Certified Medical Coder - Amherst - Claims Theory

You could be the one who changes everything for our 28 million members · Centene is transforming the health of our communities, one person at a time. · Investigate allegations of healthcare fraud and abuse activity. · Assist in planning, organizing and executing special claims in ...

The Medical Billing Specialist plays a crucial role in supporting efficient medical billing workflows within the practice. · Reviews and audits claims daily for submission to 3rd party payers. · Adds or modifies patient and insurance demographics. · ...

Thisisful-timeremoteopportunityforUMRegulatoryNurseSpecialist.Thejobresponsibilitydeliveringmedicalorbehavioralhealthutilizationmanagement(UM)andcoordinationofcareservicesto membersthroughcurrentaccreditationrequirementsandqualitystandardswithinthescopeofthemember'sbenefitpackage ...

The UM Regulatory Nurse Specialist is responsible for delivering medical or behavioral health utilization management (UM) and coordination of care services to members in compliance with current accreditation requirements and quality standards, and within the scope of the members' ...

++This is a full-time remote opportunity for a Regulatory Nurse Specialist to deliver medical or behavioral health utilization management (UM) and coordination of care services to members in compliance with current accreditation requirements and quality standards. · ...

The UM Regulatory Nurse Specialist is responsible for delivering medical or behavioral health utilization management (UM) and coordination of care services to members in compliance with current accreditation requirements and quality standards, · Pre-authorization review utilizing ...