…review by obtaining treatment authorizations as appropriate with representatives of managed care or other necessary agencies/individuals. Documents accurately

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

…or exceeds standards set by the facility. + Educate patients on both clinical and managed care . + Participate in clinic and network task forces as requested and

…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional

…housing, crisis intervention, peer support). + Collaborating with inpatient staff and Managed Care Organizations (MCOs) to ensure smooth transitions from

…to clinical records and other agency standards. Ensure all credentialing paperwork for managed care and other reimbursement parties is maintained in compliance

…clinical records and other agency standards. . Ensure all credentialing paperwork for managed care and other reimbursement parties is maintained in compliance

…abuse including Stark and anti-kickback laws and regulations, patient rights, quality of care issues, informed consent, managed care contracting and

…by telephone and/or mail. + Obtain pre-certifications as required by patients' health care insurers or managed care providers. + Register patients

…with the leadership of the Health System in the evaluation and negotiations of managed care contracts and operations in conjunction with senior management. +