USRN | Medical Utilization Specialist

Job Title: Utilization ReviewThe ideal candidate will have excellent communication and analytical skills, to assess customer needs and medical records. They will review medical claims for medical necessity and possess a deep understanding of customer requirements.Key Responsibilities:Reviewing medical claims is essential in this role.Utilizing knowledge to...

Medical Information Specialist RoleWe are seeking a skilled Medical Information Specialist to join our team. In this role, you will be responsible for providing accurate and timely medical information to customers via various channels.Respond to customer inquiries regarding medical and safety information.Provide labeled and unlabeled medical/safety...

Job Title: Utility Infrastructure SpecialistWe are seeking a skilled and experienced professional to lead detailed inspections of overhead utility infrastructure, ensuring data integrity and contributing to process improvements within the electric utility sector.The ideal candidate will oversee QA/QC processes, perform advanced data analysis, and provide...

Job OverviewThe Healthcare Specialist is responsible for conducting clinical review of cases not meeting criteria.Key Responsibilities:Clinical Review Nurses will conduct thorough clinical reviews of cases to ensure compliance with established guidelines and protocols.Develop and maintain knowledge of healthcare policies, procedures, and regulations to...

Job Title: Medical Claims SpecialistWe are seeking an experienced Medical Claims Specialist to join our team. This full-time role is remote and supports US healthcare client revenue cycle management using the Athena billing software.

Medical Content SpecialistWe are seeking a highly skilled medical content specialist to develop accurate and engaging communications for various audiences.Main Responsibilities:Transform complex medical concepts into clear, concise, and compelling copy.Create visually appealing slide decks, websites, and campaign materials that convey scientific information...

Job Title: Medical Claims SpecialistWe are seeking a detail-oriented Medical Claims Specialist to join our team. The ideal candidate will have experience in medical billing and be proficient in submitting claims to insurance companies.The role involves processing data from medical coders, verifying insurance coverage, reviewing denied claims, and assisting...

Medical Intake Specialist Job OverviewMedical intake specialists play a crucial role in ensuring the accuracy and completeness of medical records retrieval processes. They are responsible for managing multiple tasks, including provider research, request creation, and quality control.Key Responsibilities:Provider Research:Identify all relevant providers...

Medical Coding SpecialistJob Summary:We are seeking a skilled Medical Coding Specialist to join our team. As a Certified Medical Biller and Coder, you will play a critical role in ensuring accurate and timely submission of medical claims.This is an opportunity to make a significant impact on our organization's financial operations and the quality of service...

Job OverviewAs a Clinical Content Specialist, you will be responsible for conducting research and analyzing medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.Research and analyze Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered...