FEATURED JOBS
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…account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care , and commercial insurance payers. The medical billing
…knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. 5. Able to work with people of
…and/or family member. Overseeing process/procedure of notification for Medicare and Medicare Managed Care beneficiary's rights per CMS regulations inclusive of
…knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. Able to work with people of all
…development programs through internal and external resourcesTakes a proactive approach to managed care , healthcare reform and related issues Develops new
…or related field A minimum of 1 year experience in inpatient, outpatient or managed care environment required Health insurance/ managed care experience
…EDUCATION:High School Diploma or equivalencyREQUIRED EXPERIENCE:* Min2 years operational managed care experience (call center, appeals or claims
…the following areas: population health management, Provider contracting and reimbursement, managed care , healthcare delivery, risk adjustment, StarsOr equivalent
…with members to close care gaps. Required Skills: Knowledge of the Managed Care or Health Insurance Industry. Knowledge of medical terminology. Knowledge of
…and Nurse Leaders to hospitals, clinics, multi-specialty groups, nursing homes, managed care companies, private practices, and healthcare start-ups. __If