Notes: Please share your most updated resume if you are interested for the role. Duties. Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA a...
Provider Relations Specialist onsite in Irving Texas for global healthcare organization headquarters~. $25.00 per hour. A phenomenal large non-profit healthcare organization with a strong global presence is seeking a Provider Enrollment Specialist to join their headquarters team in Irving, TX. Pay: $25/hour. Full-time Position. No nights or weekends. ✅Excellent benefits package. Position: Provider Enrollment Specialist – Medicare/Medicaid. This r...
Greetings. Hope you're doing well. We are excited to announce an opening for an. Auditor, Quality Medical. to join our team. onsite in Columbia, SC. . If you have strong expertise in. DRG/APC validation, medical record auditing, and HIPAA compliance. this is an excellent opportunity to advance your career in a high-impact healthcare role. About the Role. The Auditor, Quality Medical plays a key role in. ensuring accuracy in medical coding, reduci...
Greetings. Hope you're doing well. We are excited to announce an opening for an. Auditor, Quality Medical. to join our team. onsite in Columbia, SC. . If you have strong expertise in. DRG/APC validation, medical record auditing, and HIPAA compliance. this is an excellent opportunity to advance your career in a high-impact healthcare role. About the Role. The Auditor, Quality Medical plays a key role in. ensuring accuracy in medical coding, reduci...
Location/Area: Brooklyn, OH. Shift/Schedule: Mon-Fri 1030am-7pm (availability to work weekends if needed). Onsite Interview Required: Yes. Summary / Primary Role. . The position of Account representative/Shipping and receiving Clerk will have primary responsibility to work directly with customers and carriers on daily order requirements. Responsibilities also include monitoring product and communication flow between warehouse and office, which in...
Job Description. Manager Notes. it’s an Admin/CSR/Shipping support role. Strong ERP/SAP and strong Excel a must. Bilingual big plus. English and Spanish. Summary / Primary Role. . The position of Account representative/Shipping and receiving Clerk will have primary responsibility to work directly with customers and carriers on daily order requirements. Responsibilities also include monitoring product and communication flow between warehouse and o...
Duties. Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items in accordance with standard procedures in one or more of the following areas. general accounting, accounts payable, accounts receivable or related financial area. May compl...
The Member Services Specialist serves as a frontline ambassador for the health plan, delivering high-quality, resolution-focused support to members, providers, and brokers across multiple lines of business. As the initial point of contact, this role extends beyond basic call handling—Specialists are trained to navigate the foundational pillars of our healthcare offerings, including the Health Exchange, US Family Health Plan, and NCHD, with a stro...
Patient Financial Representative Senior - ONSITE Required Education Level: HS Diploma or equivalent years of experience required 3-5 years of experience working within a multi-facility hospital business office environment. Previous Insurance Company claims experience and/or hospital experience. Working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms.
Title. Managed Care Coordinator. Duration: 3. months (Opportunity for Extension/FTE based on Performance). Location. Columbia, SC. Pay. $31-38/Hr. on W2. USC/GC required. Note: Training will be conducted onsite for at least 3-4 days and for other role it will be 4 weeks onsite training with potential to complete the remaining training remotely. Then it will be remote role and will provide equipment for remote work. Duties. Reviews and evaluates m...
