Medical Utilization Specialist
Found in: Lensa US P 2 C2 - 2 weeks ago
Segoso Caribbean is a diverse BPO located in Montego Bay, Jamaica.
We are recruiting Team Members who have experience in medical reports utilization review with US Health Insurance companies.
Responsibilities: (The list of tasks is ILLUSTRATIVE ONLY and is not a comprehensive list of all functions and tasks performed by position.)
Reviewing insurance claim forms and medical records for missing information and inaccuracies
Working with patients to help them understand the changes they need to make to improve their health
Meeting with health care providers to discuss medical cases and treatment plans
Discussing cases with insurance companies to resolve coverage disputes
Conducting investigations into claims that may be fraudulent or involve patient abuse or neglect
Recommending changes to existing policies to improve coverage or lower costs for consumers
Providing information to patients about their insurance benefits, including eligibility requirements for government programs such as Medicare or Medicaid
Providing case management services to patients with chronic conditions to ensure that they receive appropriate care
Recording and reporting on findings from reviews to medical staff, administrators, or attorneys
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Utilization Review Specialist
Found in: Lensa US P 2 C2 - 2 days ago
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Medical Record Specialist
Found in: Lensa US P 2 C2 - 2 weeks ago
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Medical Record Specialist
2 weeks ago
Peachtree City, United States Evoraa Holdings Full timeJob DescriptionJob DescriptionDescription:Position Summary: Billing & Payments Specialist’s responsibilities include but are not limited to tasks that require the ability to collect data from our facility’s EMR (i.e., KIPU/Alleva etc.), such as patient name, DOB, and member ID #. In addition, the best candidate for this position will be experienced in...
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Utilization Review Specialist
Found in: Lensa US P 2 C2 - 3 days ago
Kansas City, United States Acadia Healthcare Full timeAct as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MC - Os) and coordinate the flow o Specialist, Healthcare, Facility
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MEDICAL RECORDS SPECIALIST I
Found in: Careerbuilder One Red US C2 - 3 days ago
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utility rate specialist
Found in: beBee jobs US - 3 weeks ago
Navy Yard City, Washington, United States Department Of The Navy Full timeSummary This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the "How to Apply" section of this flyer to be considered. There may or may not be actual vacancies filled from this flyer. Notice of Result letters will not...
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Found in: Resume Library US A2 - 3 days ago
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