-10 codes, and correct place of service/facility. Individual must be able to execute effective communications verb...
TITLE. RISK ADJUSTMENT CODER I. POSITION SUMMARY. The Risk Adjustment Coding Specialist is responsible for Risk Adjustment HCC coding management and training both internally and externally to ensure that physicians, office staff and health plan representatives are working together effectively to achieve goals. RESPONSIBILITIES-DUTIES. Review medical record information to identify, collect, assess, monitor and document claims and encounter coding ...
About Us. At Excelsia Injury Care we provide management services to a host of healthcare companies throughout Maryland, Delaware, Virginia, Pennsylvania and Missouri which furnishes high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries. The healthcare companies we manage, and service offer an extensive slate of office-based diagnostic, surgical and rehabilitation services, provided by compassionate and skilled...
About Us. At Excelsia Injury Care we provide management services to a host of healthcare companies throughout Maryland, Delaware, Virginia, Pennsylvania and Missouri which furnishes high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries. The healthcare companies we manage, and service offer an extensive slate of office-based diagnostic, surgical and rehabilitation services, provided by compassionate and skilled...
About Us. At Excelsia Injury Care we provide management services to a host of healthcare companies throughout Maryland, Delaware, Virginia, Pennsylvania and Missouri which furnishes high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries. The healthcare companies we manage, and service offer an extensive slate of office-based diagnostic, surgical and rehabilitation services, provided by compassionate and skilled...
POSITION SUMMARY. Reports to Senior compliance manager. Responsible for establishing and monitoring processes to oversee and coordinate the identification, documentation, reporting, investigation and resolution of member and provider appeals and grievances in a timely and culturally sensitive manner and as per Health Plan contractual agreements. Responsible for the timely reviewing of denial letter language to ensure compliance with regulatory ag...
About Us. At Multi-Specialty HealthCare (MSHC), we provide high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries and chronic conditions. Our extensive slate of office-based diagnostic, surgical and rehabilitation services, provided by our team of compassionate and skilled professionals, are medically managed from evaluation through treatment to ensure patients have the best achievable outcomes. We are a leader...
About Us. At Multi-Specialty HealthCare (MSHC), we provide high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries and chronic conditions. Our extensive slate of office-based diagnostic, surgical and rehabilitation services, provided by our team of compassionate and skilled professionals, are medically managed from evaluation through treatment to ensure patients have the best achievable outcomes. We are a leader...
About Us. At Multi-Specialty HealthCare (MSHC), we provide high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries and chronic conditions. Our extensive slate of office-based diagnostic, surgical and rehabilitation services, provided by our team of compassionate and skilled professionals, are medically managed from evaluation through treatment to ensure patients have the best achievable outcomes. We are a leader...
About Us. At Excelsia Injury Care we provide management services to a host of healthcare companies throughout Maryland, Delaware, Virginia, Pennsylvania and Missouri which furnishes high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries. The healthcare companies we manage, and service, offer an extensive slate of office-based rehabilitation and diagnostic services, surgical and pain management services provided...
. This position offers excellent salary, benefits, and a travel stipend. Orthopedic experience required. About Us. At Multi-Specialty HealthCare (MSHC), we provide high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries and chronic conditions. Our extensive slate of office-based diagnostic, surgical and rehabilitation services, provided by our team of compassionate and skilled professionals, are medically manage...
