The Assistant Claim Specialist is an entry level position for claim processing. This person will use independent judgement and discretion to review, analyze, and make determinations regarding payment, partial payment, or denial of medical and dental claims, as well as various types of invoices, based upon specific knowledge and application of each client's customized plan

Health Information Specialist II (Onsite Champaign, IL) Job Locations US IL Champaign | US IL Urbana | US IL Urbana | US IL Urbana | US IL Savoy | US IL Rantoul | US IL Thomasboro | US IL Mahomet | US IL Paxton | US IL Gibson City Requisition ID 2024 35917 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview W

Customer Experience Agent I Job Locations US IL Palatine ID 2024 3469 Category Customer Service/Support Position Type Regular Full Time Introduction Come move the world with us! Wake up each day to be part of a global movement . A movement to make an impact . A movement to go for it! A movement to provide best in class solutions . A movement to be empowered . A movement t

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Who we are Samsara (NYSE IOT) is the pioneer of the Connected Operations Cloud, which is a platform that enables organizations that depend on physical operations to harness Internet of Things (IoT) data to develop actionable insights and improve their operations. At Samsara, we are helping improve the safety, efficiency and sustainability of the physical operations that p

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

Life changing therapies. Global impact. Bridge to thousands of biopharma companies and their patients. We are PCI. Our investment is in People who make an impact, drive progress and create a better tomorrow. Our strategy includes building teams across our global network to pioneer and shape the future of PCI. Perform required regulatory functions of document control such

Provide Comprehensive Pharmaceutical Care Participate in daily patient care activities. Discuss medication order clarifications with the prescriber. Document any changes in patient records and inform others of medication order changes. Monitor drug therapy to evaluate appropriateness of use, dose, dosage form, regimen, route, therapeutic duplication, and drug interaction.

Include Telephone and face to face crisis intervention Respond quickly and timely to any request for crisis team assistance Crisis assessment, counseling, and referral and linkage to treatment services Supportive follow up calls following a client's contact with crisis services Engage individuals following a discharge from an emergency department or psychiatric hospital Co

The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Analyst to join our team. This position focu

Develops curriculum and materials for documentation training programs. Assesses coder comprehension. Conducts quality assurance reviews. Reviews, researches, and responds to coding questions. Resolves coding questions from patient inquiries or denied services from insurance companies. Performs focused quality assurance reviews on coded services. Communicates updates on co

Health Information Specialist I (Onsite Position) Job Locations US IL Effingham Requisition ID 2023 32557 # of Openings 35 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Ciox Health merged with Datavant in 2021, creating the nation's largest health data ecosystems, powering secure data connectivity on beha

Telecommute CDI Specialist (St. Louis, MO)