Clinical Appeals Healthcare Specialist

Job SummaryClinical Appeals Nurses play a vital role in reviewing patients' medical charts and records to determine the level of care required. This position involves working independently, making informed decisions, and collaborating with healthcare professionals.Key ResponsibilitiesReview patients' medical charts and lab results to determine admission or...

Insurance Verification SpecialistWe are seeking an organized and detail-oriented Insurance Specialist to support our insurance and authorization department. As an Insurance Specialist, you will verify patient insurance coverage, ensure accuracy and eligibility for proposed healthcare services.You will prepare and submit comprehensive authorization requests...

Healthcare Content Specialist Job DescriptionThe role of a Healthcare Content Specialist involves analyzing, gathering, and documenting clinical requirements using best practices defined by Clinical management.This position requires collaboration with subject matter experts to validate clinical requirements and ensure correct coding guideline...

Job OverviewWe are seeking a highly skilled and experienced Patient Care Specialist to join our organization.The ideal candidate will have a strong background in healthcare and utilization management, with experience in reviewing and managing Workers Compensation and Healthcare Utilization Management Provider Appeals cases.Active PHRN and USRN Mainland...

Clinical Appeals Nurse OpportunityJob DescriptionWe seek a skilled Clinical Appeals Nurse to review medical charts and records, determining appropriate care for patients. This role involves thorough analysis and decision-making to ensure accurate assessments.Required Skills & QualificationsAt least 2 years of experience in adult Medical Surgical...

We are seeking a skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will be responsible for conducting thorough research and analysis of Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.This solution is utilized by...

Medical Documentation SpecialistWe are seeking a highly skilled Medical Documentation Specialist to join our team. As a Medical Documentation Specialist, you will work closely with healthcare providers to document clinical interactions in real time, ensuring accurate and detailed patient records.Key ResponsibilitiesDocumenting real-time patient encounters...

Job OverviewWe are seeking a highly skilled and experienced Healthcare Specialist to join our team. As a Healthcare Specialist, you will be responsible for providing exceptional patient care and support to our clients.This is an excellent opportunity for a career-driven individual who is passionate about delivering high-quality healthcare services. If you...

Medical Scribe Role OverviewA medical scribe plays a vital role in healthcare by accurately documenting patient interactions and clinical information.This enables healthcare providers to focus on delivering high-quality care.Key Responsibilities:Document real-time patient encounters using electronic medical records (EMRs) such as Epic,...

Job Title: Clinical OutreachWe are seeking a skilled and experienced clinical outreach professional to join our team. The ideal candidate will have a strong background in clinical research and a proven track record of success in developing and executing targeted outreach campaigns.Design and execute doctor outreach campaigns for clinical trial site...