- Ramin Tayami MD Inc (Oceanside, CA)
- …work 2 Saturdays a month Benefits for full-time employees include health insurance ( medical , dental, vision), PTO and profit-sharing plan. Compensation details: ... testing such as retinal evaluations, CT scans, MRIs and print pathology for Physician review . Administrative Non-Back office work: You may be asked to partake in any… more
- Innova (Irvine, CA)
- …Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance , 401(k), Health saving ... product. Performs, under delegation, the control operations after manufacturing. Review the cause / root analysis and proposes first...account (HSA) and Flexible spending account (FSA), Life Insurance , Pet Insurance , Short term and Long… more
- Target (Bemidji, MN)
- …team members and their dependents comprehensive health benefits and programs, which may include medical , vision, dental, life insurance and more, to help you and ... processes and assist to develop a plan to resolve for your direct leader to review and approve. Be an expert of operations, accuracy, process and efficiency . With… more
- HCA Healthcare (Sarasota, FL)
- …and personal growth, we encourage you to apply for our Medical Insurance Verifier opening. We promptly review all applications. Highly qualified candidates ... and integrity. We care like family! Jump-start your career as a Medical Insurance Verifier today with Surgery Ventures. **Benefits** Surgery Ventures offers a… more
- TEKsystems (Rockford, IL)
- …a Client Coordinator, you'll be a key part of the workflow that helps insurance partners review and resolve medical claims. Your day‑to‑day responsibilities ... if you've ever worked with medical records, insurance claims, or contract review -or if you've...medical records, insurance claims, or contract review -or if you've previously worked in a high‑documentation environment.… more
- Lilly (Indianapolis, IN)
- …make life better for people around the world. **Purpose:** The Case Management Medical Review Scientist is responsible for conducting comprehensive medical ... related duties that might be required for the role/position. Medical review of ICSRs + Conduct comprehensive...healthcare and/or dependent day care flexible spending accounts); life insurance and death benefits; certain time off and leave… more
- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support ... are committed to consistency, compliance, and evidence-based decision making. The Utilization Review Medical Director 's responsibilities include but are not… more
- HCA Healthcare (Portsmouth, NH)
- …and medical supplies; receives and processes invoices. . Responsible for insurance verification, medical necessity review and authorization for ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Molina Healthcare (Salt Lake City, UT)
- **Job Description** **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and ... officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. + Reviews medically...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
- Integra Partners (Troy, MI)
- …needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s), ensures consistent application of criteria, leads ... Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director's responsibilities include but are not limited… more
- Aston Carter (Overland Park, KS)
- …Underwrite new business according to parameter guidelines and determine group eligibility for health insurance . + Review Medical Load Reports and evaluate ... underwriter, you will be responsible for evaluating new business eligibility for health insurance , reviewing medical reports, and making informed decisions on … more
- Gilead Sciences, Inc. (Foster City, CA)
- …on role), paid time off, and a benefits package. Benefits include company-sponsored medical , dental, vision, and life insurance plans*. For additional benefits ... for generations to come. Reporting to the Executive Director of Global Medical Affairs Technology, this individual will be responsible for driving delivery of… more
- Truist (Atlanta, GA)
- …determined by the division of Truist offering the position. Truist offers medical , dental, vision, life insurance , disability, accidental death and ... (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Responsible for leading multiple specialized… more
- Robert Half Accountemps (Los Angeles, CA)
- …II role must have expertise in medical billing, collections, and insurance processes. Responsibilities: * Review submitted claims to confirm accuracy and ... handling medical denials and appeals. * Expertise in working with medical insurance claims and resolving discrepancies. * Ability to analyze account data and… more
- Robert Half Accountemps (Los Angeles, CA)
- …role someone with expertise in medical billing, collections, and insurance processes. Responsibilities: * Review submitted claims to confirm accuracy ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- Albany Medical Center (Albany, NY)
- …timely disposition for Medicaid Pending encounters. Essential Duties and Responsibilities + Review all self-pay encounters to identify insurance or determine ... Shift: Day (United States of America) Salary Range: $41,136.28 - $57,590.79 The Insurance Discovery and Insurance Cost Estimate Representative, AMHS has skill… more
- Travelers Insurance Company (Austin, TX)
- …influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State ... regulations and medical guidelines to establish medical ...healthcare systems including Hospital Services, Pharmacy and Group Health insurance + Strong background in Occupational Medicine + Background… more
- The County of Los Angeles (Los Angeles, CA)
- …staff training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to ... year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator, CCS.**...provided to patients are appropriate and covered by the insurance payer. They are responsible for ensuring that patient… more
- Martin's Point Health Care (Portland, ME)
- …Key Outcomes: + Review prior authorization requests (prior authorization, concurrent review , and retrospective review ) for medical necessity referring to ... Medical Director as needed for additional expertise and review . + Utilize evidenced-based criteria, governmental policies, and internal guidelines for medical… more
- Houston Methodist (Houston, TX)
- …Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services and simple procedures and ... + Ability to manage multiple tasks in a fast-paced environment + Mid-level medical terminology and knowledge of insurance requirements for physician visits and… more
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