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Support the creation of and assist with the implementation of a comprehensive training and education program with peers, families, providers and staff Assist families and consumers with defining their recovery goals, and developing the resiliency skills and knowledge needed for the consumer's recovery Assist consumers who are dealing with the most complex and difficult issues, including homelessne
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Greets patients as they arrive and manages 20 minute wait time Assists patient with intake processes including copying required documents Collects co payments, co insurance and deductibles and issues receipts Manages cashier box and daily deposits according to company policies Processes walk in patients and visitors Answers phones and schedules appointments Manages medical records (maintains, file
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Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims Analyze and identify trends and provide reports as necessary Consistently meet established productivity, schedule adherence and quality standards This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in
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Assist with escalated claims to resolve complex issues for team members and internal customers Support implementation of updates to the current procedures and assist with new system training/mentoring Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim Analyze and identify trends and provides reports as necessary This is a
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Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakehol
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Serve as a primary IT Dev resource for medium size projects to large size projects Act as a Rules Developer with DevOps engineer skills Build , Deploy and test Rules Engine based API and Rules Sets Design / Analyize / Implement / Maintain infrastructure based engineering for Rules based setup Be engaged in production support activity to balance a DevOps team structure. You'll be rewarded and reco
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Design and develop software applications and application components in an Agile environment Create and maintain data driven APIs to support a wide range of integration with healthcare partners Provide technical leadership to define and own implementation patterns that scale with our business Work as a partner with our product team to represent engineering interests and inform product decisions
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Enters and verifies billing, patient information and other types of data in the computer system Posts transactions / adjustments into the Patient Accounting Systems Assists in the preparation of 3rd party bills for recovery of reimbursement Performs word processing and various other clerical duties for department as assigned Enters and retrieves financial, administrative and patient information Ke
Posted Today
Enters and verifies billing, patient information and other types of data in the computer system Posts transactions / adjustments into the Patient Accounting Systems Assists in the preparation of 3rd party bills for recovery of reimbursement Performs word processing and various other clerical duties for department as assigned Enters and retrieves financial, administrative and patient information Ke
Posted Today
Clinical Appeals and Grievances (analyzing, reviewing appeals / grievances) Review of coding edits and reimbursement issues Works with less structured, more complex issues Solves moderately complex problems and / or conducts moderately complex analyses Translates concepts into practice Assesses and interprets customer needs and requirements Identifies solutions to non standard requests and problem
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Responsible for developing and preparing documentation for NCQA and other accreditation surveys submissions Works closely with regional quality staff, health plan staff, and internal business partners to build and document compliance with accreditation standards Interpret complex data and draws conclusions Complete reports that provide analysis of data related to key quality projects May present r
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Owns output at task level Meet and exceed department MBO's and provides coaching to their team members Coordinate and supervise daily/weekly/monthly activities of a team members Set priorities for the team to ensure task completion and performance goals are met Coordinate work activities with other supervisors, managers, departments, etc. Identify and resolve operational problems using defined pr
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Greet patient when entering the practice Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service File and maintain medical records Confirms and schedule appointments Answer telephone calls promptly and courteously Collects co pays or outstanding balances on the date of service Perform referral documentation
Posted Today
Develop strong competencies in Palliative Care as you provide preventative and primary care for patients in assigned long term care facilities Collaborate with primary care physicians, the nursing staff and the patients' families to coordinate care in the manner best suited to the patient's needs Consider this. Success in the NP role requires learning how to strike a balance between clinical and
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Supervise new and existing Acute Care Specialists and Liaisons, assists with organizational skills, account strategies, territory planning and administrative responsibilities to ensure a high level of customer satisfaction is maintained Develops and increases sales revenue to meet assigned targets Become actively involved in new Acute Care Specialist sales orientation and sales training programs A
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