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Found 26 Not Specified jobs
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Itemization Review Nurse I
CERIS in Fort Worth, Texas is seeking an Itemization Review Nurse. The Itemization Review Nurse will provide a Summary and analysis of items by review
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Customer Service Representative
The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written corresponden
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Closing Analyst
The Closing Analyst is responsible for closing client files and applying results into Scheck and CareMC systems to meet daily production expectation a
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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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Customer Service Rep I
Responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence according to internal and client gui
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Lead Customer Service Representative
The lead customer service representative must possess the ability to establish and maintain a cooperative working relationship with managers, supervis
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Appeals Representative Team Lead
The Appeals Representative Team Lead is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence
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Customer Service Supervisor
The Customer Service Supervisor will be responsible for daily operations within the Provider Relations department. The Supervisor manages and prioriti
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Itemization Review Manager
The Itemization Review Manager is responsible for the overall aspects of the medical review team including personnel hiring, quality assurance of prod
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Call Center Manager
The Call Center Manager is responsible for leading strategic planning and call center operations in the Procurement Department: Personnel Hiring, Qual
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IT Compliance Analyst
This role is responsible to oversee business operations to assist with regulatory compliance, external assessments and audits, incident management, po
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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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Itemization Review Nurse I
The Itemization Review Nurse will provide a Summary and analysis of items by reviewing all charges submitted on a UBIB provided by a medical facility
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Payment Integrity Analyst II - DRG Auditor
CERIS in Fort Worth, Texas is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG) QC Clinical Auditor will be responsi
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Appeals Setup Coordinator
Responsible for accurately setting up appeals for processing within 24 hours of receipt from various systems and correspondence sources (fax/email/mai
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MCS Certified Coder
CERIS is seeking a MCS Certified Coder. The MCS Certified Coder reverse code previously coded medical bills to determine coding accuracy. ESSENTIAL
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Professional Review Nurse
The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and rev
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Revenue Cycle Specialist I
The Revenue Cycle Analyst is responsible for analysis and monitoring of claims audit data across multiple platforms. Performs various follow-up activi
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Document Processing Manager
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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Operations Manager
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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