: Provides clinical support for performing clinical review of appeals and may also review quality of service issues Process... critical care experience PHRN who possesses solid medical/clinical knowledge to interpret available medical information...
and grade level. Provides clinical support for performing clinical review of appeals, and may also review quality of service...) agreement. Primary Responsibilities: Provides clinical support for performing clinical review of appeals and may also review...
RN license. Minimum of one (1) year diverse clinical experience or prior experience in medical bill review or claim/case...Job Description Responsible for reviewing medical information to determine if requested treatment is medically...
Job Description Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review... and process improvement. Responsibilities Medical Bill Review Processes inpatient and/or surgical bills by adhering to the given...
RN license. Minimum of one (1) year diverse clinical experience or prior experience in medical bill review or claim/case...Job Description Responsible for reviewing medical information to determine if requested treatment is medically...
RN license. Minimum of one (1) year diverse clinical experience or prior experience in medical bill review or claim/case...Job Description Responsible for reviewing medical information to determine if requested treatment is medically...
Indicators (PSI) to ensure accurate hospital reimbursement. As a Medical Coder - Inpatient , you will: Documentation Review... organizations they serve. Your Role The Medical Coder-Inpatient DRG (IPDRG) provides high-level technical competency and subject...
health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Admin Nurse... / Prior Authorization Nurse will require ability to read through clinical information, interpret guidelines and provide...
As a Healthcare QA Analyst, be part of a top-performing provider of independent medical evaluation (IME) and review... Do Review and validate medical reports for accuracy, completeness, and compliance. Maintain and update documentation...
Science, novel medical technologies and better collaboration. Together, let's deliver more effective, affordable, personalized... for a job internally (note: the following statements do not apply for jobs in Germany with Works Council representation) : Review...
. Job Description: Clinical Review Nurses - Nurse conducts clinical review of cases not meeting criteria by performing clinical intake... and adjudicates (closes), requests additional clinical information or escalates to Medical Directors. Qualifications...
health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Admin Nurse... / Prior Authorization Nurse will require ability to read through clinical information, interpret guidelines and provide...
and procedures for appeals processing, specifically for Medicaid and medical necessity review. Uses sound judgement, especially... or prepare for medical review presentation. Prepare case recommemdations for medical review as necessary. 1-3 years...
and procedures for appeals processing, specifically for Medicaid and medical necessity review. Uses sound judgement, especially... or prepare for medical review presentation. Prepare case recommemdations for medical review as necessary. 1-3 years...
And Responsibilities Review denied insurance claims Review patients' medical files Develop strategies to reverse claim denials Create... of your dependents covered for FREE Medical Cash Allowance Rice Allowance Clothing Allowance Free Lunch Daily Paid Time Off Training...
and procedures for appeals processing, specifically for Medicaid and medical necessity review. Uses sound judgement, especially... or prepare for medical review presentation. Prepare case recommemdations for medical review as necessary. 1-3 years...
. Responsible for conducting calibration and performance review call in terms of quality with the internal team. (Initially... areas and recommend preventive action. RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS: Registered Nurse with CIC/CCS...
experience working in pharmaceutical and/or Medical Device or other related highly regulated industry. Knowledge of medical... safety environment and regulation. Essential Duties and Responsibilities: Document and review malfunction MDR data fields...
related to assigned project/s. Essential Functions Site and Nurse Onboarding Conduct outreach and training for investigator... logistics including supplies, equipment, and courier services. Ensure all required documentation (e.g., DOA logs, nurse...
appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation. Creates.... Presents verbal and written case summaries to client's Grievance Team and client Medical Directors. Completes assignments...