to fill a Medical Case Manager position in the Columbia, SC area. Work from home, and on the road. Monday – Friday, regular... business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers...
to fill a Medical Case Manager position in the Columbia, SC area. Work from home, and on the road. Monday – Friday, regular... business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers...
& Continence, Medical, Surgical, Cardiovascular, etc). Functions in the role of expert clinician, educator, consultant, case... that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care...
identifies cases needing physician, manager, director or medical director review and routes accordingly. Duties... of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health...
Summary In the role as the Claims Customer Service Advocate II, the ideal candidate will be responsible for responding.... The Claims Customer Service Advocate II will perform research as needed to resolve inquiries. The ideal candidate...
Summary We are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South... and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims...
and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims... be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... actions according to department guidelines. Examine and process claims and/or non-medical appeals according to business...
system, and educate the staff on changes. Assist manager with assignments and special projects. To Qualify...: Knowledge of medical terminology. Knowledge of Medicare Part B regulations/policies/instructions/provisions. Working...
standards. Achieves, timely, thorough and accurate completion and evaluation of case report forms. Reviews records/forms... medication, if applicable. Schedules visits with the sponsoring agencies. Assists department manager/supervisor to coordinate...