A healthcare services provider located in Boston, Massachusetts, is seeking a Physician Reviewer/Advisor to utilize clinical expertise in reviewing insurance appeals and claims. The role requires board certification and offers flexibility in schedule and workload. Responsibilities include evaluating medical necessity and providing advisory opinions. Ideal candidates will have experience in quality assurance and be capable of supporting decisions with thorough documentation. #J-18808-Ljbffr
...Primary Responsibilities Provides expertise or general support in reviewing, researching, investigating, and resolving appeals... ...exposure to health insurance processes, claims knowledge, and/OR medical terminology ~1+ years of experience managing high-volume outbound...
...leadership to determine appropriate subs as needed by working with other MM staff, system leaders, and local clinical staff.Assist with Contract Launch Packet rollouts by providing verification of process steps.Make appropriate changes to pars as directed by leadership....
NYS Security Guard Licensed Exit Lane Monitor Location Rochester, NY : Join VMD Corp, a leader in providing passenger and checked baggage... ...bonus after 180 days of employment Training No prior experience is necessary. Receive on-the-job training Benefits for...
...geographies a plus What You'll Get * Base salary* Wages paid weekly* Performance bonuses tied to placement quality and speed... ...* Flextime* Opportunities for promotion* Promotion to permanent employee* Work from home Work Location: Remote...
The Role: Organize and maintain company files (digital and scanned documents). Enter, update, and verify information in record-keeping systems. Ensure proper labeling, indexing, and storage of documents. Retrieve files and information as requested by staff....