Clinical Peer Reviewer - Utilization & Compliance
$122.91k - $188.02kHealthfirst
Healthfirst is seeking a Medical Peer Reviewer in Connecticut to join the CMO Administration team. This vital role involves consulting on medical necessity and ensuring adherence to regulations while reviewing authorization requests and claims. The ideal candidate will be a licensed physician with board certification, ensuring compliance and productivity standards. Full-time positions require weekend coverage, and Healthfirst offers a competitive salary range of $122,907 - $188,020, depending on experience. #J-18808-Ljbffr Healthfirst
- ...healthcare network. Position Summary: Reviews inpatient clinical documentation to determine the... ...statistical reporting, research, regulatory compliance and reimbursement. Position... ...System (PCS) operative procedure codes utilizing designated software to included Computer...Suggested
$16 - $29 per hour
...best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.... ...with every internal and external customer. Multi - task utilizing double monitors for data entry, phone etiquette, and use of resources...SuggestedHourly payMinimum wageFull timeWork experience placementLive inLocal areaRemote workMonday to FridayShift work$50 - $60 per hour
...We are looking for a Clinical Reviewer to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. Physicians & Advanced Practice Clinicians In this role you...SuggestedHourly payFull timeContract workPart timeRemote work- ...professional manner identifying themselves and their department. Answers telephones in a timely, courteous, and professional manner utilizing appropriate scripting. Processes calls to ensure patients are transferred to the appropriate staff member/provider in a timely...SuggestedFull timeWork at officeLocal areaShift workDay shift
- ...and maintaining accurate records. Also supports providers and clinical staff with administrative tasks such as chart preparation and... ...Answers telephones in a timely, courteous, and professional manner utilizing appropriate scripting. Processes calls to ensure patients...SuggestedFull timeWork at officeLocal areaShift workDay shift
- ...specified physician practice/office or clinical care center. Cross-trained in both front... ...position as directed by Office Manager. Utilizes some judgement to interpret departmental... ...effectively both orally and in writing Gather, review and compile information and prepare...Work at officeFlexible hoursShift workWeekend workAfternoon shift
$16 - $29 per hour
...care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaImmediate startMonday to FridayShift work- ...clearly and accurately to internal and external customers. CLINICAL ENVIRONMENT - Actively contributes to the provision of a safe... ...of the unit operations: may assist in processing timecards; may utilize computer to type, revise and print routine correspondence, documents...Work at officeShift work
- ...Receptionist will be responsible for working diligently to bring patients into care by utilizing their excellent customer service skills and internal resources to connect with patients. The Clinical Director of the department is Dr. Zeev Harel, former Brown University Medical...Full timeTemporary workWork at office
- ...Manager to inspire team leadership while ensuring exceptional patient care. The role encompasses overseeing daily clinic operations and managing compliance with healthcare regulations. Ideal candidates have a bachelor's degree in a related field and prior experience in...Work at office
$50 - $60 per hour
A healthcare technology company is seeking a Clinical Reviewer to enhance AI models through comprehensive evaluation. The ideal candidate must have a medical degree and fluency in English. The role allows for flexible hours and is available as both full-time and part-time...Hourly payFull timePart timeRemote workFlexible hours$32 - $42 per hour
...with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues What You Need to Succeed: A... ...facility. Experience with significant level of coding quality review feedback Experience in computerized encoding and abstracting...Hourly payFull timeRemote workRelocation packageFlexible hours$32 - $42 per hour
...with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues Occasionally travel for professional... .... Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis...Hourly payReliefRemote workRelocation packageFlexible hours- ...card, processes insurance verifications utilizing the on-line system, and updates the patient... ...Confirms future appointments as needed. Review Eligibility and Phone report.... ...cooperatively with Patient Care Resources and clinical staff to ensure timely pre-authorizations...Daily paidWork at officeLocal area
- ...physician Maintains proficiency with office computer systems. Performs clerical duties in a fast-paced environment Supports clinical staff with clerical tasks with positive energy Minimum Qualifications High school diploma or equivalent required Medical...Full timeWork at officeLocal areaShift workDay shift
