If they have all of their information lined up and they are certified with Tricare, the PCA will pay out the claim
We promise to know you and help youJob Description:The Revenue Cycle Senior is part of a team that participates in various Healthcare Revenue Cycle projects.
MetroPlus Health Plan: Contracting AdministratorMetroplus Health PlanRussell, IAWork on special projects as needed, and assist in all areas of the ProviderContracting DepartmentIdentify network need, recruit, and contract providers/facilities to meet and maintain regulatory network complianceMinimum QualificationsBachelor’s Degree, preferably in Health Care Administration, Business Administration or other related area of study.Contracting AdministratorMetroPlus Health PlanRussell, IAPosition Overview Provide technical administrative support for all network development and contracting activities. Work with Claims, Provider Maintenance, and participating providers to correct claimsprocessing issues.Director of Provider Contract ConfigurationMetroPlus Health PlanRussell, IAPosition Overview The Director of IT Provider Contract Configuration is responsible for evaluating operation processes and procedures for process improvement of MetroPlus Core Applications. As a wholly-owned subsidiary of NYC Health Hospitals, the largest public health system in the United States, MetroPlus’ network includes over 27,000 primary care providers, specialists and participating clinics.IT DirectorMetroPlus Health PlanRussell, IAFor more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
jobsearcher.com/blogShould I Hire for Potential Over Experience?The workforce is shifting every day. In fact, research from the World Economic Forum (WEF) shows over half of employees around the world will need to upskill or reskill by 2025. The rapid rise of digital literacy, automation, and new technologies will quickly supersede businesses that don't train ahead of the curve. With the dire need to invest in training, it's evident that hiring someone with experience isn't that much different than hiring someone without it.
jobsearcher.com/blogWhy Work in Sales? 9 Reasons & Tips on Answering as an Interview Question!Working in sales can be demanding and challenging, but it can also be gratifying. Sales is an excellent career with a clear path full of excitement and potential for growth. So, if you're contemplating careers and have wondered "why work in sales?", keep reading to determine if sales is a suitable role for you.
jobsearcher.com/blogHow to Fire an EmployeeSo… you've finally decided to let one of your employees go. Drafting the paperwork and corresponding with HR is the easy part, but knowing how to fire an employee is where things get complicated. In fact, it is one of the most challenging conversations to have in the workplace. However, it must be done, and it must be done with poise and tact. Not only should you keep your state law in mind, but you should also consider your former employee's wellbeing.
jobsearcher.com/blogHow Long Does it Take to Hear Back from a Job?Are you applying for your very first job? Maybe you’re anticipating your termination from your current role and want to be proactive. Either way, waiting to hear back on your job application can be stressful. If time has passed since you applied, you may wonder how long does it take to hear back from a job. Well, the answer is... it depends.
jobsearcher.com/blogHow Does Salary Pay Work? (Compared to Hourly Pay)At the bottom of each job advertisement, companies label a role as salaried or hourly. Both methods will get you paid (yay), but each in very different ways. So, it's essential to figure out how does salary pay work? While employees paid by the hour are paid based on how long they work, employers pay salaried employees a fixed amount.