What are the average salary ranges for jobs in the Healthcare - Administrative? There are 72 jobs in Healthcare - Administrative category. Average salaries can vary and range from $50,131 to $79,069. Salary ranges can differ significantly depending on the job, industry, location, required experience, specific skills, education, and other factors... Salaries listed below are U.S. national averages data from August 27, 2024.
Conducts medical record audits in hospitals, clinics, physician's offices, and other parent care facilities to ensure that documentation meets required standards and regulations. Maintains up-to-date information on all the standards set by the Joint Commission, Medicare, Medicaid, and other entities relating to medical records. Reviews patient accounts for coding accuracy and completeness. Prepare... View job details
Researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Assigns correct ICD, CPT, or other coding assignments for medical procedu... View job details
Supervises routine medical record-keeping operations and healthcare information management to ensure secure, accurate, and reliable patient information management that complies with data and privacy regulations. Follows established policies and procedures to ensure effective and compliant record management, makes suggestions for process improvements. Implements digital technologies and tools to ga... View job details
Processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Handles and resolves inquiries regarding credentialing information, process, or stat... View job details
Reviews applications for coverage, gathers data, and assesses risk related to qualifying a candidate for health insurance. Calculates and recommends pricing. Performs group and/or individual underwriting. May require a bachelor's degree. Typically reports to a supervisor or manager. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the... View job details
Addresses more complex health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls and written requests. Provides available information upon request and researches or escalates issues as appropriate. Maintains c... View job details
Coordinates the overall plan of care for patients with mild to moderate emotional and behavioral problems. Oversees patient evaluation and treatment planning, and monitors patient progress, adjusting treatment plans as necessary. Acts as a liaison between patient/family and service delivery personnel to ensure patients are being effectively treated. Typically requires a master's degree in social w... View job details
Processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverag... View job details
Assists with developing and designing health education programs meant to increase community awareness and knowledge. Conducts needs assessments and keeps up-to-date on changes in health care technology to keep program material current. Presents, coordinates, and disseminates educational resources and materials. Assists with health education outreach and consultation. May require a bachelor's degre... View job details
Responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager.... View job details
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