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JOB SUMMARY: Our Ethos Medical Management Team is seeking a full-time Utilization Review Nurse for our Broussard, LA office to play a key role in coordinating and managing all aspects of the utilization review process. You'll spend extended periods at a computer, managing case reviews and documentation, and communicating frequently with providers, clients, and team members by phone and email.

Ethos Risk Services LLC

Utilization Management Nurse

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PART_TIME

Establishes and maintains effective communication and good working relationships with patients/family, physicians’ offices, and other internal teams for the patient’s benefit. Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.

Sleep Management LLC

Health Information Specialist

Establishes and maintains effective communication and good working relationships with patients/family, physicians' offices, and other internal teams for the patient's benefit. Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.

Viemed Healthcare Inc

YEAR

Reporting to the EHS Manager, the Safety and Compliance Officer serves as a resource to employees and management by providing guidance on safety policies, identifying potential hazards, and recommending corrective actions. This position is responsible for promoting a safe work environment, ensuring compliance with applicable regulations, conducting inspections and audits, investigating incidents, and supporting employee safety training.

JM TEST SYSTEMS LLC

Safety and Compliance Officer

Gethired

FULL_TIME

While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. WORK ENVIRONMENT . 1. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Central Louisiana Surgical Hospital

Medical Biller Specialist

Counsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).

HOUR

Founded over a century ago in 1901, we have a rich and colorful history of continuous improvement and innovation at Walgreens. From inventing the world’s first chocolate malted milkshake to the creation of one of the most popular and sophisticated mobile applications in retail shopping today, we have transformed ourselves into a leader within the retail and drug industry.
Walgreens, one of the nation’s largest drugstore chains, is included in the Retail Pharmacy USA Division of Walgreens Boots Alliance, Inc., the first global pharmacy-led, health well being enterprise.
At Walgreens you'll find a team positively energized by the unique talents, ideas, experiences and aspirations of every individual. In other words, you can be your authentic self in our stores, offices and other workplaces, and be comfortable and confident that what matters most here is doing your best to make health and well-being within reach for everyone on a daily basis.
Walgreens has a proud legacy of valuing diversity and fostering inclusion more than 100 years-strong, and we're still living that commitment. We intend to be recognized as a “Next Practices” company for diversity and inclusion – one whose cultures, people, perspectives and workplaces reflect the current and future customers we serve while delivering superior business performance.
Walgreens has over 9,500 stores in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.

Walgreen Co

Pharmacy Intern Grad - Sign-On Bonus Available

Pharmacy Intern Grad

Walgreens

Pharmacy Intern Grad Sign-On Bonus Available

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Pharmacy Intern Grad - Sign-On And Relocation Assistance Available

With AI-enabled solutions that span practice management to electronic medical records and e-prescribing to billing, we help eliminate administrative complexity and create harmony between therapists, their clients, and the whole healthcare community. At Ensora Health, our Revenue Cycle Management team plays a vital role in helping behavioral health providers focus on what matters most: delivering quality care to their clients.

Therapy Brands

RCM Specialist II

Pull credit reports for all accounts, verify debts, and estimate monthly payments for any outstanding debts not listed and add them to debts on application. Maintain records for Special Committee, Board Loan approvals, and Credit Committee meetings and prepare monthly annual reports of meetings.

Noda Federal Credit Union

Loan Officer / Member Service Rep.

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Applied workplace safety and OSHA regulations knowledge to include experience implementing the following critical safety programs: lockout/tagout, fall protection, confined space, hazard communication, mobile equipment and machine guarding. Required Education/Experience: A minimum of two (2) years HSE/Quality experience in an industrial, manufacturing or fabrication focused work environment or equivalent work experience in an industrial setting.

Norsk Hydro ASA

HSE Coordinator

The Account Follow-up Representative II is required to learn multiple hospital systems, conduct research analysis, utilize intermediate skills to work basic to complex outstanding insurance claims, work closely with third party payors to answer relevant questions and obtain appropriate information in pursuit of resolving unpaid claims. Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution.

