About the Company - The Part C QIC program is responsible for rendering decisions on 2nd-level Medicare Advantage appeals. We serve as the Independent Review Entity for Medicare Part C, meaning that we work for Medicare. Our main role is to review Medicare Part C appeals to determine if a Medicare Health Plan's denial of an item or service is appropriate. Many of these cases involve issues of Medical Necessity which require a physician's review. This review is then incorporated into a decision letter that is disseminated to all parties to the appeal.
About the Role - Common medical necessity issues are: continued stay in a Skilled Nursing facility; medical appropriateness of drugs, medical appropriateness of diagnostic imaging, etc.
Responsibilities - Minimum Qualifications:
Pay range and compensation package - Qualified Independent Contractor Medicare Part C Standard Case Reviews will have Due Date Specified- $ 65/review 30 mins to complete Expedited Review (Physicians)- $ 90/review 30 mins to complete
...COMMISSION WORK YOUR WAY UP TO 130 % SEASONED AGENTS MAKING 10+ SALES WEEKLY A TEAM CULTURE... ...ALL EXPENSE PAID TRIPS WORK LIFE BALANCE ONE ON ONE MENTORSHIP- No experience... ...WITH MORE THAN 60 PLUS A+ RATED INSURANCE COMPANIES Compensation: AVERAGE COMMISSION...
...Work: Friday, Thursday, Wednesday, Tuesday, Monday Shift: 5X8 Relocation Available: No Requisition ID: 4415 B. Braun Medical Inc., a leader in infusion therapy and pain management, develops, manufactures, and markets innovative medical products and services...
...with the same customers every day. Haul automotive parts in dry van trailers with newer day cabs. Haul no-touch, mostly drop-and-... ...and detention pay. ~$5,000 sign-on bonus for experienced drivers. ~ Safety and performance bonuses of up to $600 per quarter....
...Position: Applicant Processor/Background Investigator Location: Baltimore, MD (Hybrid 2/3 days) Start Date: ASAP Pay Rate: $38... ...the applicant file for background investigation assignment Assist with applicant concierge assistance throughout the hiring process...
...optimizing healthcare operations. We support podiatry clinics by managing business operations, allowing providers to focus solely on... ...across our clinics. Position Summary The Director of Revenue Cycle Management (RCM) will lead and oversee the entire revenue...