…knowledge of medical terminology and at least two yearsof experience in Managed Care , contracting, credentialing, CAQH, Excel, billing procedures.Must have

…Commission standards and coding requirements set forth by CH.Interacts with insurance and managed care companies and central billing office to keep current on

…this position will have experience working in the health insurance industry interpreting managed care state and federal laws and regulations and applying them

…on billing and follow up of all Medicare, Medicaid, private pay, co-insurance, and managed care billing for the facility.. Take primary responsibility for cash

…for Ohio's Medicaid program - focusing on the individual rather than the business of managed care . The goals of the next generation of Ohio Medicaid are:

…typing, data entry, and electronic submission of records to the various managed care organizations. Position Highlights *Collaborate with the clinical team

…continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are

…strategies to reduce length of stay and resource consumption within the care managed patient populations, implements them and documents the results.Communicates

…levels of accreditation including a 5 Star Provider Rating by CBH, Philadelphia's Managed Care Entity, and recognition and awards related to our high-quality,

…and maintenance of tracking documents and matrices. The position will interact with managed care , the provider enrollment and engagement teams, CH physician