Harris Computer Systems

(Remote) Account Follow-Up Representative I

The Account Follow-up Representative II is a remote role, eligible to anyone in the U.S. What your impact will be: Responsibilities: Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. The Account Follow-up Representative II is required to learn multiple hospital systems, conduct research analysis, utilize intermediate skills to work basic to complex outstanding insurance claims, work closely with third party payors to answer relevant questions and obtain appropriate information in pursuit of resolving unpaid claims.

Account Follow Up Representative II

Account Follow-Up Representative II

Analyzing Information, Data Entry Skills, Attention to Detail, Confidentiality, Thoroughness, General Math Skills, Financial Software, Reporting Skills, Verbal Communication, Organization 7. 4. Performs various collection actions including contacting patients by phone for insurance information, correcting and resubmitting claims to third party payers.

North Caddo Hospital Service

Billing and Collections Clerk

Resolves all assigned unpaid including but not limited to Commercial, Medicare, Medicare Replacement, Workers' Comp, VA, Hospice, or Medicaid claims on the Monthly ATB reports and otherwise ensures that all these accounts are paid in a timely manner. In this role the candidate is responsible for resolving all unpaid claims including but not limited to Commercial Insurance, Medicare, Medicare Replacement, Workers' Comp, Hospice, VA, or Medicaid claims assigned by the PFS Assistant Manager.

IBERIA MEDICAL CENTER

PFS Biller

Resolves all assigned unpaid including but not limited to Commercial, Medicare, Medicare Replacement, Workmanâ€s Comp, VA, Hospice, or Medicaid claims on the Monthly ATB reports and otherwise ensures that all these accounts are paid in a timely manner. In this role the candidate is responsible for resolving all unpaid claims including but not limited to Commercial Insurance, Medicare, Medicare Replacement, Workmanâ€s Comp, Hospice, VA, or Medicaid claims assigned by the PFS Assistant Manager.

PFS Specialist II

We are launching a brand-new satellite office in the Jackson, Mississippi market, and we are looking for driven, resilient Outside Sales Representatives to serve as Roofing & Storm Restoration Brokers. Construction invests heavily in our team with a secure W-2 structure and top-tier benefits: Lucrative Compensation: Enjoy the financial stability of a base salary combined with aggressive, uncapped commissions.

G.T. Construction

Outside Sales Representative - Roofing

partner JazzHR

The Human Resource Director will provide new hires with the access they need to computer programs (email, PointClickCare, Teams, etc) as well as keys to the appropriate physical plant (offices, storage closets, hopper rooms, etc.). • The Human Resource Director ensures appropriate paperwork, demographics, background checks, adverse action/ sanction searches, licensure verification, and training are complete upon hire.

Claims Manager Jobs in Louisiana

Utilization Management Nurse Ethos Risk Services LLC

Health Information Specialist Sleep Management LLC

Health Information Specialist Viemed Healthcare Inc

Safety and Compliance Officer JM TEST SYSTEMS LLC

Medical Biller Specialist Central Louisiana Surgical Hospital

Pharmacy Intern Grad - Sign-On Bonus Available Walgreen Co

Pharmacy Intern Grad Walgreen Co

Pharmacy Intern Grad Sign-On Bonus Available Walgreens

Pharmacy Intern Grad - Sign-On And Relocation Assistance Available Walgreens

RCM Specialist II Therapy Brands

Loan Officer / Member Service Rep. Noda Federal Credit Union

HSE Coordinator Norsk Hydro ASA

(Remote) Account Follow-Up Representative I Harris Computer Systems

Account Follow Up Representative II Harris Computer Systems

Account Follow-Up Representative II Harris Computer Systems

Billing and Collections Clerk North Caddo Hospital Service

PFS Biller IBERIA MEDICAL CENTER

PFS Specialist II IBERIA MEDICAL CENTER

Outside Sales Representative - Roofing G.T. Construction

Human Resources Director Legacy Nursing and Rehabilitation

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