Clinical Peer Reviewer - Utilization & Compliance
$122.91k - $188.02kHealth First
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
- ...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...SuggestedWork at officeFlexible hoursShift workWeekend workAfternoon 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 are...SuggestedWork at officeLocal areaDay shift
- ...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
- ...a mandatory CPC certification. This position requires exceptional communication skills to effectively educate clinical providers and ensure compliance with industry standards. The company is committed to diversity and inclusivity in the workplace. #J-18808-LjbffrSuggestedRemote 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...SuggestedWork at officeLocal areaDay shift
$32 - $42 per hour
...with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues Occasionally travel for... ...etc. 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$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 payReliefRemote workRelocation packageFlexible hours$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- Job Description Job Description Dental Receptionist/Patient Care Coordinator Newington Children’s Dentistry is a state of the art pediatric dental office located in Newington, Connecticut. Currently our pediatric dental practice is seeking a dynamic, organized...Full timeWork at office
- ...Medical Assistant (Clinical) Our busy orthopedic ambulatory surgery center provides outpatient surgical procedures to Rocky Hill, CT and... .... OASC's patient satisfaction ratings is over 95%! The Center utilizes the most advanced sterilization equipment and technology in the...Temporary workShift work
- ...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
$16.15 - $28.8 per hour
..., 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$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- Saint Francis Hospital in Hartford, CT, is seeking a Unit Secretary for the night shift. The role coordinates patient flow on the unit and provides clerical support to the unit. Responsibilities include processing orders, preparing and disassembling patient charts, and...Night shift
$20 - $25.3 per hour
Join Midstate Radiology Associates Midstate Radiology Associates (MRA) is looking for a Part Time, 1st Shift, Patient Representative at our West Hartford Imaging Location. Position Schedule: Saturday 8:00 AM - 4:30 PM. Compensation: MRA offers competitive starting...Hourly payPart timeLocal areaDay 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- ...a full scope of medical services largely geared to underserved populations Receive strong clinical support services and work in an innovative practice environment utilizing Advanced Access scheduling Be part of a multi-disciplinary practice that offers a blend of...Full time
- ...secretarial, billing and clerical duties. Responsibilities include: utilizing the electronic medical record (EMR) to schedule initial... ...assigned. The Patient Representative provides support to the clinical staff to provide optimum service to patients. High School Diploma...Work at office
- Treatment Coordinator / Dental Receptionist 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...Work at officeFlexible hoursShift workAfternoon shift
- ...compromised. You will be responsible for providing administrative and clinical support to ensure efficient operation of a busy full scope... ...patient screening and brief assessment of problems, medication review, obtaining full vital signs, Urinalysis, EKG, A1C, and...Part time
- ...family members Maintains proficiency with office computer systems. Performs clerical duties in a fast-paced environment : Supports clinical staff with clerical and clinical tasks with positive energy Requirements : Education Associates preferred 1-2 years' experience...Full timeWork at officeLocal areaShift workDay shift
$18 - $21.74 per hour
...maintain file system Keep Font Desk and Lobby area clean Billing Process payments Print daily close out reports on scheduling system and review for accuracy. Fill deposit slips for all received cash and checks Physical Demands: Reasonable accommodations may be made to enable...Full timeNight shift- ...Scheduling * Rewarding Compensation * 401K with company match * Clinical specialty opportunities Hartford HealthCare Medical Group is... ...patients of essential preparation requirements prior to visit. * Reviews daily Televox report of appointment confirmations to ensure accurate...Work at officeFlexible hours
- ...policies (referrals, x-rays, medical reports, etc.). * Ensures that office appointment schedule is coordinated with clinical staff activities. * Reviews assigned appointment confirmations to ensure accurate schedule and appropriate communications with patients; completes...Full timePart timeWork at officeMonday to Friday
- ...patients and clients in the Hoffman Heart and Vascular Institute and is responsible for the coordination of administrative tasks and clinical support for the Physicians and Practitioners. The Medical Secretary has administrative responsibilities for approximately 30% of...Full timeWork at officeLocal areaShift workNight shiftWeekend workDay shift
$17.5 per hour
...generates reports and analysis to maintain the clinical program's goals. Job responsibilities: •... ...opportunities to leadership ensuring compliance to policies, legal requirements and... ...applying, you acknowledge and agree that your application may be reviewed using AI tools....Contract workTemporary workRemote workShift workWeekend workAfternoon shift- ...Responsibilities Receive Tiger Texts (TT) from different teams and providers and distribute those TT to the correct person on our team for review based on provided algorithm Track new patients coming onto our service on our daily sign out and in EPIC until a bed is assigned...Work at officeShift work
- Patient Service Representative (PSR) ZOLL, manufacturer of the LifeVest wearable defibrillator, is seeking a Patient Service Representative as an independent contract worker to train patients on the use of the LifeVest. The LifeVest wearable defibrillator is worn...Contract workWeekend workAfternoon shift
- Hearing Ambassador The Hearing Ambassador assists and helps the licensed dispenser meet their goals and fulfill their daily duties. This role is responsible for engaging customers, supporting hearing health needs, educating individuals about hearing wellness, scheduling...Work at officeImmediate start
- ...benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction. Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to...Work at officeImmediate startFlexible hours
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