Managed Care Jobs in Madison
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Search Results - Managed Care Jobs in Madison
America's Best-Madison
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 -
Conduent Business Services, LLC-Madison
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...
Madison
or RN required.
• Three or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
• Experience in the managed care pre-certification process, level of care assessments...
icims.com -
Madison
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 -
Madison
documentation
• Excellent documentation and written communication skills
• Domain knowledge (healthcare, EHS, managed care, Medicare, etc) is preferred
• Intermediate knowledge of SQL, analytical software, query tools - ability to build and run SQL queries...
icims.com -
Janesville (WI), 33 mi from Madison
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 -
Madison
or RN required.
• Three or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
• Experience in the managed care pre-certification process, level of care assessments...
icims.com -
Janesville (WI), 33 mi from Madison
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 -
Madison
Technician (CPhT)
• Pharmacy Technician license in state of residence.
• 2+ years previous experience in a health care setting, managed care, PBM, or pharmacy setting is required; 5 years experience preferred
• Prior involvement with formulary management...
icims.com -
Janesville (WI), 33 mi from Madison
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 -
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