…to this position may include: Practice Manager; Business Office Manager; Director of Managed Care and Marketing; Manager of Pharmacy Services; Manager of Nursing

…appropriate.Referrals/AuthorizationsVerifies eligibility and conformance to GPG, GUH and departmental managed care requirements and contracts. Obtains insurance

…all other billing functions* Experience with Medicaid, commercial insurance companies, and managed care * Prepare deposits* Process credit card payments* Answer

…the MPBS liaison team with these entities.Develops and maintains working relationship with Managed Care Office, Office of Compliance and Reimbursement and third

…exact skills and experience. Keywords: Provider Network Contracting, Healthcare, Managed Care , Hospital Contracting, Physician Contracting, Ancillary

…- Verifies eligibility and conformance to GPG, GUH and departmental managed care requirements and contracts. Obtains insurance referrals and

…with hospitals, agencies, and other service providers to coordinate consumer care and referrals, acts as liaison for consumer needs.Requests appropriate

…Qualifications:* Two years of experience with State Medicaid program and Managed Medicaid products in health care facility; office management

…referrals to Home and Community-Based Services for clients in Health and Recovery (HARP) managed care plans in accordance with DOH requirements. * As assigned,

…continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are