Remote position, however, candidates must reside in the State of TX or State of IL
This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To Correspondence From Providers Or Members Concerning Medical Determinations. Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and claims processing systems. PC proficiency to include Microsoft Word and Excel and health insurance databases. Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings. Organizational skills and prioritization skills. :Registered Nurse (RN) with unrestricted license in state. 3 years clinical experience. Needs to be able to navigate MCG and Medical policies with the reviews.Teaching group or one to one Chinese students from 6-12 years old Group classes with 2-4 students are available for outstanding professional teachers Variety of courses are available including Phonics, Science, STEM, etc. Working from anywhere with a well-functioning...
DescriptionPolitical Science, Junior Tenure-TrackNYU Abu Dhabi is searching for a new faculty member to conduct research and teach the next generation of global leaders. The Division of Social Science invites applications for a tenure-track junior faculty position in...
Jr. Marketing Analyst - Investment Banking Global investment company seeks to hire a Junior Marketing Analyst for the Investment Banking... ...Experience with online research tools is a plusAdditional Details: Entry level, full-time positionLocation: Boston, MAThis job posting...
...Job Description Job Description Surgery Scheduler Olympia Orthopaedic Associates Location: Olympia, WA Job Type: Full-time Pay: $22.45 - $33.63 per hour (pay is determined based on experience) Summary of benefits: OOA covers part or all of the cost...
OverviewFloor & Decor Senior Designer leads our design team and provides a seamless start-to-finish consultative design service that builds lasting relationships and brand loyalty with the customers we serve. Senior Designers are responsible for meeting with customers...