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Third Party Reviewer jobs

Viewing 1 - 10 of 2,216 jobs

  • Office 365 and desktop integration - No Visas or third parties

    Base One Technologies - Durham, NC

    Please review and advise if qualified and interested. Below are the notes I made during the conference call yesterday with the manager at NetApp in the RTP area of North Carolina. Monday ndash Friday, 8am ndash 5pm. 6 months to start,...

    18 days ago from Dice

  • Chief of Party/Project Manager

    Amex International - Washington, DC

    channels for economic and technical cooperation, and third, it builds the capacity of Africa’s institutions to ... cross-cutting elements. Qualifications The Chief of Party (COP) must have both administrative and technical...

    30+ days ago from AMEX International

  • Clinical Review Nurse-Full Time-2nd Shift- THR Job

    Texas Health - Arlington, TX

    Obtains or ensures acquisition of appropriate pre­ certifications/authorizations from third party payers and placement t ... admission utilizing medical necessity criteria and third party payer guidelines. Obtains, or facilitates, acquisition...

    2 days ago from Texas Health

  • Utilization Review Clinician

    Adecco - San Diego, CA

    and optimize reimbursement for external reviewers/third party payers. Essential Duties: Conducts admission reviews. ... stay reviews. Prepares and submits appeals to third party payers. Maintains appropriate records of the Utilization...

    7 days ago from Adecco Group

  • Utilization Review Case Management Specialist (7474192)

    Universal Health Services - Dover, DE

    specified time. 3. and Prepare and submit appeals to third party payors, effectively coordinating collection of all ... daily treatment team meetings to discuss acuity issues, third party payors needs and gather information for reviews.

    13 days ago from Universal Health Services

  • Banner Health: Travel Nurse Reviewer

    Banner Health - Mesa, AZ

    continually updates a knowledge of Third Party Payor requirements for covered treatment protocols by diagnosis, ... A working knowledge of Medical and third party payor requirements and reimbursement methodologies is required.

    30+ days ago from Banner Health

  • Coord/Utilization Review - Behavioral Health Charlotte - PT Sat/Sun Days

    Carolinas Healthcare System - Charlotte, NC

    clinical information that meets expectations of third party payors; responsible for timely provision/flow of ... and Concurrent reviews and identifies potential third party denials. Works with multidisciplinary team to identify...

    6 hours ago from Women's Career Channel

  • Utilization Review Case Management Specialist

    Uhs of Delaware - Dover, DE

    and/or specified time. Prepare and submit appeals to third party payors, effectively coordinating collection of all ... of applicable UR trends. Communicate pertinent third party payors issues to doctor and treatment team. Attend...

    11 days ago from HEALTHeCAREERS Network

  • Lead ITIL Process Analyst

    Fifth Third Bank - Cincinnati, OH

    programming resources (in house and third party) to ensure development work is completed to specification · May perform some aspects of Project Management including but not limited to Approval gathering, Readiness Assessments, and other...

    3 days ago from Fifth Third Bank

  • Precertification Utilization Review Coordinator (7466958)

    Universal Health Services - Houston, TX

    medical staff and other clinical departments. 3. Contacts third-party payers to obtain benefits for admission and continued stay. 4. Appeals inappropriate reimbursement denials. 5. Service Excellence is primary goal Provides the best...

    14 days ago from Universal Health Services

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