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Serves as database administrator and facilitates biannual MCG-IRR testing (Milliman Care Guidelines-Inter Rator Reliability) that is administered to clinical and medical director staff. These audits review daily business practice compliance to regulatory compliance relative to NCQA, URAC and CMS.Responsibilities:Conduct quarterly file audits for all lines of business against business Process Flows to determine compliance with regulatory standards according to NCQA, URAC and CMS.Analyze, prepare, and distribute quarterly audit outcomes including error trends, to the Business Unit Directors.
$76,800 - $102,795 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Candidate must demonstrate proficiency in acute care nursing, knowledge, and skills, be a graduate of an accredited school of nursing, have a current state license to practice as a registered nurse, maintain basic cardiac life support certification and ACLS, and have at least two years of registered nurse experience.
Part-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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This includes: · Patient Safety · Pharmacy Professional Practice · Regulatory Requirements · Quality Assurance · Customer Service · Personnel Management · Inventory Management · Financial Profitability · Loss Prevention · Workflow Management A key component of the Pharmacy Manager role is keeping your customers and patients healthy through adoption and management of patient care programs.
$65 - $81 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Office administrator Podiatric Medical Practice. Qualities we are looking for in an applicant:- Organized- hard working and professional- works well with others- can lead as well as follow- working knowledge of medical billing/collections, QuickBooks, EMR systems- Spanish speaking a plus- salary 30-33 per hour based on individual qualifications.
$30 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Supports orientation and onboarding of support staff in the practice and gives constructive feedback to the Administrator and Medical Director consistent with areas of expertise. Supports recruitment of other staff that support practice operations.
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One financial advisor and one branch office administrator entirely focused on building client relationships. A branch office administrator to help you run your branch. As a financial advisor with Edward Jones, you'll develop and grow your own practice, supported by branch office support, a home-office team and other regional financial advisors.
Full-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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All other duties as assigned by Office Manager or Practice Administrator. All other duties as assigned by Office Manager or Practice Administrator. Medical billing/medical receptionist experience preferred.
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Verify insurance eligibility and relay relevant information on payment policies and billing/collection processes. Communicate with primary care providers and insurance carriers per patient request. Summary : The Front Desk Associate greets patients, updates insurance information in the system, verifies and analyzes health insurance benefits, explains payment policies, answers phones, and other administrative tasks.
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Reporting directly to the Director of Legal Support Service, the Practice Group Administrator (PGA) will be responsible for working closely with the Practice Group Leader(s) (PGL) on the initiatives and goals specific to the practice group while maintaining compliance with the firm's standards.
$80,000 - $100,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assists Practice Administrator and Regional Manager and Director in the oversight of the daily operations of the assigned practice site. Serves as practice lead for PB Radiology matters and escalates to resolution as appropriate.
Full-timeExpandUpdated 5 days ago - UpvoteDownvoteShare Job
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The primary purpose of the Educational Specialist position is to function as an Educator, Consultant, Researcher and Administrator in support in developing and expanding staff competencies to perform safely, effectively, and financially productive in a patient/family center Model of Care Delivery.
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