Remote position, however, candidates must reside in the State of TX or State of IL
This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To Correspondence From Providers Or Members Concerning Medical Determinations. Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and claims processing systems. PC proficiency to include Microsoft Word and Excel and health insurance databases. Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings. Organizational skills and prioritization skills. :Registered Nurse (RN) with unrestricted license in state. 3 years clinical experience. Needs to be able to navigate MCG and Medical policies with the reviews....Weatherby Healthcare is seeking a Physician Assistant Cardiovascular/Cardiothoracic Surgery for a locum tenens job in Charlotte, North Carolina. Job Description & Requirements Specialty: Cardiovascular/Cardiothoracic Surgery Discipline: Physician Assistant...
...of the language they speak. We use cutting-edge AI, machine translation, and human-in-the-loop expertise to translate content faster,... ...state it clearly on your resume. Please note that this is a remote, freelance contractor position. Please also note that we only...
...customer service since you will be working with people on all shifts, in environments such as office towers, hotels,... ...for you: Site Location: Fenton, MO Set schedule: Part time, Thursday through Sunday, 2nd shift, 3 p.m. to 11 p.m. Competitive hourly wage of...
Job Description Job Description Our defense law firm has a full-time associate attorney position available now and were looking for the right professional to join our team. You will have the opportunity to learn from experienced attorneys and will provide legal counsel...
...Ardor Health Solutions is seeking a travel Certified Occupational Therapy Assistant for a travel job in Kaplan, Louisiana. Job Description & Requirements ~ Specialty: Certified Occupational Therapy Assistant ~ Discipline: Therapy ~ Start Date: ASAP ~ Duration...