, 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...
to member rights Serves as an advocate for members to ensure they receive Fallon Health benefits as appropriate and if member... needs are identified but not covered by Fallon Health, works with community agencies to facilitate access to programs...
and community providers to assist with treatment planning as needed Works with Fallon Health Provider Relations and Carelon... on workflows as appropriate Strictly observes HIPAA regulations and the Fallon Health policies regarding confidentiality of member...
required Resources: MS Office Suite; QNXT; NextGen Fallon Health provides equal employment opportunities to all employees... if necessary Maintaining the Electronic Health Record (EHR) utilizing NextGen ensuring that charts are current Entering...
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...
Fallon Community Health Plan Mission, Values and Vision. Specific competencies essential to this position: Adaptability... and diplomatically with staff at all levels Fallon Health provides equal employment opportunities to all employees and applicants...
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...
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...
represents Fallon Health when meeting in-person with customers for eligibility and premium related inquiries. Enters...’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees...
’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits... and keeping current with Fallon products, policies and procedures. Responsible for documenting the results of all outbound calls...
Payable processing preferred. Fallon Health provides equal employment opportunities to all employees and applicants...
of Knowledge (PMBOK) Fallon Health provides equal employment opportunities to all employees and applicants for employment.../Certifications PMP Certification preferred Experience: 5 to 8 years of Project Management experience. Health plan experience...