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6 months of experience as a Surgical Technician and/or as defined by the contracting employer. Interim HealthCare is America's leading provider of home care, hospice and healthcare staffing.
$32 - $37 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Balfour Beatty US is an industry-leading provider of general contracting, at-risk construction management and design-build services for public and private sector clients across the nation.
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Experience with provider data management, provider directory, provider relations or provider contracting highly preferred. Create, validate and produce reports for state or other reporting needs, including GeoAccess and provider network reports.
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1 year of relevant experience Medical billing, coding, insurance environment relevant to benefits, authorizations, provider contracting, claims processing, and/or managed health care. Receive, service, and resolve provider inquiries, questions, and complaints within all established processes and procedures via phone for Level 1 queues as assigned—including calls pertaining to eligibility, benefits, authorization, claims, pre-service and post service provider appeals, contracting and credentialing, EDI issues, or general provider assistance for Medicaid plans and Medicare plans while maintaining established individual productivity metrics.
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Familiarity with the Regence health care provider community, contracting protocol and reimbursement methodologies desired. Works with the legal department, regulatory compliance teams, and Network Management contracting staff to file documents, as applicable, with the Insurance Commissioner/Department of Insurance for each state where the Health Plan contracts with providers.
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The Quality Liaison provides day to day support to the MVP Provider teams (Provider Engagement, Relations, Network and Contracting), works directly with Providers, Network and Community Based Organizations (CBO), to improve measures and performance for Medicaid and Medicare.
$56,200ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Provider Compensation & Contracting Analyst must practice a high degree of ethics and adhere to the OSF philosophy and Mission and Value Statement. POSITION SUMMARY: Provider Compensation & Contracting Analyst is responsible for ensuring the accurate and timely preparation of provider compensation calculations & reports, including employment agreement offers.
$32.87 - $38.66 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The Configuration Analyst is also responsible for performing analysis on claim payment, provider contracting, benefits administration, and or other system issues and developing possible solutions as well as addressing the issue.
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Value Based and fee for service contracting experience. Provider Network and or Healthcare Network experience. Aggregate and analyze provider data form various sources to recommend and implement solutions to ensure contract success.
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Group Purchasing Organization (GPO) contracting and healthcare supply chain knowledge is preferred. Facilitate all process steps and milestones of a new provider's implementation, including but not limited to, review and data mining of provider spend information, processing and submission of required Supplier and Distributor forms, and ensuring accuracy and completeness of contract pricing connections from the previous Group Purchasing Organization to Vizient (matched and provider-approved substitutions.
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Comprehensive Energy Services, Inc. (CES) is an award-winning, self-performing provider and recognized leader in Design Build and Maintain Mechanical Contracting and Plumbing; providing a full range of advanced HVAC commercial, healthcare, and industrial services, including mechanical engineering design, mechanical construction, plumbing, IAQ, and preventative maintenance and system maintenance.
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This is an hourly position at the Operating Engineer Group 4 Rate of $56.33 per hour. Performing heavy civil and vertical construction, our teams build the unique structures and infrastructure that play an important role in how people live, work, learn and play in our communities.
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Understanding and applying FACETS functionality to the ever-changing environment including consumer driven healthcare, and complex provider contracting requirements. Have broad understanding of health plan wide processes, including claims processing, medical/payment policies, product implementations, provider network development and contract management.
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Accelerate stuck or at-risk deals through contracting/legal expertise, obtain final signature and finalize orders. Develop and execute assigned EMR account(s) strategy in alignment with Provider Segment and CE goals.
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Experience in healthcare and/or business experience with direct National and Multi-regional provider contracting experience in a production environment. Provides consultation in organizational contracting methodologies and reimbursement methodologies, reimbursement coding, and network configurations and analysis for provider databases to internal, vendor and customer claims systems.
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