- CHRISTUS Health (Sulphur Springs, TX)
- …required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care . Responds to incoming telephone calls and (per provider instructions) calls ... Summary: Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the… more
- The Cigna Group (Mclean, VA)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... week and 2 days Work at Home** This **Manager, Hospital Contracting** serves as an integral member of the...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Henry Ford Health System (Clinton Township, MI)
- …is required. + Associate or bachelor's degree preferred. + Five (5) years in a hospital and/or managed care credentialing setting required. + Medical staff ... GENERAL SUMMARY: Responsible for coordination and oversight of the hospital Medical Staff Services department including collaborative participation with the… more
- LA Care Health Plan (Los Angeles, CA)
- … management, care coordination, and/or transition of care experience in a hospital or managed care setting, such as a health insurance environment ... and/or experience as care manager in hospital or home health environments. At least 2 years of leading a process, program or staff or supervisory/management… more
- Stanford Health Care (Palo Alto, CA)
- …communicate the parameters of the program across the enterprise + Centralize requirements for hospital related Managed Care quality programs, CMS hospital ... files, membership files and settlement reporting via the CMS and Managed Care portals (when applicable) + Support vendor partnerships regarding value-based… more
- Prime Healthcare (North Las Vegas, NV)
- … contracts. Qualifications Education and Work Experience + Minimum of four years hospital managed care /commercial collector experience required. + Bachelors ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
- Providence (Everett, WA)
- …Disabilities Administration case managers and Home and Community Services case managers), other hospital staff, managed care organizations, transition of ... for payment_** **SCHEDULE: Monday-Friday, 8:00 AM- 4:30 PM** The enhanced care management (ECM) program facilitates client integration, improves quality of … more
- Centene Corporation (Jefferson City, MO)
- …or advanced degree (Pharm.D., MS) in pharmacy. 2+ years of mail order, retail, hospital , managed care pharmacy experience or pharmacy residency program ... including a fresh perspective on workplace flexibility. Clinical Pharmacist ( Care & Medication Therapy Management) - Behavioral Health -...therapy will be implemented for all patients in their care and monitor care appropriately. + Utilize… more
- Prime Healthcare (Garden City, MI)
- …contracts. Qualifications Education and Work Experience 1. Minimum of four years hospital managed care /commercial collector experience required.2. Bachelor's ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …lists, medication lists, etc. ; maintain active DPH, DEA, and professional license, hospital privileges, managed care credentialing and CPR training. + ... of BHCHP. + Refer patients as appropriate to medical specialists, hospital admission, recuperative care , and detox facilities, providing appropriate… more
- Children's Hospital Boston (Boston, MA)
- …and provide empathy in difficult interpersonal situations. + Demonstrated knowledge of hospital systems, operations and managed care . Boston Children's ... Administrator. + Purchases daily medical and office supply needs through established Hospital protocols to ensure efficient patient care . Monitors supply… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …lists, medication lists, etc. + Maintain active DPH, DEA, and professional license, hospital privileges, managed care credentialing and CPR training. ... the Homeless Program + Refer patients as appropriate to medical specialists, hospital admission, recuperative care and detox facilities, providing appropriate… more
- Children's Hospital Boston (Boston, MA)
- …surgical scheduling experience for external candidates. + Demonstrates an excellent knowledge of hospital systems, operations, and managed care . + Analytical ... block time as needed. + Records and compiles scheduling information on hospital and departmental computer systems. Reviews and verifies accuracy of basic patient… more
- Prime Healthcare (Denville, NJ)
- … contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Minimum of four years hospital managed care /commercial collector experience required. 2. ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
- Prime Healthcare (Lynwood, CA)
- … managed care contracts. Qualifications + Minimum of four years hospital managed care /commercial collector experience required. + Bachelor's degree or ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
- Prime Healthcare (Denville, NJ)
- …contracts. Qualifications Education and Work Experience + Minimum of four years hospital managed care /commercial collector experience preferred. + Bachelor's ... The Specialist, Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
- Alameda Health System (Oakland, CA)
- …CA DCHS, the Joint Commission, Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall ... Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req #:40791-30126 +… more
- The Cigna Group (Hartford, CT)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and… more
- Prime Healthcare (Redding, CA)
- …account closure. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Minimum of three years hospital managed care /commercial collector experience 2. 2 years ... difference. Shasta Regional Medical Center is a 226-bed acute care facility serving Northern California. The hospital ...acute care facility serving Northern California. The hospital offers a comprehensive range of services. Shasta Regional… more
- Prime Healthcare (Kansas City, MO)
- …comp knowledge, preferred Qualifications Education and Work Experience + four years hospital managed care /commercial collector experience, required + high ... Center has a long tradition of providing high-quality, compassionate care . Its Catholic heritage and the spirit of our...for the timely follow-up of accounts + familiar with hospital billing requirements + communicates clearly and efficiently by… more
