Conducts comprehensive reviews of utilization data, including claims, authorizations, and medical records, to analyze and take appropriate action Requests clinical data from patie…
Handle inbound and outbound calls from patients and healthcare providers Analyze and determine eligibility of medical claims Coordinate with providers and specialists in assessin…
USRN with ACTIVE LICENSE - CLINICAL ANALYST (NON-VOICE Account / Fixed Weekends Off) Analyse and determine eligibility of medical claims Coordinate with providers and specialists…
Recruitment Meet or Exceed Targets Set Conducts Initial Screening of candidates Conducts ACES and Client approved tests to qualified candidates for Client Endorsements Orients …
Handle inbound and outbound calls from patients and healthcare providers. Analyze and determine eligibility of medical claims. Coordinate with providers and specialists in assess…
Research and identify prospective suppliers Evaluate products and suppliers based on company standards. Prepare proposals, evaluate supplier quotes, and negotiate purchasing term…
Perform the tasks of medical biller and medical coder. Ensure patients' data are accurately logged in electronic health records. Review, audit and perform data entry of medical b…
Registered Nurses / Fixed Weekends Off / Back-Office (Non-voice) position Monitors healthcare documents to ensure compliance before submitting to insurance companies. Review requ…
Provide information to existing and prospective customers about the benefits and coverage associated with different types of health care plans Describe and explain any exclusions …
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