Senior Director of Claims Managed CareMetroPlus Health PlanRussell, IAOversee and provide direction with the Director of Claims Manage the relationship with the TPA/BPO for claimsprocessing. Oversite of claims process of delegated vendors including but not limited to the TPA, dental vendor, vision vendor and other vendors for which claims is outsourced. Full-timeContracting AdministratorMetroPlus 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.
Behavioral Health Claims Service CorrespondentMetroPlus Health PlanRussell, IAThe incumbent works closely with Provider Relations, Medical Management, Member Services and the ClaimsProcessing unit. Coordinate and track appropriate problem resolution activities with plan personnel in other departments (i.e., claims, utilization management) Manage and ensure appropriate follow-up and closure for all inquiries.Quality Control / Quality Assurance AnalystMetroplus Health Plan IncRussell, IAPosition Overview This QA Analyst will be responsible for reviewing the ClaimsProcessing Systems for configured benefits, and reimbursement methodologies. Experienced candidates must demonstrate working understanding of claimsprocessing systems and working knowledge of the health care industry.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.Claims Quality ManagerMetroPlus 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.
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!
Senior Director of ClaimsMetroPlus Health PlanRussell, IAPosition OverviewThe Senior Director of Claims has overall responsibility and accountability for effectively and efficiently leveraging staffing and technology in delivering the claimsprocessing and claims service for MetroPlusHealthPlan. The position will direct strategic analysis and accuracy of the claims process and ensure compliance with regulations andcontract requirements for Medicare, Commercial, Exchange and Medicaid service lines.
claims claims processing jobs Company: metroplus health plan in Russell, IA
jobsearcher.com/blogLooking for New Candidates?Before the turn of the century, recruiters could put their "help wanted" ads in the newspaper, and applications would pour in. Since then, recruiting has turned a new page. The use of the internet and other technologies allows recruiters to broaden their candidate pool for the simple reason being
jobsearcher.com/blogInternal Recruiting: Benefits and 5 Internal Recruiting Methods to ConsiderInternal and external recruiting are nearly the same thing. The biggest difference is where candidates are sourced. There are instances where external recruiting may be the best option. However, when you are presented with the opportunity to recruit internally, you should take full advantage of the different internal recruiting methods. Initially you will find that the hiring process gets a little bit easier. Then you'll notice all the other benefits that internal recruiting offers.
jobsearcher.com/blogHow to Ask Someone to be a Reference + Email TemplatesOne part of the job-hunting process that frequently gets overlooked is putting together a list of good references. Most of the time we focus on creating the perfect resume, writing an awesome cover letter, and getting our hands on letters of recommendation. We think about what outfit we’ll wear to the job interview, how we’ll answer those tricky questions, and what our career plan looks like. But, in fact, having multiple references lined up who will speak favorably about you to a potential employer is critical to landing a job. This aspect of job searching really can’t be ignored.
jobsearcher.com/blog6 Best Ways to End a Cover Letter with ExamplesIncluding a cover letter with your resume is a great way to introduce yourself to the hiring manager, tell them why you’re the ideal fit for the role, and provide context about your personal situation. A strong cover letter will give you an advantage over other applicants. But it’s important that you structure it properly and write it powerfully so that it carries an impact. This article will discuss how to end a cover letter effectively so you catch the eye of a hiring manager and increase your odds of landing an interview. Read on to learn more.
jobsearcher.com/blogHow to Write a Follow-Up Email for a Job Application?Most times, we have to do more than submit a "sugar-coated" resume to land our dream jobs. Going the extra mile to follow up on your job application can increase your chances of employment. Additionally, it may even help you get confirmation sooner on whether you are seriously being considered for the job or not.