Medical Claims Review

Senior Director Care Management San Antonio TX - UnitedHealth Group - San Antonio, TX | 6/26/2020

… is responsible for planning, organizing, and directing the ancillary support for the Utilization Management team. The Senior Director is responsible for operational oversight and team coverage for the Intake, Prior Authorization , Correspondence, and the Medical Claims Review teams, to ensure compliance with regulatory, contractual and accreditation requirements. Role is responsible for the planning and growth of the department to meet current and future needs of the organization. The success of …

Director Medical Claims Review - WellMed - San Antonio TX - UnitedHealth Group - San Antonio, TX | 6/9/2020

Director Medical Claims Review - WellMed - San Antonio TX Director Medical Claims Review - WellMed - San Antonio TX UnitedHealth Group San Antonio, Texas, United States 6 hours ago Apply Now Description For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life’s …

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Medical Claims Review Coordinator - San Antonio TX - UnitedHealth Group - San Antonio, TX | 6/5/2020

Medical Claims Review Coordinator - San Antonio TX Medical Claims Review Coordinator - San Antonio TX UnitedHealth Group San Antonio, Texas, United States 18 hours ago Apply Now Description Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Medical Claims Review Coordinator provides …

Medical Claims Review Coordinator Healthcare WellMed San Antonio TX - UnitedHealth Group - San Antonio, TX | 1/18/2020

… patient’s health. WellMed’s proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella.Under the supervision of the Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM …

Director Medical Management RN San Antonio TX - UnitedHealth Group - San Antonio, TX | 1/13/2020

… is responsible for planning, organizing, and directing the ancillary support for the Utilization Management team. The Senior Director is responsible for operational oversight and team coverage for the Intake, Prior Authorization, Correspondence, and the Medical Claims Review teams, to ensure compliance with regulatory, contractual and accreditation requirements. Role is responsible for the planning and growth of the department to meet current and future needs of the organization. The success of …

Medical Claims Reviewer Associate Lansing, MI, USA MEDIC01364 | 11/13/2019

… Associate is to assist team members and clients with respect to billing, documentation policies, procedures, regulations, and requests for clarification of inconsistent, debatable, or non-specific documentation. This role is a member of the Medical Claims Review team and reports directly to the Medical Claims Reviewer, Manager or Operations, Manager. CNSI supports a high-volume healthcare data system that is accessed through multiple web portals. This high-volume system operates …

Medical Claims Review Coordinator Healthcare WellMed San Antonio TX - USA-TX-Helotes | 10/28/2019

… health. WellMed’s proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. Under the supervision of the Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM …

(USA-TX-Yoakum) Medical Claims Review Coordinator Healthcare WellMed San Antonio TX | 10/27/2019

Job Information UnitedHealth Group Medical Claims Review Coordinator Healthcare WellMed San Antonio TX in Yoakum , Texas Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that …

(USA-TX-Seguin) Medical Claims Review Coordinator Healthcare WellMed San Antonio TX | 10/27/2019

Job Information UnitedHealth Group Medical Claims Review Coordinator Healthcare WellMed San Antonio TX in Seguin , Texas Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that …

(USA-TX-Floresville) Medical Claims Review Coordinator Healthcare WellMed San Antonio TX | 10/27/2019

Job Information UnitedHealth Group Medical Claims Review Coordinator Healthcare WellMed San Antonio TX in Floresville , Texas Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that …

(USA-TX-Helotes) Medical Claims Review Coordinator Healthcare WellMed San Antonio TX | 10/27/2019

Job Information UnitedHealth Group Medical Claims Review Coordinator Healthcare WellMed San Antonio TX in Helotes , Texas Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that …

(USA-TX-San Antonio) Medical Claims Review Coordinator Healthcare WellMed San Antonio TX | 10/27/2019

Job Information UnitedHealth Group Medical Claims Review Coordinator Healthcare WellMed San Antonio TX in San Antonio , Texas Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff …

(USA-TX-Shiner) Medical Claims Review Coordinator Healthcare WellMed San Antonio TX | 10/27/2019

Job Information UnitedHealth Group Medical Claims Review Coordinator Healthcare WellMed San Antonio TX in Shiner , Texas Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that …

Registered Nurse RN Medical Claims Review Nurse Healthcare WellMed San Antonio TX - UnitedHealth Group - San Antonio, TX | 8/16/2019

