Nurse Reviewer
Seeking Nurses for medical appeal review. Need unrestricted PA license as RN/LPN and 2+ years experience. Claims review & medical coding expertise preferred. Strong written skills required; Computer/MS Word skills required.
Full-Time Positions. Remote Possible.
Hearing Officer
Seeking attorneys, preferably with hearing officer experience (mediation, independent review decisions, and/or arbitration experience). FHAS furnishes neutral 3rd party arbitration and mediation services to state and federal entities.
Full/Part-time positions.
Healthcare Claims Reviewer
Seeking Healthcare Claims Reviewer. Associate degree preferred. Medical coding experience preferred. Strong written communication and Microsoft Word skills required. Ability to work from home after initial training period.
Full/Part-Time Positions.
"AI-based algorithms could be most helpful in providing information about patients who have already been diagnosed with COVID-19 or who are suspected of being infected." https://t.co/8YsISbWjAY via @HealthITNews
"At most skilled nursing facilities, the patient and resident population is primarily covered by the state’s #Medicaid program — and in many states, the reimbursement for such care doesn’t approach the cost of providing it." https://t.co/kSmr7RqyKE via @skilled_nursing
"The block grant may demand high #Medicaid savings, could result in federal funding reductions, and the guidance is too vague, an Avalere report revealed." https://t.co/ilVkqdraD1 via @hpayerintel
"Medicaid managed care organizations (MCOs) saved states and taxpayers billions on prescription drugs in 2018, a new report backed by the insurance industry found." https://t.co/ESyDLmOoHF via @FierceHealth
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#Medicaid#ManagedCare#MedicaidMCO
"As businesses look to the future, they should turn their eyes toward intelligent #automation as a key component of their technology infrastructure to significantly improve the efficiency and effectiveness of business." https://t.co/QlHE1g2y6v via @ForbesBizDev
"Who should own RPA shouldn't be an either/or proposition. Business and IT leaders, as well as process owners, should work together within the context of an enterprise automation strategy." https://t.co/UwjdWvb12A via @InformationWeek
"The @USGAO has conducted the first review of state #Medicaid eligibility determinations since the ACA’s implementation in 2014 and found that there were several accuracy issues." https://t.co/t07SGfGKhY via @hpayerintel
"While automation is definitely part of the goals of artificial intelligence, and in particular automating things that require human cognitive capabilities, simply automating things doesn't make them intelligent." https://t.co/siqc3uzF8p via @Forbes
"A federal appeals court Friday unanimously ruled against Arkansas' #Medicaid work requirements, a policy pushed by the Trump administration that ties eligibility to the public insurance program for the poor to work or job training." https://t.co/YZT7hJHG2U via @healthcaredive
"Two bills up for debate & revision in the House aim to stop surprise medical billing—when patients are billed for services their insurance won't cover. New research reveals just how common surprise billing is after an elective surgery..." https://t.co/8dRyZVkMuc via @NPRHealth
"As enterprises strategize the incorporation of automation and AI-driven applications, it’s critical to clarify the distinctions and understand the unique role each technology plays in digital transformation initiatives." https://t.co/SFuTjuE2M4 via @ForbesTechCncl
"The main advantage of RPA is the reduction in time and costs, especially when considering that the most common method of charging used by law firms is by the hour." https://t.co/N0Kg9XwNNh via @techradar
"President Trump is expected to release a $4.8 trillion budget Monday that charts a path for the start of a potential 2nd term, proposing steep cuts to social-safety-net programs & foreign aid and higher outlays for defense and veterans." https://t.co/vwV4DsOodN via @MarketWatch