Perform a variety of concurrent review of patient’s clinical information and retrospective utilization management reviews for efficiency Evaluate the patient’s situation against t…
Inviting all Registered Nurses who are aspiring USRNs. Apply and get this once in a lifetime opportunity to be sponsored for a free NCLEX Review. Terms: Free 3-month NCLEX revi…
Comprehensively review and evaluate appeal and grievance requests to identify and classify member and provider appeals. Determine eligibility, benefits, and prior activity related…
Research and identify prospective suppliers Evaluate products and suppliers based on company standards. Prepare proposals, evaluate supplier quotes, and negotiate purchasing term…
Perform concurrent review of patient’s clinical information for efficiency Coordinates patient’s discharge planning needs Reviewing and auditing patient treatment files, the util…
Perform quality audits across all functions of utilization management operations, reviewing completed work in comparison to established documented procedures to determine accuracy.…
Inviting all Registered Nurses who are aspiring USRNs. Apply and get this once in lifetime opportunity to be sponsored for free NCLEX Review. Terms: Free 3-month NCLEX review -…
Inviting all Registered Nurses who are aspiring USRNs. Apply and get this once in lifetime opportunity to be sponsored for free NCLEX Review. Terms: Free 3-month NCLEX review -…
Inviting all Registered Nurses who are aspiring USRNs. Apply and get this once in lifetime opportunity to be sponsored for free NCLEX Review. Terms: Free 3-month NCLEX review -…
Evaluate patients' records to determine eligibility to health insurance claims Consult with healthcare providers, clinics and physicians on the most effective and economical treat…
Job Description We are currently seeking a dedicated Chinese Language Assistant Translator to provide language support and assistance to our team. The primary responsibility of thi…
Clorox is the place that's committed to growth - for our people and our brands. Guided by our purpose and values, and with people at the center of everything we do, we believe ever…
For Direct Hiring Take inbound calls from existing subscribers and attend to their requests with courtesy and accuracy. Provide accurate and appropriate information on subscripti…
Provide necessary information to customers regarding the facility’s services and doctors’ availability Obtain necessary patient information such as medical histories and insurance…
Inviting all Registered Nurses who are aspiring USRNs. Apply and get this once in lifetime opportunity to be sponsored for free NCLEX Review. Terms: Free 3-month NCLEX review -…
This position is on Dayshift schedule and Hybrid (Temporary Work from Home) arrangement. Analyze provider documentation to assure the appropriate Evaluation & Management levels ar…
Make outbound calls to dental patients to confirm their appointments Perform orientation to dental patients prior to their appointments on the proper precautions and protocols whi…
USRN with Active License Analyst (Non-voice Account / Fixed Weekends Off) Evaluate patients' records to determine eligibility to health insurance claims Consult with healthcare p…
All CIC (Certified Inpatient Coder) review, exam fees and certification costs to be shouldered by the sponsoring company while candidate receives full salary. Duties and Responsi…
Professionally interact with customers and health care providers to resolve inquiries. Accurately relay information concerning medical claims on procedures and operations. Identi…