Medical Necessity Reviewer

**About Auxis and the Role:**Auxis is seeking a skilled Clinical Appeals Specialist to join their team. As a key member of the organization, this individual will be responsible for handling appeals requiring clinical input or interpretation.Key Responsibilities:Compose appeal letters to payers using various sources of informationPresentation of clear and...

**Job Overview:**The Clinical Appeals Specialist plays a crucial role in handling complex appeals that require clinical input and interpretation. This position is responsible for composing compelling appeal letters to send to payers, ensuring thorough medical summaries are presented within each appeal.Main Responsibilities:Compose clinical appeal letters...

Job Summary:The Clinical Appeals Nurse is responsible for handling appeals requiringclinical input or interpretation**Responsibilities**:- Compose clinical appeal letters to send to payers for denial reconsiderations utilizing documentation, contract language, or voice recordings as applicable- Present a concise medical summary within each appeal based on...

Additional Locations:  Costa Rica-Heredia Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance   At our company, we value diversity and believe it is our greatest strength.We are committed to empowering women, supporting the LGBTQ+ community, and creating opportunities for individuals with disabilities.Our belief is...

**Primary Duties and Responsibilities**:- Research, develop and implement projects, while lead internal, and/or external cross-functional teams-based process development and improvement efforts.- Implement and maintain control mechanisms and systems to follow up, measure the impact, and receive feedback of already implemented projects.- Responsible for...

Company DescriptionExperian is the world's leading global information services company.During life's big moments - from buying a home or a car, to sending a child to college, to growing a business by connecting with new customers - we empower consumers and our clients to manage their data with confidence.We help individuals to take financial control and...

Essential Job Duties:- Ensure electronic vendor data contains all protocol specified parameters, is in correct format and data populates to the specified fields and patients correctly- May support LDM in the development of the Data Transfer Agreement and Data Transfer Specifications for vendor data transfers.- Review data discrepancies generated by study...

**Essential Job Duties**: - Follow applicable departmental Standard Operating Procedures and Work Instructions. - Complete required trainings according to timelines. - Review and action queries on an ongoing basis and update database appropriately in accordance with Global Data Management Plans and applicable standardized data management. - Perform UAT...

**Essential Job Duties**:- Follow applicable departmental Standard Operating Procedures and Work Instructions.- Complete required trainings according to timelines.- Review and action queries on an ongoing basis and update database appropriately in accordance with Global Data Management Plans and applicable standardized data management.- Perform UAT according...

Amzn Support Srvcs Costa Rica is a leading technology company with a mission to provide exceptional customer support.We are currently seeking highly skilled professionals to join our team as Visual Content Reviewers in Costa Rica. As a Visual Content Reviewer, you will be responsible for reviewing and annotating digital images and videos to improve the...

**Not Applicable****Qualification**:**Graduate (exclusion**:BE/BTech/MCA)- For Medical Management Bachelor's degree in Nursing or any health science related field.- For NA High School Equiv.**Responsibility**:**Business / Customer**:**Data Processes**:- Provide highest level of customer satisfaction.- Strive to understand and resolve issues/queries at the...

**Not Applicable** **Qualification**: **Graduate (exclusion**: BE/BTech/MCA) - For Medical Management Bachelor’s degree in Nursing or any health science related field. - For NA High School Equiv. **Responsibility**: **Business / Customer**: **Data Processes**: - Efficiently Process predefined number of transactions as assigned with highest level of...

As a leading global contract research organization (CRO) with a passion for scientific rigor and decades of clinical development experience, Fortrea provides pharmaceutical, biotechnology, and medical device customers a wide range of clinical development, patient access and technology solutions across more than 20 therapeutic areas. With over 19,000 staff...

We know that dental professionals do more than create healthy, beautiful smiles—they create confidence.To achieve their goals, they need a champion.They need someone who will be there for them, side by side and end to end.At Envista, we're uniquely positioned to be this champion.Our differentiated combination of continuous improvement, a bias toward...

Department SummaryThe Student Wellness Center (SWC) provides caring, quality, integrated, student-centered health, counseling, and wellness promotion services to SJSU students in support of their ability to perform optimally, physically, and mentally. Services provided by the Student Wellness Center include, but are not limited to, primary medical care,...

Position Title:Counselor Faculty, 12-Month (Temporary) - 3 positionsSchool/Department Name:Student Affairs / Counseling and Psychological ServicesTarget Start Date:May 1, 2025Application Deadline:Applications accepted until position is filled.The Student Wellness Center provides caring, quality, integrated, student-centered health, counseling, and wellness...