Medical Necessity Appeals Specialist

Partnering With Physicians To Provide Best In Class Patient Care Founded in 2002, Integrated Oncology Network is committed to helping our physicians deliver the right care, at the right time and in the right setting. We strongly believe that preserving the independent practice of medicine where patients are cared for closer to home and surrounded by our...

Join our appeals team to performs non-medical reviews and processes redetermination letters. Description CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, h Appeals Specialist, Appeals, Specialist, Processing, Medical Equipment, Insurance, Healthcare, Skills

Join our appeals team to performs non-medical reviews and processes redetermination letters. Description CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, h Appeals Specialist, Appeals, Specialist, Processing, Medical Equipment, Insurance, Healthcare, Skills

Job Title: Appeals Specialist Typical Schedule/Shift: Monday - Friday, 7:30 AM - 4 PM or 8 AM - 4:30 PM Summary: As an Appeals Specialist, you play a critical role in reviewing and resolving member and provider complaints. Your responsibility includes ensuring that resolutions align with the standards and requirements set by the Centers for Medicare and...

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades weve been part of the national landscape, with our roots firmly embedded in the South Carolina community Appeals Specialist, Appeals, Specialist, Processing, Medical Equipment, Healthcare

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades weve been part of the national landscape, with our roots firmly embedded in the South Carolina community Appeals Specialist, Appeals, Specialist, Processing, Medical Equipment, Healthcare

Job DescriptionJob DescriptionABOUT USA Specialty Path to Good HealthUpperline Health is the nation’s largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients to receive consistent and effective treatment for...

ABOUT US A Specialty Path to Good Health Upperline Health is the nation's largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses. Triage is...

ExamWorks has a 1099 independent contractor opportunity for an othopaedic surgeon with spine expertise to join the reviewer network. ​ What is Peer Review? Peer reviews are written evaluations prepared by physicians that provide an informed expert opinion about the appropriateness of care, medical necessity and related issues. Case review types include...

ExamWorks has a 1099 independent contractor opportunity for an othopaedic surgeon with spine expertise to join the reviewer network.​What is Peer Review?Peer reviews are written evaluations prepared by physicians that provide an informed expert opinion about the appropriateness of care, medical necessity and related issues. Case review types include...

Job DescriptionJob DescriptionMedical DirectorTemp contract 20-25 hrs/wklyRemote An actively practicing physician reviewer/advisor who holds a current, unrestricted license to practice medicine, has professional post-residency experience in direct patient care at some point in time during his professional career, provides direct support to utilization...

Job DescriptionJob DescriptionMedical DirectorTemp contract 20-25 hrs/wklyRemote An actively practicing physician reviewer/advisor who holds a current, unrestricted license to practice medicine, has professional post-residency experience in direct patient care at some point in time during his professional career, provides direct support to utilization...

The Mental Health Specialist will assist Program Manager or Program Director in carrying out the clinical service plan for their assigned program. This will include providing and supervising individual therapy, group therapy, family therapy, and advocacy for assigned clients. The Mental Health Specialist will ensure that clinical services are provided...

Location: Indianapolis, IN (Onsite)12 months contractCertification Specialist supports the Division of Supplier Diversity's mission of providing equal opportunity in contracting. The certification specialist protects the integrity of the program by ensuring that only qualified enterprisesEssential Duties/Responsibilities:Audits all certification...

The Mental Health Specialist will assist Program Manager or Program Director in carrying out the clinical service plan for their assigned program. This will include providing and supervising individual therapy, group therapy, family therapy, and advocacy for assigned clients. The Mental Health Specialist will ensure that clinical services are provided...

The Division of Sleep Medicine within Vanderbilt University Medical Center (VUMC) s Department of Neurology is growing! We seek highly energetic and motivated sleep specialists to join our team, for full- time clinical sleep medicine positions, including leadership roles. The candidate will be appointed at the rank of Assistant, Associate, or Full Professor...

The Division of Sleep Medicine within Vanderbilt University Medical Center (VUMC) s Department of Neurology is growing! We seek highly energetic and motivated sleep specialists to join our team, for full- time clinical sleep medicine positions, including leadership roles. The candidate will be appointed at the rank of Assistant, Associate, or Full Professor...

The Mental Health Specialist will assist Program Manager in carrying out the clinical service plan for their assigned program. This will include providing and supervising individual therapy, group therapy, family therapy, and advocacy for assigned clients. The Mental Health Specialist will ensure that clinical services are provided according to program...

The Mental Health Specialist will assist Program Manager in carrying out the clinical service plan for their assigned program. This will include providing and supervising individual therapy, group therapy, family therapy, and advocacy for assigned clients. The Mental Health Specialist will ensure that clinical services are provided according to program...

The Mental Health Specialist will assist Program Manager in carrying out the clinical service plan for their assigned program. This will include providing and supervising individual therapy, group therapy, family therapy, and advocacy for assigned clients. The Mental Health Specialist will ensure that clinical services are provided according to program...