Remote Healthcare administration Jobs • CPT Coding

Assist the Medical Review team by providing education and identifying training opportunities during mentoring process and participate in on-site audits and ALJ hearings as needed. Analyze, evaluate, and conduct medical review investigations, studies, and data review in accordance with the UPIC policies and contract responsibilities. Conduct in depth claim review of providers suspected of fraud.

Acts as a liaison between patients, providers, and insurance companies to ensure appropriate data collection, compliance with third party payers and federal and state regulations. Obtains benefits, eligibility and preauthorization, and acts as a financial counselor when explaining insurance and payment options.