: Previous experience in health insurance, health plans, managed care, medical billing, patient accounting, payor contracting... customer service. The Business Development Specialist identifies and researches opportunities to expand the health care...
in managed care contracting payment terms and rate structures for hospitals Works in a collaborative and team manner Basic... Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Payment Resolution Specialist performs managed...
requirement based on license) Understanding of managed care (HMO, PPO, and POS). Understand the complexities of an integrated...Job Requirements POSITION SUMMARY The Broker Services Specialist I Bilingual provides services critical to the...
comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit..., Waste and Abuse position within a medical facility, medical insurance carrier or Managed Care Organization or provider...
and obtain authorization requests for complex managed care patients in a timely and efficient manner. This individual is expected.... Coordinates authorizations for procedures and testing requested by providers for their managed care patient. Reviews charts...
by engaging with network primary care and specialist providers. Supports network growth through outreach and contracting... distribution lists for various email notifications and campaigns. 7. Understands Managed Care operations, Risk Adjustment...
Specialist will be responsible for all aspects of the credentialing, re-credentialing, and contracting processes for medical... Carrier applications for initial submission and re-credentialing and follow-up as needed Acquire and process new Managed Care...
AltaStaff is a staffing agency currently looking for a Provider Contract Specialist II for one of our Managed Care...'s offices, managed care, or healthcare Must have knowledge in Excel, Word, Outlook, and PowerPoint programs Strong attention...
requires knowledge of health care, managed care, including California Medi-Cal and Medicare contracting using various... and written communication skills. Knowledge of managed care, contracting, policies, and procedures. Requires knowledge...
, and is passionate about improving access and outcomes in managed care. You will serve as the primary liaison between the organization... and our network of primary care and specialty providers—conducting outreach, supporting provider education, assisting in contracting...
that healthcare providers are qualified to provide care will troubleshoot denials, maximize revenue through contracting... and completing applications for submission to Medicaid, Medicare, and major Managed Care Organizations (MCOs). Monitor expiration...
disputes Identify the need for a claims project Communicate with key personnel within managed care organizations...The Reimbursement Specialist I plays a key role in executing core reimbursement processes to ensure medical necessity...
, required. Master’s degree preferred Certification: n/a Experience: Minimum 2 years of experience in managed care, value based care... of experience, among other factors. Provider Relations Specialist Under the supervision of the Vice President, Physician...
, required. Master’s degree preferred Certification: n/a Experience: Minimum 2 years of experience in managed care, value based care... of experience, among other factors. Provider Relations Specialist Under the supervision of the Vice President, Physician...
, required. Master’s degree preferred Certification: n/a Experience: Minimum 2 years of experience in managed care, value based care... of experience, among other factors. Provider Relations Specialist Under the supervision of the Vice President, Physician...
Specialist to join our dedicated Reimbursement Strategy and Contracting team. In this role, you’ll help ensure that our health... and address managed care challenges, stepping in when issues need to be escalated with payors. If you're passionate about problem...
disputes Identify the need for a claims project Communicate with key personnel within managed care organizations...The Reimbursement Specialist I plays a key role in executing core reimbursement processes to ensure medical necessity...
Specialist will work closely with the Chief Medical Officer (CMO) and the Contracting & Managed Care Officer, reporting directly... to Contracting and Managed Care Officer and Chief Medical Officer as needed. Serve as internal UPN provider advocate...
coordinate and collaborate with stakeholders to ensure ownership and contracting is deliberately/consciously managed and applied... for everyone. We are looking for an amazing Specialist, Training Governance to fill this role, which is based in our Doral office. You will be managing maritime...
contract network standards Possess knowledge of Managed Care Organization (MCO) contracting/credentialing process Own network... with Network Adequacy Reporting Knowledge of Managed Care Organization (MCO) contracting/credentialing process Intermediate...