$17 - $31.36 per hour
Job Summary Responsible for performing various administrative, secretarial and clerical duties. Understands and follows the organization's policies, procedures and standards. Is an independent worker, meeting the day-to-day needs of the director and the department. Participates...Hourly payDaily paidWork at officeImmediate startFlexible hours- ...Contributes to a safe, structured, and therapeutic milieu. Reports to the Clinical Coordinator. COMPETENCIES: * Basic computer skills are desirable... ...consistent with e escalation training as evidenced by peer and supervisor observation. 1. Possesses knowledge of and adheres...Immediate startFlexible hours
- Benefits: 401(k) Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Secretary to join our team! As a Medical Secretary, you will be responsible for greeting patients who...Work at office
$20 per hour
Medical Office Receptionist - Temp to Hire Locations: Enfield, Hartford, and Bloomfield, CT Schedule: Monday-Friday | 7:30 AM - 4:30 PM Onsite Ultimate Staffing Services is seeking a dependable and professional...Weekly payTemporary workWork at officeLocal areaMonday to FridayWeekend workWeekday work- ...performs varied medical reception and/or administrative support tasks or activities within a specified physician practice/office or clinical care center. Greet patients/visitors, check patients in and out for office appointments, answer phones and direct calls; schedule...Work at officeFlexible hoursWeekend workAfternoon shift
$19 - $20 per hour
Medical Receptionist - Hartford County Hartford, CT Employment Type: Temp to Hire Industry: Healthcare Job Number: 11908 Salary / Pay Rate: $19.00 to $20.00 Per Hour Job Description Medical Receptionist - Front Desk Immediate Needs J. Morrissey is recruiting...Hourly payFull timeTemporary workImmediate startMonday to Friday$17.5 - $23.8 per hour
Employment Type: Full time Shift: Day Shift Description: Medical Receptionist ?? Attach Resume Ready to thrive in a dynamic, high-energy environment? Join our Rheumatology Specialty Practice and bring your exceptional talents to a team that makes a real...Hourly payFull timeWork at officeLocal areaShift workDay shift$21 - $24.5 per hour
...treating patients - we're revolutionizing how people access healthcare. As the nation's leading urgent care provider with over 400 clinics across 26 states, we're looking for a detail-oriented Medical Receptionist to be the face of our clinic and the first step in our patient...Hourly payFull timeTemporary workWork at officeFlexible hoursShift workWeekend workAfternoon shift- ...card, processes insurance verifications utilizing the online system, and updates the patient... ...Confirms future appointments as needed. Review Eligibility and Phone report. Schedules... ...with Patient Care Resources and clinical staff to ensure timely pre‑authorizations...Daily paidWork at officeLocal area
- ...Medical Assistant (Clinical) Our busy orthopedic ambulatory surgery center provides outpatient surgical procedures to Rocky Hill, CT... ...OASC's patient satisfaction ratings is over 95%! The Center utilizes the most advanced sterilization equipment and technology in the...Temporary workShift work
- ...Clinical Lab Assistant - Oncology (Per Diem) Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing... ...laboratory clerical functions accurately and efficiently for compliance with regulatory agencies. Responsible for performing processing...Daily paidWork at officeMonday to FridayShift work
- ...Specialist to work 100% remotely. The role involves reviewing inpatient clinical documentation for accurate coding assignments, utilizing strong knowledge in ICD-10-CM and ICD-10-... ...the importance of high accuracy and compliance in coding practices. Join a team where every...Remote job
$26 per hour
Job Type Full-time Description At Oscar Gonzalez, DDS, an office within Dental Associates of Connecticut, our mission is to provide quality dental and personal care to all our patients in a relaxed and comfortable environment in which patients feel welcomed...Full timeWork at officeFlexible hoursShift workAfternoon shift- ...insurance information Checking out patients Scanning Ensuring patient confidentiality Working Epic queue's Regular communication with clinical and administrative staff Travel between our various sites is required Placing order, refill request Our ideal candidate will be...Work at officeFlexible hours
$20 - $25.3 per hour
Join Midstate Radiology Associates (MRA) as a Full Time, 1st Shift, Patient Representative at our West Hartford Imaging Location. Position Schedule: Mon - Fri 8:30 AM - 5:00 PM. Position includes rotating Sundays (every 4th Sunday) for which the following Friday will...Hourly payFull timeLocal areaDay shift
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