Managed Care Jobs in Springfield
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Search Results - Managed Care Jobs in Springfield
Impresiv Health-Springfield
in behavioral health or human services preferred (psychology, rehabilitation, social work, marriage, and family therapy,
counseling).
Managed care experience preferred.
About Impresiv Health:
Impresiv Health is a healthcare consulting partner specializing...
resume-library.com -
Springfield
Overview:
A Insurance Pre-Authorization Specialist reviews all DMH and Memorial Care scheduled inpatient and outpatient procedures and outpatient diagnostic services to validate the scheduled procedure or diagnostic service has the appropriate...
icims.com -
Springfield
pertinent to service line mission and objectives.
13. Ensures that all assigned departments, programs, and facilities are in compliance with external regulatory and licensing standards, as well as managed care payor requirements.
14. Provides interpretation...
icims.com -
Springfield
hiring and direct supervision of non-clinical support colleagues; orientation and/or training of non-clinical support colleagues; implementation of clinic/agency policy, procedures, and processes; fulfillment of Medicaid and managed care requirements...
icims.com -
Springfield
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 to receiving service. Utilizes...
icims.com -
Springfield
certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
• Analyzes reports containing...
icims.com -
Springfield
certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
• Analyzes reports containing...
icims.com -
Jacksonville (IL), 31 mi from Springfield
certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service. Utilizes appropriate technology and/or communicates with physician offices.
• Analyzes reports containing...
icims.com -
Springfield
allowance entries, assist with technical analysis of third-party reimbursement issues such as Medicare, managed care and the residency programs with S.I.U. School of Medicine. Embodies the Memorial Health System Performance Excellence Standards of Safety...
icims.com -
Springfield
the credentialing and verification process, streamline hospital privileging and support managed care credentialing.
Qualifications:
Education:
• Bachelor’s degree in business or health related field is desirable.
Licensure/Certification/Registry:
• Successful...
icims.com -
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