Manager of BH Medical ClaimsMetroPlus Health PlanRussell, IAJob Description: Job Description About NYC Health Hospitals MetroPlusHealthPlan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.Claims Call Center RepresentativeMetroPlus Health PlanRussell, IAAbout NYC Health Hospitals MetroPlusHealthPlan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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 Provider Contracting 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.Manager of BH Claims And ComplianceMetroplus Health PlanRussell, IAPosition Overview Under the general direction of the Claims Director/Deputy Director, the Manager of BH ClaimsandCompliance's task is to ensure consistent oversight of Behavioral Health Claims and Medical Claims.Contracting AdministratorMetroPlus Health PlanRussell, IAWork with Claims, Provider Maintenance, and participating providers to correct claimsprocessing issues. Work with providers to resolve contract related issues, and coordinate resolutions with other internal departments, including Claims, Credentialing, Provider Maintenance, Network Relations, and others.Senior Claims Call Center RepresentativeMetroplus Health Plan IncRussell, IAProvides assistance, guidance, and on-the-job training to the claims call center representatives. Position Overview MetroPlusHealthPlan is looking for an experienced problem solver to join the claims Call Center Team as a Senior Call Center Representative.
The world of work has drastically changed in the past few years. Where a good salary and a nice office might have been enough to attract talent in the past, employees today expect flexibility, growth opportunities, and a healthy work environment. In fact, 77% of applicants say they’d consider a company’s culture before applying for a job.
Talent acquisition is a multi-stage process where candidates undergo various application steps before getting hired. The unfortunate reality is that it is a labor-intense system, with the hiring manager and recruiter often handling all of the work on their own. Ask any one of them, and you will hear about the overabundance of applications and the demanding task of filtering through them to find the best candidates. The quality of talent suffers under the weight of all that work on one person's hands. It's not easy, but as many companies are starting to realize, there is a better way. The future of talent acquisition lies in collaborative recruiting!
jobsearcher.com/blogHow to Dress on the First Day of Work (Men & Women)You did it! Out of hundreds of applicants and dozens of people interviewed, you’re the one who got a new job. Congrats! Now comes the question of how to dress on the first day of work.
jobsearcher.com/blogWhy College Students Should Work While in College?College is a special part of our lives. It’s a time when we prepare for our dream job while creating some of the most memorable moments in life. That said, college life can also be stressful. Not only do we have to spend long hours studying, writing and researching, but we also have to deal with increased tuition fees and living expenses.
jobsearcher.com/blogWhat is Talent MappingEvery planner and recruiter knows that each strategic process requires a pre-strategic process. This is usually just the pre-planning phase of your master plan. Because hiring and recruiting involves many aspects of business (budgets, time, employees, planning, etc.), it is important to ask yourself a few questions to evaluate what resources you have to fulfill your hiring needs. These questions include:
jobsearcher.com/blogWhat Questions Can You Not Ask in an Interview?It can be stressful to interview candidates to fill an open role at your company. Maybe your boss is on you to hire someone who’s absolutely perfect as soon as possible. Maybe you don’t have a ton of experience yet in conducting interviews. Whatever the case, there’s a lot to take under consideration when you’re the one in charge of interviewing. For instance, “What questions can you not ask in an interview?” may very well be running through your mind given its legal ramifications. Knowing exactly which interview questions are off-limits (and which are fine to ask) will boost your confidence as you continue to search for the ideal new hire.
jobsearcher.com/blogHow to Prepare to Be Fired - What You Need to DoIf you’re reading this, let me be the first to tell you how sorry I am. Getting fired feels crappy, disheartening, hurtful, and all the other bad, sad words. But here’s what I want you to do. First, let yourself fumble for a minute. Then, pick your head up — sometimes getting fired is a blessing in disguise. If you think termination is around the corner, we’ll teach you how to prepare to be fired and what to do next so you land somewhere even better.
jobsearcher.com/blogHow to Practice Fair Chance Hiring for People With Criminal RecordsUsually when you think of your dream hire, you think of someone who is respectful, trustworthy, reliable, and has sound judgment, right? As you envision your ideal candidate with these qualities, the last person you think of is someone with a criminal record.