Medical File Review Specialist

Job Title:Medical Claims Review SpecialistAssess and interpret customer needs, requirements, and medical records.Reviews medical claims for medical necessity to ensure alignment with established guidelines.Qualifications:Active PHRN and USRN Mainland License1 year bedside experience, preferably with UR/UM experience but not requiredBenefits:Work from home...

Medical Coding Specialist JobWe are seeking a highly skilled Medical Coder to fill this key position.Key Responsibilities:Assign medical codes by abstracting and reviewing medical documentation in accordance with coding guidelines, payer guidance, and governmental regulations.Conduct quality review and analysis of medical documentation to ensure accuracy of...

Exciting Opportunity for a Medical Transcriptionist!We are seeking a highly skilled and meticulous medical transcriptionist to support our eye care specialists during patient consultations. The ideal candidate will play a vital role in documenting encounters in real-time, helping optimize clinical workflow and ensure accurate medical...

We are seeking a meticulous and tech-capable Medical Transcription Specialist to support our eye care specialists during patient consultations.The ideal candidate will play a vital role in documenting encounters in real-time, helping optimize clinical workflow and ensure accurate medical records.Key Responsibilities:Attend patient consultations virtually or...

Job Title: Clinical Review SpecialistThis position requires a licensed clinical professional with expertise in behavioral health documentation and insurance requirements.Main Responsibilities:Conduct peer reviews, case consultations, and interact with insurance providers to secure continued authorization.Review comprehensive client files prior to peer...

Job Opportunity:We are seeking a highly skilled and experienced Prior Authorization Specialist to join our team.Key Responsibilities:Review and process prior authorization requests for medical services, procedures, and medicationsVerify insurance information and eligibilityHandle patient inquiries regarding authorizationsProvide necessary documentation to...

Job Title: Medical Claims SpecialistThe role of a Medical Claims Specialist is pivotal to our healthcare operations. This position entails thorough claim monitoring, rejection and denial investigation, and precise documentation of account activities.

Medical Documentation SpecialistThe role of a Medical Documentation Specialist plays a vital part in delivering high-quality patient care. They are responsible for accurately recording and maintaining comprehensive patient medical records.Key Responsibilities:Compile and record patient medical history, symptoms, diagnoses, and treatments.Document healthcare...

Revenue Cycle Specialist RoleThis position is focused on decreasing claim rejections and recovering aging or stale claims. To achieve this, the specialist will need to have a strong understanding of the revenue cycle management process.Main Responsibilities:Login to the client's billing system to review and manage denied or aging claims.Work claim queues to...

Medical Coding SpecialistThis is an exciting opportunity to work as a medical coding specialist. As a Same Day Surgery/Observation Medical Coder, you will be responsible for assigning diagnostic and procedural codes to patient charts of low to moderate complexity.Key Responsibilities and QualificationsAbstract clinical data elements into the medical record...