Managed Care Jobs in Springfield
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Search Results - Managed Care Jobs in Springfield
Innovative Systems Group-Springfield
or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire. * Plus 3 years wellness or managed care experience presenting clinical...
Springfield
Overview:
Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed care and commercial. Coordinates activities with external insurance companies for the resolution of patient account balances.
Ensures...
icims.com -
CorVel Healthcare Corporation-Chatham (IL), 9 mi from Springfield
attorneys, and advisors/clients and coworkers.
• A cost containment background, such as utilization review or managed care is helpful.
• Strong interpersonal, time management and organizational skills.
• Computer proficiency and technical aptitude...
Springfield
problematic trends to management.
E – 10. Ensures compliance to private insurance, governmental, and managed care contract guidelines and processes, at each work step to facilitate accurate and timely reimbursements to the organization.
E – 11. May rotate...
icims.com -
Springfield
problematic trends to management.
E – 10. Ensures compliance to private insurance, governmental, and managed care contract guidelines and processes, at each work step to facilitate accurate and timely reimbursements to the organization.
E – 11. May rotate...
icims.com -
Springfield
Patient Discount Act, and established SMH procedures.
• Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior...
icims.com -
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