…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

…plans, and leads groups. The Licensed Mental Health Therapist provides therapy to managed care patients that are pre-authorized to receive mental health

…Summary: This position is responsible for prioritizing and managing tasks in the Managed Care department in regards to Payer Enrollment and Hospital

…Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers