In the role of Claims Director (internally known as "Director, Claims"), you will be responsible for handling assigned Excess Workers' Compensation claims from initial assignment to closure as well as supervising Claims Managers and Analysts within region. Your day to day responsibilities as Claims Director will include Directly or indirectly negotiating claim settlements

Experience Minimum of 3 5 years of experience in a healthcare profession or equivalent experience. Functions Perform day to day operations in the healthcare Revenue Integrity Program Contact respective payer for processing of additional reimbursement "underpayment" Validate underpayment explanation Generate Appeals and forward to Project Coordinator for approval Interact

of Quality Management Analyst Conducts review of client records to monitor and evaluate adequacy and appropriateness of care in accordance with established standards and medical necessity. Audits client records and reports to ensure accurate and timely completion by clinical staff, and assure compliance with regulations, contracts, and policies and procedures; as well as q

Duties WHAT IS THE TAS TAXPAYER ADVOCATE SERVICE DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Taxpayer Advocate Service (TAS) EDCA ITS, CCI The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you are selected at a lower grade lev

No weekends, nights, holidays, or on call! This is a great opportunity to work in a brand new, state of the art building! JOB TITLE Registered Nurse GENERAL SUMMARY OF DUTIES To provide excellence in patient care that builds confidence, loyalty and trust with our patients, patients' families and the community. To understand and carry out Surgery Partners mission and visio

We begin with dreams. Dreams drive our motivation. Dreams are our future. The world's dreams, people's dreams, our dreams. Our passion creates ideas that make dreams come alive. Technology and products that were only dreams become reality. All for dreams. Dreams challenge and the Nidec Group will continue to meet the challenge. For the world's and people's tomorrows; the

Unit Secretary Job ID 286715 Location US MO St. Louis Experience (Years) 1 Category Office and Administrative Support Secretaries and Administrative Assistants Street Address 12380 DePaul Drive Company SSM Health Rehabilitation Hospital Position Type Full Time 12 Hour Shift Days Overview SSM Rehabilitation Hospital A joint venture with Select Medical & Hospital Location B

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Front Office Associate to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Front Office Associate, you will be responsible for provi

Data Entry Clerk Job Locations US MO St. Louis Requisition ID 2024 17762 # of Openings 1 Category (Portal Searching) Customer Service/Support Position Type (Portal Searching) Temporary Full Time Overview Under supervision, processes data entry transactions and performs other clerical duties as requested. Responsibilities Performs data entry processes into a database Perfo

Contribute industry expertise to the development and execution of corporate strategic plan as appropriate; consistently demonstrates exceptional judgement. Build and cultivate productive relationships with internal and external thought leaders, clinical and market KOLs, business leaders / organizations, alliance partners and colleagues that are essential to the success of

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Front Office Associate to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Front Office Associate, you will be responsible for provi

1. Manage and oversee all operations of the College of Nursing (CON) Nursing Learning Resource and Simulation Center (NLRSC) a. Oversees the operations of all clinical skills and simulation laboratory facilities and resources to ensure safety, cleanliness, and organization, promoting safe and collegial practices b. Strategically plans, and facilitates utilization, growth,

Verify plan of care with the RN prior to each visit. Collaborate with physician and RN frequently to ensure patient needs are being met; Notify them as soon as possible when patient condition changes. Teach patients and caregivers self care techniques. Check vital signs. Review all medications and perform a medication reconciliation at each visit. Perform specialized proc

Comply with HIPAA and other applicable regulations. Specifically, hold as confidential all information acquired and developed in the course of performing these duties, including but not limited to diagnosis, claims, salaries, pensions, insurance, personnel data, and the data of a personal or financial nature relating to personnel or the estates of deceased employees and r

Coordinates the data collection on the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF PAI) Ensures the presence of supporting documentation, and provides staff education to ensure compliance with CMS guidelines. Coordinates all efforts for immediate issue resolution concerning Section GG scoring. Conducts ongoing review of IRF PAI related data, and a