… of the Optum division under the greater UnitedHealth Group umbrella. Responsible for reviewing retrospective hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiency in accordance with CMS coverage guidelines. The Medical Claims Review Nurse determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. Generally work is self-directed and not prescribed. The Medical Claims Review Nurse works under the …

VITAS® Healthcare Employees Share The Company’s 40-Year History Of Hospice Care In Newest Video | PR Newswire | 6/6/2019

… Nancy Auster, RN , an admissions nurse. “They modeled after us. I am so proud of VITAS for that.” Joining Fernandez, Miller and Auster in the video are Carmen Velazquez , accountant; Maggie Macfarlane , senior director medical claims review ; and Peggy Pettit , a former team nurse and now an executive vice president. Find more 40 th anniversary highlights at VITAS.com/40 . VITAS ® Healthcare – 40 Years Strong Established in 1978, VITAS Healthcare is …

New Versant Health white paper: The benefits of true medical management | PR Newswire | 5/31/2019

… part of the managed care process. It helps support both members and providers efficiently and effectively by providing: Continuity of care Single source administration Peer communication Procedural consistency Evidence-based medical policy criteria application Medical claims review Seamless intra-practice care coordination Learn more about what utilization management looks like in action. Download The benefits of true utilization management white paper from the Versant Health website today. About Versant Health …

Utilization Management

Medical Claims Review Coordinator Healthcare WellMed San Antonio TX - UnitedHealth Group - San Antonio, TX | 12/6/2019

Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM Nurses, hospitals, physicians and other various departments. MCR Coordinator is responsible for providing clerical support to WellMed clinical staff for their medical necessity review process. MCR Coordinator is expected to maintain production and quality …

Medical Claims Review Coordinator Healthcare WellMed San Antonio TX - USA-TX-Helotes | 10/28/2019

Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM Nurses, hospitals, physicians and other various departments. MCR Coordinator is responsible for providing clerical support to WellMed clinical staff for their medical necessity review process. MCR Coordinator is expected to maintain production and quality …

UnitedHealth Group

Medical Claims Review Coordinator Healthcare WellMed San Antonio TX - UnitedHealth Group - San Antonio, TX | 12/6/2019

UnitedHealth Group umbrella.Under the supervision of the Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM Nurses, hospitals, physicians and other various departments. MCR Coordinator is responsible for providing clerical support to WellMed clinical staff for their medical necessity review process. MCR Coordinator …

Medical Claims Review Coordinator Healthcare WellMed San Antonio TX - USA-TX-Helotes | 10/28/2019

UnitedHealth Group umbrella. Under the supervision of the Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM Nurses, hospitals, physicians and other various departments. MCR Coordinator is responsible for providing clerical support to WellMed clinical staff for their medical necessity review process. MCR …

UnitedHealth

Medical Claims Review Coordinator Healthcare WellMed San Antonio TX - UnitedHealth Group - San Antonio, TX | 12/6/2019

UnitedHealth Group umbrella.Under the supervision of the Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM Nurses, hospitals, physicians and other various departments. MCR Coordinator is responsible for providing clerical support to WellMed clinical staff for their medical necessity review process. MCR Coordinator …

Medical Claims Review Coordinator Healthcare WellMed San Antonio TX - USA-TX-Helotes | 10/28/2019

UnitedHealth Group umbrella. Under the supervision of the Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM Nurses, hospitals, physicians and other various departments. MCR Coordinator is responsible for providing clerical support to WellMed clinical staff for their medical necessity review process. MCR …

Optum

Medical Claims Review Coordinator Healthcare WellMed San Antonio TX - USA-TX-Helotes | 10/28/2019

Optum division under the greater UnitedHealth Group umbrella. Under the supervision of the Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM Nurses, hospitals, physicians and other various departments. MCR Coordinator is responsible for providing clerical support to WellMed clinical staff for their …

(USA-TX-Yoakum) Medical Claims Review Coordinator Healthcare WellMed San Antonio TX | 10/27/2019

Job Information UnitedHealth Group Medical Claims Review Coordinator Healthcare WellMed San Antonio TX in Yoakum , Texas Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result … of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. Under the supervision of the Medical Claims Review (MCR) Supervisor, this position is responsible for processing Utilization …