Search Results: 8 vacancies
...Reporting
US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution
US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution
US Healthcare Denials Management (technical and clinical...
...members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. The Specialist interfaces directly with: health plan Claims, Utilization Management, Network Management and Call...
...members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. The Senior Specialist interfaces directly with: health plan Claims, Utilization Management, Network Management and...
...relationships
US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution
US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution
US Healthcare Denials Management (technical and clinical)...
...members, providers and related outside agencies in accordance with the standards and requirements established by the Centers for Medicare and Medicaid and/or health plan . Prepares and organizes case research, notes, and documents .
Contacts the member/provider through...
...processes and regulatory guidance in a timely manner in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. The Manager is provides direct supervision to the AGMS team in order to ensure operational effectiveness and...
...Reporting
US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution
US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution
US Healthcare Denials Management (technical and clinical)...
...responsibility, etc.
US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution
US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution
US Healthcare Denials Management (technical and clinical)...