Our Credentialing Specialist is responsible for performing a variety of duties including provider enrollment to support the membership operations of CPHO and to coordinate and submit provider applications for credentialing and participation with contracted health plans. This specialist will also support the Provider Relations Manager in research to bring resolution to pro

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Front Office Associate to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Front Office Associate, you will be responsible for provi

The Utilization Review Specialist is responsible for the pre certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment. Job Duties and Responsibilities Consult with Admissions Department regarding specific LOC issues, insurance requests, and/or criteria questions. Complet

1. Retrospectively analyzes accounts with payment variances or denials to ensure proper contractual payments amounts and accurate SDK prorations in an effort to achieve department recovery goals. 1.1 Identify trends/payer issues via payment variance function or denial review, documents and summarizes findings. 2. Develop professional working relationships with payer repre

About Us With energy and purpose, Cooley Dickinson Health Care, an affiliate of Mass General Brigham, is advancing health care in western Massachusetts. With a broad network of providers and facilities serving the Pioneer Valley, our services span a spectrum of medical and surgical needs, diagnostic care, rehabilitation, social work, behavioral health, and other critical

The Medical Compliance Specialist assist with ensuring that the clinical needs of individuals served are being met and maintained as per all state and federal regulations and in accordance with agency policy. This person will support new and existing Managers/Directors by completing regular audits of medical and other records to ensure compliance and assisting with the ne

About Us With energy and purpose, Cooley Dickinson Health Care, an affiliate of Mass General Brigham, is advancing health care in western Massachusetts. With a broad network of providers and facilities serving the Pioneer Valley, our services span a spectrum of medical and surgical needs, diagnostic care, rehabilitation, social work, behavioral health, and other critical

Community Associate Address 71 Raymond Rd 06107 West Hartford The world of work is changing...short commutes, flexibility, and convenience are the minimum standards employees want when it comes to how they want to work! At IWG, we are leading the way. We've built the world's largest workspace network so that our customers can work from wherever, and however, they want...

Health Information Specialist II Job Locations US CT Danbury Requisition ID 2024 36025 # of Openings 3 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $18.00 $23.00 per hour Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance hu

Genesys empowers more than 7,500 organizations in over 100 countries to improve loyalty and business outcomes by creating the best experiences for customers and employees. Through Genesys Cloud, the #1 AI powered experience orchestration platform, Genesys delivers the future of CX to organizations of all sizes so they can provide empathetic, personalized experiences at sc

Flexible Contractor/Freelance Opportunity 1099 IMMEDIATE NEED This is not a full time or part time job. This is not a set scheduled job opportunity. The Medical Site credentialing Specialist will be responsible for completing onsite surveys/audits for local medical clinics to ensure requirements are aligned with ULG client expectations. ULG will provide each credentialing

You are an expert facilitator you open doors, foster communication, and bridge the gap. In this role, you will be responsible for the successful growth of patient access initiatives of our client within the assigned geographic territory. The primary focus of the Patient Access Specialist is to leverage strategic insights within targeted interconnected inpatient/outpatient

Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

Are you passionate about patient care and helping people live active lives? Are you curious about what it means to create the next generation of medical technology and be part of a growing global company committed to Creating Better Together? At Enovis we sweat the little things. We embrace collaboration with our partners and patients, and we glory in the grind of scienti

You are an expert facilitator you open doors, foster communication, and bridge the gap. In this role, you will operate as the subject matter expert on reimbursement, access, and coverage issues affecting the clients product. Educate HCPs and their staff on matters related to reimbursement, access and coverage to facilitate appropriate patient access. You will Analyze acce