Managed Care Jobs in North Carolina
that has an operational impact on the organization. Strong analytical skills needed to compile and analyze data including: managedcare denials/underpayment/ overpayment identification and resolution, contract modeling and evaluation, filing appeals as well...
in accordance with National Vision protocol.
Processes and understands managedcare plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
between providers and vendors in compliance with federal fraud and abuse laws as well as participation agreements with managedcare organizations or provider networks in compliance with federal Medicare and Medicaid managedcare regulations...
in accordance with National Vision protocol.
Processes and understands managedcare plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
with minimal managedcare red tape, burdensome paperwork, and systemic hassles. Our efficient processes, talented administrative staff, and electronic medical records system allow clinicians to focus on their client's health and well-being.
Carolina Behavioral...
in accordance with National Vision protocol.
Processes and understands managedcare plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
- Closely communicates and collaborates with primary care practitioners, interdisciplinary team and family members. Works...
Experience: 10+ years medical billing management experience/hospital and clinic environment.
4+ years Revenue Cycle management experience.Knowledge in state and federal healthcare regulations and programs.
Knowledge of records management, coding, managed...
deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managedcare products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
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additional medical licenses as needed Preferred Qualifications: License in North Carolina or New Mexico a plus Experience in managedcare UM activities Experience with integration of clinical and financial data, development of utilization and performance...
and Hospice and the Home Care Association of Colorado. Our team is frequently involved in meetings with legislatures, home care state executives, managedcare organizations and other industry leaders to ensure the appropriate services are accessible...
programs, rehabilitation centers, schools, and case management companies Coordinate continuity of care for patients often as a liaison between the patient’s family and healthcare organization Strives to promote self-managedcare and the use of healthcare...
presence in both the Texas Association of Home Care and Hospice and the Home Care Association of Colorado. Our team is frequently involved in meetings with legislatures, home care state executives, managedcare organizations and other industry leaders...
- Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines...
Compliance is an integral...