Managed Care Jobs in Janesville (WI)
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Search Results - Managed Care Jobs in Janesville (WI)
Janesville (WI)
Responsible for reviewing and analyzing new government billing regulations/guidelines, new managed care contracts, and industry publications to advise Director, partners, and other department heads of potential issues that could impact billing, reimbursement...
mercyhealthsystem.org -
America's Best-Madison, 33 mi from Janesville (WI)
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
Janesville (WI)
and procedures within the Revenue Cycle area.
• Coordinates with Managed Care Contracting for various third party payers to maintain and enhance appropriate claims processing procedures and ensures managed care contract terms are operationalized in the process...
mercyhealthsystem.org -
Northwestern Memorial Healthcare-Woodstock (IL), 39 mi from Janesville (WI)
patients. Utilizes evidence-based, trauma, cultural, and recovery-informed practices to guide practices.
Develops effective discharge planning with input from multidisciplinary team and managed care/utilization review. Knowledgeable about referral...
resume-library.com -
Janesville (WI)
Recover expended funds for managed care plans
• System documentation of investigation results
• Training of Coordination of Benefits claim processing for new claims examiners
• Respond to questions from claim processors and examiners
• Training...
mercyhealthsystem.org -
Northwestern Memorial Healthcare-Woodstock (IL), 39 mi from Janesville (WI)
patients. Utilizes evidence-based, trauma, cultural, and recovery-informed practices to guide practices.
Develops effective discharge planning with input from multidisciplinary team and managed care/utilization review. Knowledgeable about referral...
resume-library.com -
Janesville (WI)
is knowledgeable and current in regard to process and legal/regulatory requirements.
• Maintains compliance with Mercy policies/procedures, federal, state and all accrediting agencies as required.
• Responds to verification requests from hospitals and managed care...
mercyhealthsystem.org -
Conduent Business Services, LLC-Madison, 33 mi from Janesville (WI)
or Managed Care industry is preferred.
• Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player.
• Must possess strong skills in the following areas: organizational...
Janesville (WI)
payer coverage investigation, as necessary, utilizing both internal and external tools and resources, to obtain reimbursement verification. Utilizes knowledge including, but not limited to, managed care, commercial, government, and work comp insurance...
mercyhealthsystem.org -
Madison, 33 mi from Janesville (WI)
support for the development and implementation of fee for service or capitated rate setting methods for contracted Managed Care Organizations and for monitoring and analyzing the accuracy and sufficiency of rates generated by the rate:setting models...
tiptopjob.com -
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