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...
CAN Community Health is now hiring a Medical Case Manager I Schedule: Full-Time | Day Shift | Monday-Thursday 8:00... you and your family Career growth opportunities in a supportive environment What You’ll Do The Medial Case Manager is responsible...
& 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 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...
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...
adjustments and reprocessing actions according to department guidelines. Examines and processes claims and/or non-medical... following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential...
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...
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/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... actions according to department guidelines. Examine and process claims and/or non-medical appeals according to business...
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...
. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality...Duties Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying...