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

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

…setting (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology HCA Healthcare has been

…in the client's treatment plan. + In collaboration with the program supervisor/director, Managed Care Organization (MCO) and the child and family, create and

…Full Time/Day Essential Functions: + Appointment Process/Patient Registration + Clinic Eligibility/ Managed Care (if applicable) + Interacting with residents and

…Labor Act (EMTALA)) pertaining to healthcare practices. + Familiarity and understanding of managed care terminology. + Ability to recognize an emergency or high

…timeframes. Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Ensures all

…in a customer service role with financial responsibilities is required. Experience in health care , insurance, or managed care industries is highly preferred.

…regulatory auditors; Nuvance Health physicians, nurses and other clinical practitioners, Managed Care , Revenuee Cycle, Information Technology Group, Finance,

…Medical Terminology, third-party healthcare coverage experience, and a strong understanding of managed care regulations are preferred. + Experience with personal