Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary Located in Chicago, IL or Richardso

The Refund Analyst will use independent judgement and discretion to review, analyze, and make determinations regarding solicited and unsolicited refunds based upon specific claim guidelines and plan benefits. Prepare and track overpayments to providers for solicited refunds. Assist with specific tasks and projects as needed and assigned by the Management Team. ESSENTIAL F

The Medical Services Coordinator facilitates medical and other supports to people with Intellectual Developmental Disabilities focused on personal outcome and independence. Responsibilities Reports directly to the Assistant Director Schedule, facilitate and follow up on medical appointments and orders per DHS requirements Collaborate with RN trainer prior to medical appoi

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Analyst to join our team. This position focu

Chamberlain Chamberlain University has a 130 year history and the mission to educate, empower, and embolden diverse healthcare professionals who advance the health of people, families, communities, and nations. We're 99,000 strong, with 31,000 students and 68,000 alumni armed with the skills, passion, and determination to make a difference in today's complex healthcare en

The role of the admissions advisor is to reach out to individuals via phone, take incoming calls and place outbound calls to prospective students in a call center team environment. Admissions advisors interview prospective students to determine their motivation for attending college, understand their career goals and the obstacles that might prevent them from starting or

The role of the admissions rep is to reach out to individuals via phone, take incoming calls and place outbound calls to prospective students in a call center team environment. Admissions representatives interview prospective students to determine their motivation for attending college, understand their career goals and the obstacles that might prevent them from starting

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This Position Is Responsible For Tr

Electronically review promotional and other materials and provide medical expertise and review as described above. Includes discussing and collaborating with appropriate review colleagues from other functions. Attend, advise, and approve in review meetings as the lead Medical Reviewer for the designated therapeutic area. Responsible for providing proactive guidance as nee

OUTPATIENT HEALTH INFORMATION SERVICES TECHNICIAN/CODER Part Time The selected candidate will assist in all areas of the Health Information Management (HIM) department, including the following Code all outpatient admission and discharged medical records; collect and assemble/analyze discharged medical records; manage the chart Incomplete area and monitor chart compliance;

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This is a hybrid opportunity that w

In collaboration with Customer Service, analyze and resolve professional coding complaints in a timely manner using correct coding and payer guidelines to ensure patient satisfaction. Identifies and analyzes coding denials for a specific population of charges and works in collaboration with the Production Coding team. Coordinates coding rejection data collection activitie

Medical Records Tech Job Description Assembles, analyzes, and abstracts medical records. Reconciles daily census report and maintains the Master Patient Index. Enters data into departmental computer system. Processes incoming and in house requests/correspondence as assigned. Files miscellaneous reports. Retrieves records as requested. Responsible for the maintenance of th