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- Employer 18
- In-Office 18
Found 18 jobs
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Procurement Supervisor
The Procurement Supervisor is responsible for managing daily production (file flow) of designated department, which may include one or more of the fol
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Appeals Representative I
The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring
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Professional Review Supervisor
The Professional Review Supervisor is responsible for performing a professional coding review of medical records and/or other documentation to determi
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Professional Review Nurse I
The CERIS Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills a
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Provider Management Analyst III
The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not lim
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CERIS Operations Manager - Correspondence
The CERIS Operations Manager is responsible for overseeing all aspects of the department including Personnel Hiring, Quality Assurance of Product, Wor
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Provider Management Analyst I
The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not lim
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Provider Management Analyst III
The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not lim
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Clinical Review Supervisor
The Diagnostic Related Groups (DRG) Clinical Audit Supervisor is responsible for performing DRG validation (clinical/coding) reviews of medical record
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Correspondence Team Lead
Responsible for monitoring and tracking all processes. Run quires and maintain reports. Train new employees and keep up with the correspondence traini
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Appeals Representative II - Team Lead
The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring
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Revenue Mapping Analyst I
The Revenue Mapping Analyst is responsible for the conversion of Enhanced Bill Review results into a UB formatted document that is indicative of the r
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Procurement Team Lead
The Procurement Team Lead position is 50% production and 50% assisting and supporting direct supervisor with ensuring their team meets protocol, as we
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Hospital Bill Audit Nurse I
The Hospital Bill Audit Nurse conducts hospital bill charge audits by reviewing medical records to verify that services were provided and charges are
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Payment Integrity Analyst II
The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or
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Payment Integrity Analyst III
JOB SUMMARY: The Payment Integrity Analyst (Team Lead) assists with leading the Policy and Payment Integrity (PPI) team while maintaining the regular
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Payment Integrity Analyst II - DRG Auditor
The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or
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Implementation Management
The Implementation Manager will be responsible for enhancement to existing products and development of new products to broaden current service offerin