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6 days ago
Handles customer inquiries by telephone and/or email and/or in person from individual members, groups, providers and brokers in a customer service center. Troubleshoots and resolves customer complaints. Ensures that responses to inquiries are completed ti...
Camp Hill, PA
6 days ago
Role: Managed Care Support Liaison Assignment: Humana Government Business Location: Hanscom/Boston, MA Humana is looking for associates dedicated to service, and who believe in following the golden rule: treat others the way you want to be treated. Humana...
1 week ago
Role: Managed Care Support Liaison Assignment: Humana Government Business Location: West Point, NY Humana is looking for associates dedicated to service, and who believe in following the golden rule: treat others the way you want to be treated. Humana was...
2 weeks ago
Role: Managed Care Support Liaison Assignment: Humana Government Business Location: Aberdeen, MD Humana is looking for associates dedicated to service, and who believe in following the golden rule: treat others the way you want to be treated. Humana was f...
2 weeks ago
Role: National Guard & Reserve Representative Assignment: Humana Government Business Location: Portsmouth, Norfolk, Tidewater, VA Area Assignment Capsule : To provide TRICARE unit briefings annually or upon request to all National Guard and Reserve unit m...
The Credentialing Specialist will work under the direction of the Senior Director of Legal Operations/Administration to prepare, track and submit licensure, certification and credentialing applications to various government and commercial payor offices. J...
200 Powell Place
5 days ago
Responsible for daily coordination of care for all Tricare patients. Meets with patients within 24 hours of assignment and conducts an initial interview. Conducts weekly treatment plan reviews and updates treatment plans. Provides individual and group the...
Ref ID: 00393-0010124182 Classification: Accounting - Medical Compensation: DOE 1. The responsibility of the cash posters is to post all cash received daily on the same day. Cash is posted via 835 electronic data files as well as manually using payer EOB'...
Rancho Cordova, CA
Role: Appointment Clerk - Part-time Assignment: Humana Government Business Location: Tacoma, WA Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Humana,...
Full-Time | Pay: $21.00/hour
Kelly Services is recruiting for an Appeals and Grievance Specialist for a premiere insurance provider and Fortune 500 company in Rancho Cordova, CA. You will be working in a luxury and professional environment with an abundance of perks. Responsibilities...
Rancho Cordova, CA
2 days ago
Requisition ID 50417BR Title Associate Manager, Government Contracts - Pricing Job Category Finance Job Description Purpose Assists Sr. Manager and/or Director of Government Pricing and Compliance in leading an analytical team in the development and imple...
Reviews medical documentation to perform a variety of coding validations for multiple lines of business under Medicare/TRICARE to determine accuracy of billing and payment. Reassigns and sequences diagnostic and procedural codes using universally recogniz...
POSITION SUMMARY Analyze the daily TED Remittance and Acceptance as it pertains to the TRICARE contract for both billing and payment anomalies. Determine if issues exist and takes appropriate resolution action. Works collaboratively with the Government &...
St. Louis, MO
Full-Time | Pay: $17.93/hour
Are you an experienced Provider Enrollment Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questi...
Full-Time | Pay: $60k - $100k/year
Ref ID: 03900-0010096134 Classification: Managing Director Compensation: $60,000.00 to $100,000.00 per year Senior Manager of Credentialing and Managed Care needed for Memphis healthcare institution. This position manages the provider credentialing, payer...
Full-Time | Pay: $100k - $110k/year
Ref ID: 02720-0010070548 Classification: Controller Compensation: $100,000.00 to $110,000.00 per year Global Pharmaceutical company located in Bridgewater is looking for a Manager of Government Pricing Contracts. This individual will assist Director, Cont...
Beneficiary Services Representative (PEBLO) Full Time Monday-Friday Days Only On Site McGuire AFB Great Pay, 2 Weeks PTO, 11 Holidays AboutSterling Medical: Sterling Medical Corporation is aleader in healthcare professional staffing. For over 30 years,...
Cherry Hill, NJ
PT Solutions Physical Therapy wants you! PT Solutions Physical Therapy focuses on providing the best physical therapy solutions to all our patient's. Our patient centered treatments and programs are all based upon the most recent and proven scientific lit...
The Atlanta Journal-Constitution recently named PT Solutions Physical Therapy among metro Atlanta's 150 Top Workplaces. PT Solutions is growing! This position will be located at our brand new clinic in Kennesaw, GA. As clinic director for PT Solutions Phy...
Siter-Neubauer & Associates, an MRINetwork affiliate is currently conducting multiple searches for a Register Nurse Family Practice Clinic: Siter-Neubauer & Associates, founded in 1999, in conjunction with our government & commercial customers, provides c...
Hill Air Force Base, UT
Overview Sheridan Healthcare is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, and women’s and children’s health services to ho...
Job Summary: This position is located in Salinas, CA. This RN is responsible for planning, directing, coordinating, and supervising the delivery of health care. Deals with evolving integrated health care delivery systems, technological innovations, an inc...
Job Summary This position leads IT internal audit work per generally accepted professional audit standards and guidelines throughout WPS, including the coordination of such work with others or the supervision of such work performed by others. This job par...
3 days ago
ABOUT DECYPHER Decypher is a leading integrator of professional, technology, and management solutions and services. We provide our services globally to Federal, Commercial, Local and State clients. Our employees are our most valuable asset and play an int...
Twentynine Palms, CA
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care management companies operating through its subsidiary acute care hospitals, behavioral health facilities, and ambulatory centers nationwide. Founded in 197...
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