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Medicare Appeals ReviewerMedicare Appeals Reviewer works collaboratively with Ministry facilities, patient ... and CMS guidelines. The Medicare Appeals Reviewer will be responsible for...17 days ago from Ministry Health Care - Save - Block - Flag - More Tools...
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Medical Reviewer / GOP AssociateCIGNA - Claymont, DEappeals tracking system, consults with Appeals Analyst Specialist regarding ... and/or refer questionable claims for clinical review. Communicate...3 days ago from Cigna Corporation - Save - Block - Flag - More Tools...
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Appeals Review Case ManagerDelmarva Foundation - Waltham, MAAppeals Review Case Manager Job Code: 10-741 Division: Masspro /Beneficiary Protection ... appropriate clinical personnel. Use clinical based criteria and Medicare...20 days ago from Delmarva Foundation - Save - Block - Flag - More Tools...
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EOB Reviewerclass; initiate appeals to payors; refer clinical appeals to RN; investigate interpretation variances. Must have 2-5 years prior experience in hospital collections or terms and...30+ days ago from Western Medical Center Santa Ana - Save - Block - Flag - More Tools...
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EOB Reviewerclass; initiate appeals to payors; refer clinical appeals to RN; investigate interpretation variances. Must have 2-5 years prior experience in hospital collections or terms and...30+ days ago from jobscience - Save - Block - Flag - More Tools...
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Utilization ReviewerSisters of Providence Health System - Holyoke, MAand monitors clinical and administrative appeals in order to maximize reimbursement ... to discipline required. Must have strong clinical background with 3-5 years...8 days ago from Yahoo! HotJobs - Save - Block - Flag - More Tools...
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Quality CoordinatorHealthcare Partners of Nevada - Las Vegas, NVreporting processes and assists in various Clinical Compliance initiatives. ... of medical record documentation and other clinical practice standards. Aggregate and...14 hours ago from Job.com - Save - Block - Flag - More Tools...
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- Job Summary | Also found at: www.job.com HealthCare Partners of Nevada
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Utilization Management NurseMunson Healthcare - Traverse City, MIpreferred. Comprehensive knowledge of the clinical capabilities of Munson Medical ... Contacts attendingphysician and/or physician reviewer is IS/SI criteria is not present on...5 days ago from Munson Healthcare - Save - Block - Flag - More Tools...
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Medical DirectorShps - Louisville, KYof care management and clinical quality...[more] The Medical ... and effective clinical execution Assures clinical effectiveness of care management...10 days ago from KentuckyWorks - Save - Block - Flag - More Tools...
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Psychiatrist/ Medical Director - VirtualNexus Healthcare - Parsippany, NJimplementation, and evaluation of clinical/medical programs. Essential ... and appeals -panel physicians, oversight of clinical appeals. The Medical Director works...25 days ago from National Medical Association - Save - Block - Flag - More Tools...
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- Job Summary | Also found at: do-online.org Association of American Medical Colleges American Association of Colleges of Osteopathic Medicine
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