Physician Reviewer - Florida

You will evaluate the medical appropriateness of inpatient outpatient and pharmacy services by reviewing clinical information and applying evidence-based guidelines. · Conduct timely medical reviews in alignment with established quality standards · Make clinical determinations us ...

+Dane Street wants you to join our dynamic team of expert reviewers in this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. · +Evaluate medical records, · Provide clinical summaries, · Engage in peer communicati ...

A vital role of the CMO Administration team, the Medical Peer Reviewer plays a critical role in consulting on medical necessity in the context of utilization management and ensuring adherence to internal Healthfirst and external regulations. · ...

We are seeking an experienced Medical Coder with a strong background in professional billing for Radiation Oncology services. The ideal candidate will have in-depth knowledge of CPT, ICD-10 and HCPCS coding. · ...

+ We have an immediate opening for an Obstetrics & Gynecology Physician in Florida. · +Earn $2,500 - $2,700 daily. · ...

Baptist Health is a not-for-profit healthcare organization with 12 hospitals and over 28,000 employees. We are seeking a Charge Integrity Associate to coordinate billing services. The successful candidate will have experience in charge entry or claims management and possess stron ...

Baptist Health is seeking a Charge Integrity Associate 2 to coordinate billing services in their Miami-Dade region. · ...

Baptist Health is the region's largest not-for-profit healthcare organization with 12 hospitals and over 28,000 employees. We create personal connections with our colleagues and form meaningful relationships with patients. · ...

+Job summary · +This job is for an Ultrasound Technologist in an OB/GYN office. The technician will perform scans for Women's Health and OB/prenatal care. · +QualificationsOb/Gyn: 1 year (Required) · ...

Clinical Operations Medical Director responsible for supporting medical management staff ensuring timely and consistent medical decisions to members and providers. · ...

Come lead with us at Corporate At Houston Methodist this position combines clinical business regulatory knowledge skill to reduce significant financial risk exposure caused by concurrent retrospective denial payments services provided reviewing denials level care medical necessit ...

Baptist Health is the region's largest not-for-profit healthcare organization with 12 hospitals and over 28,000 employees. · ...

Baptist Health is seeking a Physician Practice E&M Auditor Educator to perform comprehensive audits and provide educational opportunities for providers. · ...

Baptist Health is hiring Payroll Administrators for remote work. · ...

++Clinical documentation specialist for Corporate. Improves the overall quality and accuracy of clinical documentation by performing open record reviews. · ...

Busy Medical Billing Service needs detail oriented specialists for our Accounts Receivable Dept. · ...

The department of General Internal Medicine is hiring an Advanced Practice Provider (APP) for a full-time position at the Instructor rank. · Prepares and conducts in-depth review of medical records. · Conducts thorough interviews with patients and/or families at scheduled appoint ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...

BMT Financial Specialist primary responsibility ensure patients being considered for blood and marrow transplantation have adequate insurance benefits and resources identified for treatment. · The estimated pay range for this position is $25.70 / hour depending on experience. · ...

The Market Physician Executive (MPE) is a mission-driven physician leader who improves the well-being, quality of life, and health outcomes for patients. They lead in-home multi-specialty polychronic care models in assigned markets and collaborate with Monogram Health's Multi-Spe ...