Enrollment Specialist (Transactional) - San Juan, PR
San Juan, PR
Complete the full cycle of Identification, Validation, Enrollment and Billing procedures related to members Work on the customer's applications, eligibility and fallouts arising out of d...

Clinical Reviewer (Medical Coding Academy - CPC) - San Juan, PR
San Juan, PR
Clinical Case Reviews 75% Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported Maintain standards for pr...

Clinical Administrative Coordinator - Harlingen or McAllen, TX
McAllen, TX
Documents all patient interactions in a concise manner that is compliant with documentation requirements for Model of Care, NCQA and Center for Medicare and Medicaid Services (CMS) regul...

Medical Assistant - Dallas, TX
Dallas, TX
Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dres...

Registered Nurse, Procedures Suite
Mount Kisco, NY
The Registered Nurse or RN provides professional nursing care to patients/significant others via direct and/or telephone contact, following established standards and practices. They coor...

Registered Nurse, GI Triage
Mount Kisco, NY
The Registered Nurse or RN provides professional nursing care to patients/significant others via direct and/or telephone contact, following established standards and practices. They coor...

Associate Patient Care Coordinator - Lake Worth, TX
Lake Worth, TX
Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include insurance verification, complete preauthorization's and/or prec...

Clinical Practice Performance Coordinator - Remote in Abilene, TX
Abilene, TX
Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff. Review medical records for data collection, data entry, and quality monitoring inc...

Utilization Management Nurse RN - Remote Nationwide
Bangor, ME
Validates authorization for all procedure / bedded patients UM pre admission Ensuring acquisition of pre certification authorization, urgent/emergent authorizations, continued stay autho...

Senior Credentialing Representative
Eden Prairie, MN
Help process provider credentialing and enrollment applications and re applications including initial mailing, review and loading into the database tracking system Conduct audits and pro...

APC Collaborative Teaching Pod- Reliant Medical Group
Southborough, MA
As a part of OptumCare, Reliant Medical Group is seeking an APC to join our APC Collaborative Teaching Pod within our Internal Medicine Department in Southborough, Massachusetts . Qualif...

Executive Assistant to Business Unit CEO
Eden Prairie, MN
Provide day to day administrative support with proven attention to detail and sound judgement in a timely manner consistent with the highest level of performance and professionalism Effe...

Patient Care Coordinator - Everett, WA
Everett, WA
First point of contact for our patients. Sets the tone for a positive experience Exhibits empathy, courtesy, competence, efficiency and care Schedules appointments and procedures, follow...

Senior Data Analyst - Remote
Richmond, VA
Gathering business requirements for the data warehouse as well as business intelligence reports used by the Virginia DMAS management Analyzing existing design and recommending industry b...

Practice Assistant - Mount Kisco, NY
Mount Kisco, NY
Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required...