Senior Clinical Claims Coordinator

Job SummaryThe role of Clinical Triage Coordinator involves serving as the primary point of contact for patients in a virtual behavioral health program.Key ResponsibilitiesConduct web and voice-based assessments to determine patient needsUtilize clinical judgment to determine next steps, including scheduling appointments or escalating casesAccurately...

Medical Research CoordinatorWe are seeking a highly motivated and detail-oriented individual to support our medical research efforts. The successful candidate will be responsible for coordinating patient recruitment and screening processes for various clinical trials.

Job Title: Clinical Profile CoordinatorThis is a dynamic and administrative role within the healthcare recruitment sector.The primary focus of this position is to prepare submission-ready profiles for clinicians, ensuring timely and compliant submissions. Key responsibilities include:Formatting clinician resumes according to client standards with precision...

Job OverviewProcess inpatient and surgical bills according to standard operating procedures (SOP) and turnaround time.Perform bill review using appropriate resources, clarifying discrepancies to recommend reimbursement.Document pertinent information in the system bill notes to support reimbursement determination.Reconsider bills as requested to ensure...

Job OverviewThe role of a Medical Content Specialist is pivotal in our organization, involving research and identification of medical coding and billing documents to support our automated claims editing solution. This solution benefits medical insurance payers across the United States by providing clinical content for claim denials or covered criteria.Key...

Claims Resolution SpecialistWe are seeking a skilled Claims Resolution Specialist to join our team. As a key member of our claims process, you will be responsible for investigating and resolving customer complaints related to branded merchandise.Your primary focus will be on managing and investigating incoming customer claims, including issues with product...

OverviewJoin to apply for the Clinical Program Coordinator role at Comercial Navero y Elvira Pol. Ind. Postuero - Nave 7-8.We are seeking a detail-oriented Clinical Program Coordinator to manage the implementation and ongoing operations of our clinical programs. This role ensures program configurations meet design requirements, performs quality checks in...

Job Title: Medical Coder | RN and CPC | WFH | Night ShiftWe are seeking an experienced medical coder to join our team. In this role, you will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.The...

Job Description:Serving as a key clinical operations representative for enterprise clients in assigned regions, you will be responsible for delivering exceptional clinical services across onsite and virtual channels.Key aspects of the role include providing case management, maintaining service quality, and overseeing regional clinicians to ensure seamless...

Outpatient Case Manager Job DescriptionThe Outpatient Case Manager plays a crucial role in providing remote, client-centered support across all stages of treatment. This includes intake, active care coordination, appointment scheduling, and discharge planning.This role ensures the efficient delivery and documentation of wraparound services by coordinating...