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1+ months

Sr. Technical Business Analyst/Quality Analyst (Healthcare Eligibility Data)

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Sr. Technical Business Analyst/Quality Analyst is a key member of our data platform team for the Healthcare Eligibility business segment applying strong skills and experience in user needs assessment, requirements defini...
Regular Full Time     Responsibilities: The Sr. Technical Business Analyst/Quality Analyst is a key member...
1+ months

Healthcare Reclamation Analyst

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Healthcare Reclamation Analyst reviews assigned client data and payer correspondence, investigates coverage to determine eligibility and primacy, and gathers and interprets explanation of benefits and payer feedback in o...
Regular Full Time     Responsibilities: The Healthcare Reclamation Analyst reviews assigned client data and...
1+ months

Supervisor, HCS Commercial MSP Operations - US Remote

Performant Financial
Sunrise, FL US Work Remotely
Regular Full Time     Responsibilities: The Healthcare Commercial MSP Operations Supervisor oversees and supports daily business operations for Performants Commercial Medicare Secondary Payer (MSP)-related solutions (*does not include CMS CRC MSP)Essential DutiesM...
Regular Full Time     Responsibilities: The Healthcare Commercial MSP Operations Supervisor oversees and...
1+ months

Healthcare Documentation Auditor (DME Focus)

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: Focus of the Healthcare Documentation Auditor (DME FOCUS)  is the performance of timely and effective reviews to assess documentation and billing accuracy for post and prepayment claims on behalf of Government, and Commercia...
Regular Full Time     Responsibilities: Focus of the Healthcare Documentation Auditor (DME FOCUS)  is the...
1+ months

Customer Service Healthcare Support Representative (SCA)

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: Available for hire Teleworking in the following area/location(s):     Lathrop, CA  & Sunrise, FL.As a Customer Service Healthcare Support Representative (SCA), you will provide support in the Customer Service Department ...
Regular Full Time     Responsibilities: Available for hire Teleworking in the following area/location(s): ...
1+ months

Supervisor, Healthcare Reclamation Operations "Medicare Focus"

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Healthcare Reclamation Operations Supervisor oversees and supports daily business operations for Performants Post-Payment Reclamation-related solutions.  We are looking for a candidate with a strong knowledge of Medical ...
Regular Full Time     Responsibilities: The Healthcare Reclamation Operations Supervisor oversees and...
1+ months

Medical Review Nurse (Readmissions & SNF Focus)

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Medical Review Nurse (Readmissions & SNF Focus) performs medical claims audit reviews. As a MR Nurse, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on ...
Regular Full Time     Responsibilities: The Medical Review Nurse (Readmissions & SNF Focus) performs...
1+ months

Medical Appeals Specialist Lead

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Medical Appeals Specialist Lead supports the Medical Appeals management and a team of Medical Appeals Specialists responsible for administrative support for appeals process such as reconciliation of appeals received from...
Regular Full Time     Responsibilities: The Medical Appeals Specialist Lead supports the Medical Appeals...
1+ months

Talent Acquisition Leader (Remote)

Performant Financial
Myrtle Point, OR US Work Remotely
Regular Full Time     Responsibilities: If you are looking for a diverse role and opportunity to showcase your direct sourcing and recruiting bench strength, as well as your strong communication skills and well-rounded knowledge of related employment laws and best...
Regular Full Time     Responsibilities: If you are looking for a diverse role and opportunity to showcase...
1+ months

Senior Account & Program Manager (CMS Programs)

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Sr. Account & Program Manager (CMS Programs) has responsibility to assist in sales efforts in acquiring new client opportunities and is also responsible for overall management and service delivery of assigned custome...
Regular Full Time     Responsibilities: The Sr. Account & Program Manager (CMS Programs) has responsibility...
1+ months

Senior Account & Program Manager

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Sr. Account & Program Manager has responsibility to assist in sales efforts in acquiring new client opportunities and is also responsible for overall management and service delivery of assigned customers and projects...
Regular Full Time     Responsibilities: The Sr. Account & Program Manager has responsibility to assist in...
1+ months

Medical Review Coding Appeals Auditor (Outpatient)

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Medical Review Coding Appeals Auditor (Outpatient) is responsible for conducting Appeals reviews of new evidence presented by auditees, disputing all or part of the findings from medical review audit work completed by th...
Regular Full Time     Responsibilities: The Medical Review Coding Appeals Auditor (Outpatient) is...
1+ months

Medical Review Coding QA Auditor (Outpatient)

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Medical Review Coding QA Auditor (Outpatient) is responsible for conducting Quality Assurance (QA) reviews of medical review audit work completed  by the medical review coding audit team members to ensure the accuracy of...
Regular Full Time     Responsibilities: The Medical Review Coding QA Auditor (Outpatient) is responsible for...
1+ months

Medical Review Nurse Clinical Appeals Auditor

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: The Medical Review Clinical Appeals Auditor (HH and SNF Focus) is responsible for conducting Appeals reviews of new evidence presented by auditees, disputing all or part of the findings from medical review audit work complet...
Regular Full Time     Responsibilities: The Medical Review Clinical Appeals Auditor (HH and SNF Focus) is...
1+ months

EDI Engineer, Sr. (MapForce)

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: As part of the data platform team for the Healthcare Eligibility business segment, the Sr. EDI Engineer (MapForce) is responsible for providing integration/mapping expertise between Healthcare Services Coordination of Benefi...
Regular Full Time     Responsibilities: As part of the data platform team for the Healthcare Eligibility...
1+ months

Medical Coding Auditor - Outpatient

Performant Financial
Myrtle Point, OR US
Regular Full Time     Responsibilities: As a member of our medical audit team, the Outpatient Medical Coding Auditor will have an opportunity to make a direct contribution to the companys bottom line in our rapidly growing healthcare business. You will leverage yo...
Regular Full Time     Responsibilities: As a member of our medical audit team, the Outpatient Medical...

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