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This position is also responsible for verifying patient insurance, confirming benefits eligibility, performing pre-authorization, pre-certification, and/or notification as required by third party providers.
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Certification(s) and License(s) Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association; Certified Professional Coder - American Academy of Professional Coders (AAPC.
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The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed. Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, or Utilization Review Coordinator.
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Possess one of the following:Current Registered Nurse LicenseRegistered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)Certified Coding Specialist (CCS)Certification as a Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred.
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The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews, and appeal reviews as needed. Three to five (5) years of experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, Case Manager, or Utilization Review Coordinator.
$62,000 a yearPart-timeRemoteExpandUpdated Today - UpvoteDownvoteShare Job
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Some positions may require a certain level of education, related work experience, knowledge, skills, abilities, licensures, certification and/or other job related requirements. Utilization Review Specialist/Behavioral Health Substance Abuse.
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This advanced level Pre-certification Coordinator specializes in complex pre-certifications for high dollar oncology and/or non-oncology drugs as indicated on therapy and treatment plans to prevent controllable losses/write offs for the Department.
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Job Description: Escape Ensemble Consulting is seeking a dedicated and compassionate individual to join our team as a Remote Wellness Coordinator. If you are passionate about wellness and dedicated to helping others live healthier, happier lives through travel, we invite you to join our team at Escape Ensemble Consulting as a Remote Wellness Coordinator.
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The position is online remote and will report directly to the Program Coordinator of the MSN FNP Program. Qualifications are a doctoral degree in nursing (DNP or PhD), certification as an Advanced practice nurse, preferably in the Family Nurse Practice specialty.
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Positions in this function require education/certification/licensure other than an RN, such as BSW, MSW, Respiratory Therapist, Dietician, Nutritionist, Occupational Therapist, etc. May identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD. This function does not include Health Coach, Health Educator and Health Advocate roles that do not require an RN. Those roles are found in the Wellness Coach Management function.
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Knowledge of pre-certification process and PCPC. Knowledge of CARF standards, release of information and confidentiality. Knowledge of pre-certification process and PCPC. Knowledge of CARF standards, release of information and confidentiality.
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Medical coding certification required) Job Title: Reimbursement Coordinator Senior - Geisinger Health Plan (Work from Home Pennsylvania resident) Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC.
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Completion of coursework related to Human Anatomy and Physiology Required License, Certification & Registration - CNA Appropriate certifications/licensure for any previous paraprofessional position prior to hire (EMT, CNA.
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Training, Certification, and Website: As a Event Coordinator, you'll receive top-notch training and certification to equip you with the knowledge and skills needed to assist clients in organizing their sports, concerts, and theatre experiences.
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No prior experience is necessary because we provide comprehensive training, certification, a flexible schedule (part-time or full-time), travel perks, and commission-based earnings. As an Event Coordinator, you'll gain access to exclusive discounts, insider deals, and travel industry insights, enhancing your own travel experiences.
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Remote certification coordinator jobs
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