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Credentialing Specialist Lead has overall knowledge of the credentialing and privileging process, know the required credentials for health care professionals and can utilize the appropriate resources to complete Prime Source Verification (PSV) and databank queries. The Credentialing Specialists lead demonstrates a thorough knowledge on credentialing policies, guidelines, and regulations for the Do
Posted 3 days ago
Centauri is seeking a highly motivated Risk Management Specialist to support the NRO's SIGINT Directorate. The SIGINT directorate is looking to address future intelligence collection challenges with innovative solutions. The successful candidate understands the mission needs to overcome development and operations limitations of current systems and can guide revolutionary change in how the NRO cond
Posted 4 days ago
o Posts payments to accounts according to the line of service and service dates to ensure accurate payment status and accurate account activity according to department process. o Post cash within 1 business day of receipt. o Researches unidentified payments within 1 business day of receipt. Transfers payment not processed at the location to Corporate Cash for handling. o Reconciles batches to post
Posted 7 days ago
of Benefits IntraHealth International, Inc. is a great place to work and prides itself on its comprehensive benefits package. We offer competitive salaries and a dynamic inclusive work environment which supports health workers so they can improve the lives of people throughout the world. IntraHealth International is proud to be an equal opportunity employer. All qualified applicants will receive c
Posted 16 days ago
Dependent on Contract Award This position has been developed to assist clients with performing on site medical screening specifically for COVID 19 as a means of prevention of spread within their facilities, vessels, job sites, and large living quarters. This position has been developed to assist clients with performing on site medical screening specifically for COVID 19 as a means of prevention of
Posted 16 days ago
Performs research, reviews and assessments of broad compliance issues and specific internal audit engagements and per government and or non government payer requests. Ensure all invoices and or related medical record documentation are submitted accurately and timely per requirements. Requests from customer, necessary patient medical record documentation as needed to ensure and or support billing i
Posted 16 days ago
- Baltimore, MD
RK&K is hiring a Billing Specialist in our Baltimore, MD office. The Billing Specialist will monitor the financial progress of projects, investigate variances, ensure billings are issued to customers in a timely and according to the terms and conditions of the contract. Basic Responsibilities/Functions The Billing Specialist will maintain project related records, including contracts, supplemen
Posted 20 days ago
Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions. Interfaces directly with referring physician in the assessment of completeness and adequacy of outside imaging and other diagnostic testing and suggests additional studies as needed to complement further evaluation and treatment by the attending neurosurgeon. May perform and document i
Posted 23 days ago
Prepares and submits clean claims to various insurance companies either electronically or paper. Reviews and posts denials to accounts according to the EOB to ensure accurate payment status and account activity. Monitors aging reports and take necessary actions to guarantee payments of claims. Reviews accounts daily and makes phone calls to assigned insurance groups for insurance follow up to d
Posted 1 day ago
Conducts, plans, and coordinates data management studies, financial analysis and budgetary management for service line to help management improve outcomes, quality and cost effectiveness of care. Designs and manages performance improvement data systems and procedures in collaboration with management to facilitate strategic business planning, financial planning, program development, marketing and r
Posted 2 days ago
Clinical Continuum This CMO serves as the market lead of all clinical programs as they impact a member's passage from enrollment thru end of life care and Hospice. The CMO will hold daily rounds with continuum clinical partners to identify roadblocks, effect resolution, reduce internal and external cycle times, and integrate information flow with providers to reduce admissions/ readmissions. The C
Posted 7 days ago
Systems Analysts Job Locations US VA Quantico ID 2020 2106 # of Openings 1 Category Information Technology Responsibilities IOMAXIS is a technology engineering company that is recognized for our innovative solutions and unparalleled engineering expertise across a wide variety of technologies. Apply innovative thinking to projects that are difficult to solve. We are seeking experienced System Ana
Posted 8 days ago
VP Operations NOVA Job Locations US VA Arlington ID 2019 1670 Category Operations Position Type Experienced Professional Division Name Mid Atlantic Overview As the VP Operations NOVA, you will be responsible for overseeing multiple projects within the region, as well as working with senior leadership to further develop Flatiron’s presence in the Northern Virginia market. What you will be do
Posted 8 days ago
Are you looking for a career and not just a job in the Medical field? Virginia Cancer Specialists, an affiliate of McKesson Specialty Health and US Oncology, a leader in Cancer care, is seeking a Full Time Telephone Operator for our Fairfax Business office. Duties to Include Under limited supervision, is responsible for providing a full range of telephone switchboard duties, including triaging cal
Posted 16 days ago
Responsibilities will encompass a range of tasks related to research, analysis, project management, and communications. Support qualitative and quantitative analytical activities Conduct literature reviews and formative research, including the facilitation of key informant interviews and focus group discussions Prepare highly polished presentations, reports, briefing materials, and other products
Posted 17 days ago
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