Job Title - Utilization Review Specialist Reports Into General Manager - Operations Direct Reports Supervisors / Assistant Managers Make your next big career move by applying as KM…
Summary Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement. Job Scope Medical Bill Review Pro…
Summary Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement. Job Scope Medical Bill Review Pro…
Summary Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement. Job Scope Medical Bill Review Pro…
Summary Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement. Job Scope Medical Bill Review Pro…
Summary Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement. Job Scope Medical Bill Review Pro…
Conducts comprehensive reviews of utilization data, including claims, authorizations, and medical records, to analyze and take appropriate action Requests clinical data from patie…
Summary Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement. Job Scope Medical Bill Review Processes inpa…
Summary Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement. Job Scope Medical Bill Review Processes inpa…
Comprehensively review and evaluate appeal and grievance requests to identify and classify member and provider appeals. Determine eligibility, benefits, and prior activity related…
Summary Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement. Job Scope Medical Bill Review Processes inpa…
Company Description Pilmico Foods Corporation & Gold Coin Management Holdings are the integrated agribusiness and food companies of Aboitiz Equity Ventures, Inc. (AEV). Gold Coin…
Company Description Pilmico Foods Corporation & Gold Coin Management Holdings are the integrated agribusiness and food companies of Aboitiz Equity Ventures, Inc. (AEV). Gold Coin…
Access Healthcare is looking for Registered Nurse to join our growing team! Responsibilities Perform advanced level work related to clinical denial and utilization management. Mana…
Company Nurse Responsibilities: Develop and implement health and safety programs. Provide emergency treatment in the workplace. Administer over-the-counter medication to employe…
Description General Summary The Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the improvement in the overall quality and completeness of provi…
OUR COMPANY Pacific Surgical, formerly Pacific Spine, was founded in 2005 as a medical device and equipment distributor focused on providing Filipino patients and surgeons with a…
OUR COMPANY Pacific Surgical, formerly Pacific Spine, was founded in 2005 as a medical device and equipment distributor focused on providing Filipino patients and surgeons with a…
OUR COMPANY Pacific Surgical, formerly Pacific Spine, was founded in 2005 as a medical device and equipment distributor focused on providing Filipino patients and surgeons with a…
POSITION DESCRIPTION JOB TITLE: Operations Manager - Clinical Validation REPORTS TO: Sr. Manager/AVP PRINCIPLE PURPOSE OF JOB We are currently seeking an Ops Manager to support a g…