Healthcare Service.

  • U.S.A.


  • Long-term.

  • Full-time.
Task Function:

This position is accountable for carrying out medical, billing, coding and least expensive expense setting evaluations for services pre and post payment making use of medical, legal, legal, policy, and other details to verify claims sent and billed; carrying out research study; preparing documents of findings and speaking with Medical Directors as required Coordination with all departments associated with each case needed such as Unique Examinations, Client Service, PASS, Network Management, Marketing, Case Management, Medical Evaluation, Legal, Rates and Database.Required

Task Credentials:

  • Registered Nurse (Registered Nurse) with unlimited license in state.
  • Qualified Coding Accreditation, or obtain within 24 months of hire.
  • 3 years experience in claims processing operations and reporting systems, consisting of 2 years experience in auditing or establishing computer system reports.
  • Understanding of accreditation, i.e. URAC, NCQA requirements and medical insurance legislation.
  • Awareness of claims procedures and claims processing systems.
  • PC efficiency to consist of Microsoft Word and Excel and medical insurance databases.
  • Verbal and composed interaction abilities with capability to interact to doctors, members and companies and make up and discuss file findings.
  • Organizational abilities and prioritization abilities.

Preferred Task Credentials:

  • 3 years scientific experience OR 3 years
  • experience as Qualified Center Coder

– Salary requirements: $60,600 depending upon experience

#CA

#LI- DP1

HCSC is dedicated to variety in the office and to supplying level playing field and affirmative action to staff members and candidates. We are a Level Playing Field Work/ Affirmative Action company devoted to labor force variety and a drug-free and smoke-free office. Drug screening and background examination are needed, as permitted by law. All certified candidates will get factor to consider for work without regard to race, color, faith, sex, sexual preference, gender identity, nationwide origin, special needs, or secured seasoned status.

Requirements: Know-how Nursing

Task Type Full-Time Routine

Place OK – Tulsa, TX – Richardson, IL – Chicago, NM – Albuquerque.

Healthcare Service.

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