Process provider applications and revalidation applications through verifications, credentialing, and site visits Accurately input enrollment data into database system Conduct quality assurance functions to reduce errors and improve processes and performance Demonstrate great depth of knowledge / skills in own function and act as a technical resource to others Educate and

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high quality healthcare plans are designed to help keep people independent and living life on their own t

The following duties and responsibilities reflect the expectations of this position but are not intended to be all inclusive. Serving as account support for both small and large strategic accounts and delivering service excellence Partnering with internal operational, clinical, actuarial, finance, and IT teams to proactively coordinate process/project meetings, keeping mi

The Experience Manager assists with controlling the optimization of the guest and employee experience by coordinating onsite service teams, training team members on enhanced engagement systems, and using recorded metrics to track and close service delivery gaps. This position reports into the Director of Experience. Key Responsibilities Experience Facilitation Owns the em

Title Enrollment Processing Spec Employee Classification 52 Wks Unit Department Enrollment Management Salary Range 37,645.00 Who we are We are not for profit St. Louis Community college (STLCC) is a non profit institution dedicated to empowering students, expanding minds, and changing lives. Employees are committed to strengthening the St. Louis community with inclusive a

The Insurance Follow up Specialist Level I is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner, on both facility and professional claims. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively

EXCELLENT LOCAL OPPORTUNITY!

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

This position completes daily insurance verification/authorization for proposed services and patient notification for estimated payments due. The position works with clinicians audiologists and speech language pathologists, and schedules patients in the Practice Management database. The person hired will demonstrate the highest degree of accuracy and readability for all w

Reporting directly to the Finance Department, the successful candidate will be responsible for coordinating insurance activities, analyzing insurance data, ensuring compliance with regulations, and fostering effective communication between internal and external stakeholders. This role will report directly to the Controller and will interact with third party insurance brok

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

This position is responsible for ensuring institutional compliance with the Virginia Department of Behavioral health and Developmental Services, Virginia Medicaid Services, Tricare and Joint Commission. This position is tasked with ongoing compliance audits of current medical records. Key Responsibilities The Medicaid Specialist is tasked with auditing all open charts con

Providing exceptional care for our patients as well as recognizing the value of your co workers is the expectation of all members of the Prevea Health organization. All members are expected to focus on the patient's needs; relate to all in a friendly, accepting manner, communicate in a positive and professional way to patients and co workers; use time effectively and effi

FULL CHARGE BOOKKEEPER Responsible for a portfolio of properties Paying bills (including mortgages, insurance, regular AP etc.) Making Deposits Distributing Capital Reconciling bank statements Generating monthly accrual basis financial statements, including journal entries Processing security deposit dispositions Taking tenant calls and communicating with property owners

2000 16th St,Denver,Colorado,80202 5117,United States of America TheClinical Enterprise Analyst/Senior Analyst, Strategy and Special Projects will support the development of DaVita's integrated care strategy and prepare the organization for a shift to value based care. In an integrated care environment, we aim to provide the comprehensive and preventative care each patient