…* PC and word processing skills are required. * Knowledge of billing and managed care programs preferred. * Familiarity with third party insurance verification,

…reimbursement for various payer sources including, but not limited to, Medicare, MaineCare and Managed Care . + Maintain daily census and mix goals per facility

… Care Nocturnist** to join a growing collegial employed group, providing excellent patient care in our co- managed Critical Care Unit at Banner Thunderbird

…this position is responsible for insurance collections from governmental, embassy, managed care , commercial payors, client account and specialty billing

…staff in communicating medical information required by external review entities, managed care contractors, insurers, fiscal intermediaries, state, and federal

…with Medcompass + Must have prior authorization utilization experience. + Managed Care /Medicare experience preferred. **Skills:** + MUST HAVE MEDCOMPASS

…to assist with appeals of denied or downgraded coverage determinations by managed care , commercial payers, and recovery audit contractors. **MINIMUM

…nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer

…full-risk VBC environment. + Strong understanding of healthcare regulations, compliance, and managed care . + Skilled in EMR systems, self-service business

…at an acceptable level (<40%/yr.). + You will work in coordination with VP of Managed Care Services for the St. David's HealthCare Partnership in developing and