FEATURED JOBS
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…for the duration of their employment. PREFERRED QUALIFICATIONS Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD-9
…clinical charts, engaging in pre-audits of charts to ensure compliance with OASAS, managed care , and CARF standards. + Send weekly, monthly, and quarterly
…facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft
…on day-to-day credentialing and privileging issues as they arise. + Assists with managed care delegated credentialing audits. + Utilizes the Medical Staff
…United States Allied Health UTMB Health Requisition # 2305978 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient
…hospital, referral sources and payors + In EPS, maintain understanding of managed care contracts, insurance benefits, limitations, policies, procedures and forms
…direct patient care /clinical experience is required. + 2 years of experience in managed care is preferred. + Must have experience in the use of behavioral
…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional
…with medical surgical hospitals, community mental health centers, educational institutions, managed care organizations, local health professionals and agencies.
…program limits. + Serves as the primary contact with insurance carriers and managed care companies; ensures patients are appropriately certified. + Assists with