’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits... participates in distribution of work for health aides to ensure care needs of participants and site tasks are completed timely...
’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
and prioritize PACE strategic projects and initiatives based on alignment with the Fallon Health strategic plan, financial.... Ensure adherence to Fallon Health billing and financial policies by coordinating with Enrollment, Billing, MES (Medicaid...
from MassHealth, working collaboratively with all departments within Fallon Health Review, approve, and coordinate the submission... internal departments, ensure receipt of information and provide direction if action is to be taken on the part of Fallon Health...
magnitude of providers who submit their claims to Fallon Health through electronic submission, including actively seeking new... candidate’s experience, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment...
at Fallon Health and its affiliates, unless specified otherwise. License/Certifications: N/A Experience: 4 plus years... with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants...
Responsibilities Primary Job Responsibilities: Serve as primary Fallon Health contact for providers to resolve..., specialist, hospital, and ancillary providers by conducting physician and office staff visits. Educate providers on Fallon Health...
. This role acts as the primary contact for any issues related to user access and portal functionality within the Fallon Health.... Supports escalated Fallon Health and Fallon Health Weinberg portal issues. Ability to complete necessary tasks for NDM...
member and provider inquiries received through Fallon Health's 1-800 numbers, as well as providing direction on Plan policies... About Fallon Health: Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse...
programs and software. Excellent interpersonal skills, ability to negotiate with customers and remain diplomatic. Fallon... Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination...
performance. Manage relationships with multiple vendors and business partners to ensure seamless integration of Fallon Health... or Insurance setting. Fallon Health provides equal employment opportunities to all employees and applicants for employment...
. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...; and attendance. Responsible for resolving a high volume of claims edits for all lines of business. Thorough knowledge of Fallon...
division of insurance support all Fallon Health Products Experience in managing health care and support personnel, as well.... Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
, PowerPoint, and Access). Fallon Health provides equal employment opportunities to all employees and applicants for employment... in related position, preferably in health care. Experience in a managed care or call center setting or physician’s office...
, Credentialing, IT, Finance).Promote behavioral health integration across Fallon Health and partner organizations. Communicate... with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants...
copies of all denial letters and related documents are kept in the Fallon Health core application and/or the organization...’s security accessed drive(s) Acts as a liaison between Providers, vendors, facilities, members/families, and Fallon Health...
environments Commitment to pursuing actuarial credentials with the Society of Actuaries and professional development Fallon... Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination...
, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees...