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Directly report to and support the Program Manager by overseeing a team of claims processing automation analysts in the successful delivery of services across all assigned task areas including, but not limited to, automation review, claims processing, and quality assurance. Participate in scheduled calls with the customers, partners, and vendors. Continually assess operat
Posted 14 days ago
Certified Professional Coder OBGYN Baltimore, MD MUST Experienced Certified Professional Coder 2+ years of experience as a Certified Professional Coder 2+ years of experience of CPT and ICD 10 coding Knowledge of government regulations as they relate to teaching physician documentation and billing guidelines Understanding of the importance of compliance with all governmen
Posted 1 day ago
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisio
Posted 17 days ago
ABOUT US The Aspen Institute The Aspen Institute is a global nonprofit organization committed to realizing a free, just, and equitable society. Since its founding in 1949, the Institute has been driving change through dialogue, leadership, and action to help solve the most critical challenges facing communities in the United States and around the world. Headquartered in W
Posted 30 days ago
About the Position As a Policy Associate II you will be a part of the Professional Services team, working directly with other policy consultants, account managers and client success teams to ensure our clients receive the timely information about legislative and regulatory issues that impact our clients' businesses. We work as a team to support clients, but you are comfor
Posted 17 days ago
WEX, Inc.
- Portland, ME / San Francisco, CA / Washington, DC / 3 more...
About the Team WEX is seeking a Regulatory Compliance Analyst to join their growing global Risk and Compliance organization, supporting the overall compliance and risk management program for WEX Health.The successful candidate will act as a resource to assist in the building, support, and maintenance of a consistent and scalable regulatory framework for WEX Health, with a
Posted 17 days ago
WEX, Inc.
- Portland, ME / San Francisco, CA / Washington, DC / 3 more...
WEX Inc. (NYSE WEX) is a leading provider of business to business physical, digital, and virtual card payment solutions. WEX's fleet, corporate, and health payment solutions provide its customers comprising small businesses, large fleets, and corporations with unparalleled security and control across a wide spectrum of business sectors. We are executing against a multi pr
Posted 19 days ago
The Financial Clearance Coordinator is a member of the Patient Access team and will report to the Manager of Financial Clearance. Coordinators will provide administrative support and complete patient access workflows related to generating patient estimates for clinical services. The Financial Clearance Coordinator will work directly with physicians, payers, and patients t
Posted 9 days ago
Job Description Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need for outpatient or inpatient care as well as the appropriate level of care. The role requires interfacing with the case managers, medical team, other h
Posted 1 day ago
This position is responsible for ensuring institutional compliance with the Virginia Department of Behavioral health and Developmental Services, Virginia Medicaid Services, Tricare and Joint Commission. This position is tasked with ongoing compliance audits of current medical records. Key Responsibilities The Medicaid Specialist is tasked with auditing all open charts con
Posted 16 days ago
Under the supervision of the Director of Compliance, the analyst will manage, develop, implement and monitor policies, procedures, processes, training, corrective action plans and overall operations to ensure compliance with federal and state laws and regulations affecting the Medical System and its Affiliates. Additionally, the Analyst will work collectively with Affilia
Posted 14 days ago
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