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Medical Reviewer II (Prior-Auth A/B MAC) –...
About the positionResponsibilities• Perform medical claim reviews for complex services, preauthorization requests, appeals, and potential fraud cases.• Make payment determinations based on clinical information and established criteria.• Determine medical necessity...
Medical Reviewer II (Prior-Auth A/B MAC) –...
About the positionResponsibilities• Perform medical claim reviews for complex services, preauthorization requests, appeals, and potential fraud cases.• Make payment determinations based on clinical information and established criteria.• Determine medical necessity...
Remote Sales Representative (Night Shift, Full ...
Job Overview:We are seeking a highly motivated and results-driven Sales Representative to join our team at 3M. As a Remote Sales Representative, you will play a vital role in driving...
Remote Sales Representative (Night Shift, Full ...
Job Overview:We are seeking a highly motivated and results-driven Sales Representative to join our team at 3M. As a Remote Sales Representative, you will play a vital role in driving...
Part-Time Medicare Cost Auditor
SummaryResponsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor’s assignments, mentoring and coaching...
Part-Time Medicare Cost Auditor
SummaryResponsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor’s assignments, mentoring and coaching...
Orthopedic Coder
LHH is seeking a Coder with experience in Orthopedics, for our client outside Chicago. This is a remote position with 1 day/month in-office. You must reside in Illinois to be...
Orthopedic Coder
LHH is seeking a Coder with experience in Orthopedics, for our client outside Chicago. This is a remote position with 1 day/month in-office. You must reside in Illinois to be...
Notice of Action (Denial) Technician (AZ Remote)
About the positionResponsibilities• Process Medical and Pharmacy denials within established timeframes, in accordance to policies, procedures, and contractual requirements.• Document denial and reason in data management systems.• Create and mail...
Notice of Action (Denial) Technician (AZ Remote)
About the positionResponsibilities• Process Medical and Pharmacy denials within established timeframes, in accordance to policies, procedures, and contractual requirements.• Document denial and reason in data management systems.• Create and mail...
SURGICAL CODER – PPC
Centralized Billing OfficeRemote/ Full-time/ 80 hours per paySummary of PositionThe Surgical Coder works to ensure timely, accurate, and compliant coding of physician services for the purpose of maximizing reimbursement within...
SURGICAL CODER – PPC
Centralized Billing OfficeRemote/ Full-time/ 80 hours per paySummary of PositionThe Surgical Coder works to ensure timely, accurate, and compliant coding of physician services for the purpose of maximizing reimbursement within...