…'clean' claim submission.Responsible for keeping abreast of and complying with all managed care contracts and third party billing regulations. Clears fatal

Act as liaison between managed care organizations and the facility's professional clinical staff.Conduct interviews, in accordance with certification

…Previous experience working from home preferred. Previous experience working at MLTC/ Care Management/ Managed - care /Home Care /LHCSA Master's Degree

…travel required. Preferred Skills, Capabilities and Experiences: Bilingual Spanish preferred. Medicaid, managed care , long term care knowledge preferred.

…to providing systems applications and maintenance support to end users in Managed Care and Patient Accounts department. Responsibility involves performing

…vacation, sick, and extended sick timeESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facility professional clinical staff.Conduct

…of all age populations.Demonstrates awareness in working with insurance companies and managed care review agencies.Demonstrates a working knowledge of the State

…Science, or related field, or equivalent experience. 2+ years of experience in a managed care environment or working with people who have disabilities and/or

…discharge information to required insurances, issuance of NOMNC when required for Managed Care residents, develop effective working relationships and cooperate

…assistance to the MSC Coordinator and Dir of Risk Management in the area of managed care and medical staff credentialing. The role enables the facility to