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…MD or DO. 2. Board certification/eligibility in Family Practice/Internal Medicine. 3. Managed Care Plans and Hospital Credentialing requirements. 4. Maintains
…PSR on site. * Support Patient Inquiries from the website, Office of Chairman and Managed Care , as needed. * Support the Problem Resolution Line and could be
HCA Houston Healthcare Clear Lake
…the medical records and documentation is completed. * The ability to provide critical care to patients managed in the Cath Lab and Holding Area. Qualifications
…/ Home Health Aide, Certified Medical Assistant * CHW Accreditation * Experience working in Managed Care * Knowledge of Medicaid and / or Medicare population *
…resource management. . Maintains knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care and other payer regulations and benefit limits.
…regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.Maintains effective interaction/communication
Ascension (System Office)
…review, or payor auditing strongly preferred. * Knowledge of insurance regulations/contracts, managed care , CMS, and ER Autopay desired. Why Join Ascension?
…and policies of the communitys health systems sufficient to interact with other managed care providers; policies and procedures of an organization sufficient to
…patients. * Functions as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers. *
MetroPlus Health Plan
…list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care