…24. Coordinate care with case managers for residents utilizing managed care , health maintenance organizations (HMOs), commercial insurance, and other

…and health systems/community outcomes through the application of educational concepts/skills and preventive care in a managed care environment. . Assesses

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…health systems/community outcomes through the application of educational concepts/skills and preventive care in a managed care environment. Essential

…working knowledge of hospital operations, utilization management, case management, and managed care reimbursement, preferred. + General understanding of revenue

…to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which

…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans UPHS participates with and which insurers require a

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…, every time. Preferred Experience/Credentials + 5+ years of outpatient pharmacy or managed care + Customer service oriented + Highly motivated individual who

…staff and branches prior to issuing refunds + Maintains current knowledge of Managed Care and other third party insurance/health plans coverage, billing