FEATURED JOBS
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…to patient scheduling, registration and insurance verification + You will oversee center managed care contracts with third party payers including Medicare and
…practice, procedures, tests, directions etc. + Maintains an excellent understanding of managed care plans and protocols for referrals, co-payments, and
…the applicable medical policy and industry standards. Accurately interpreting benefits and managed care products and steering members to appropriate providers,
…broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Skills, Capabilities and
…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.
…the applicable medical policy and industry standards accurately interpreting benefits and managed care products and steering members to appropriate providers,
…steps that need to be completed. 8. Assists patients with enrollment in Managed Care /ACO plans, enrollment via the Health Connector, employer sponsored
…Must be able to communicate with members of the interdisciplinary treatment team, managed care representatives, adolescents, adults and patient families in a
…High School Diploma or equivalent 2. Two (2) years' experience in insurance, managed care , private physician's office practice or hospital registration setting
…as the effectiveness and efficiency of the treatment plans. 7. Orient providers to managed care and RMC goals and philosophies. 8. Initiate required QRM reports