Browse Average Salary Ranges for Healthcare - Administrative Jobs

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 JCAHO, Medicare, Medicaid, and other entities relating to medical records. Reviews patient accounts for coding accuracy and completeness. Prepares audit reports... 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. Sets up and maintains provider information in an online credentialing database system. Tracks license and certification expirations for all providers to ensure timely renewals. May require an associate degree or equivalent. May require certification as a Cert... 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

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

Processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Sets up and maintains provider information in an online credentialing database system. Tracks license and certification expirations for all providers to ensure timely renewals. May require an associate degree or equivalent. May require certification as a Cert... View job details