. Prefer knowledge Managed Care principles. Prefer the ability to analyze and resolve problems with minimal supervision... medical/claim policy related issues or claims in pending status. Acts as liaison with providers, members and Care Managers...
knowledge of contracts, enrollment, billing & claims coding/processing - Prefer knowledge Managed Care principles - Prefer the...
. Prefer knowledge Managed Care principles. Prefer the ability to analyze and resolve problems with minimal supervision... medical/claim policy related issues or claims in pending status. Acts as liaison with providers, members and Care Managers...
are a plus. General knowledge of public health, managed care, human services systems, and local and statewide political systems preferred... and managed care programs. Ability to problem solve through analysis and ongoing feedback. Ability to work with people...
and criteria for all contracted managed care organizations Completes and submits all Requests for Information (RFI) from insurance... carriers and/or managed care companies In collaboration with Organ Transplant Social Worker, develops a plan to address...
Experience Minimum of two years of experience in one of the following venues: hospitals, managed care, credentialing..., and patient care. This position interacts professionally with medical staff leadership and facilitates communication...
Experience Minimum of two years of experience in one of the following venues: hospitals, managed care, credentialing..., and patient care. This position interacts professionally with medical staff leadership and facilitates communication...
of various DVOD resources and other Horizon resources, which require expansive knowledge of health insurance, managed care... knowledge of auditing procedures. Requires knowledge of managed care and health insurance industry. Skills and Abilities...
and outcome oriented Proficient computer skills Preferred: BSN Experience with insurance process/managed care and practice...Job Overview: First established in 1901, Newark Beth Israel Medical Center is a 665-bed quaternary care, teaching...