- Molina Healthcare (Jacksonville, FL)
- …records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
- ChenMed (Jacksonville, FL)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Provides extraordinary customer...**KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of medical terminology, CPT , HCPCS and ICD coding preferred + An inept… more