Total searched jobs are :3

• PRIOR AUTHORIZATIONS NURSE (RN) - HOAG CLINIC

  The Utilization Management (UM) Nurse is responsible for medical necessity review of incoming referrals, Pre-Service, Retro and Post Claims requests. The UM Nurse will review the submitted request and supporting clinical records for Medical Necessity ...Read More

  Posted: 09-15-2020

• CLAIMS REVENUE RECOVERY SPECIALIST

  Job Summary: The Claims Auditor is responsible for performing pre-payment and post-payment audits ensuring financial and processing accuracy, compliance with regulatory and health plan requirements of claims processed. The Claims Auditor is resp ...Read More

  Posted: 09-08-2020

• Risk Adjustment Coder - Hoag Clinic Administration

  The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record, conducts pre-visit chart preparations and post visit chart reviews, and participates in provider education programs to ens ...Read More

  Posted: 08-13-2020