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Under the supervision of the Business Office Supervisor, the Insurance Follow-Up Representative is responsible for physician billing and collecting of third-party account receivables using their knowledge of medical software, the EHR, and multiple payors’ insurance websites to research accounts, refile or appeal claims, submit additional medical documentation and track account status by monitoring and analyzing assigned unresolved third-party accounts.
$51,725 a yearFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Organization: HAP (Health Alliance Plan) Conduct the primary investigation and resolution of member appeals and grievances following established guidelines from: The Center for Medicaid and Medicare Services (CMS), MAXIMUS Federal Services, Department of Labor (DOL), Department of Insurance and Financial Services (DIFS), Michigan Department of Health and Human Services (MDHHS), National Committee for Quality Assurance (NCQA), Office of Personnel Management (OPM), MI Health Link, and Better Business Bureau (BBB.
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CHRISTUS Health System offers the Risk Adjustment Education Specialist position as a hybrid opportunity requiring 50%+ travel to regional locations. Analyze MRA data to identify patterns and development of provider and market-level interventions to coordinate an educational work plan for providers.
$31.7 - $42.35 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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35%) Provides professional follow-up of infants and children with clinically significant disorders identified through the Newborn Screening Program processes. (20%) Provides professional follow-up of infants with any of the disorders identified by the Newborn Screening Program as required by the Newborn Screening Medical Director.
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Provide client follow-up and make recommendations for work performance based on knowledge in anatomy, physiology, biomechanics, and ergonomic principles. Follow-up with client members to ensure early symptom recognition and injury prevention.
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Inform and educate patients about lab results and follow-up plan designated by the Nurse Practitioner. Provide direct patient care activities within the scope of the Registered Nurse including blood pressure checks and hypertension follow-up visits, diabetes follow-up and teaching, other chronic care management visits, emergency department and hospital admission follow ups, medication injections, patient-centered education, and other tasks as delegated and assigned by the Primary Care Nurse Practitioners.
$92,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Community Health Worker will primarily perform telephonic outreach to high-risk members enrolled in the CHAP EXP program, including evaluation of member’s needs, medications, assisting with obtaining appointments, and follow up on member’s needs.
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Resourceful, tech-savvy and fully comfortable in an ever-changing start-up environment, the Stock Plan Administrator is a critical part of the cross functional Equity team as we support Joby's goal of launching air service in 2025.
$123,900 a yearFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Under the supervision of the Insurance Billing Manager, this position is responsible for the timely and accurate billing and follow-up of unpaid Medicare inpatient and outpatient accounts.
Full-timeRemoteExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Linkage and Discharge Planning: Mental health/recovery services, communication with County Liaison follow-up appointments, patient preferred pharmacy, identify support person, placement, verification of ID card, transportation, completion of continuing care plan, daily placement documentation, Administrative Day documentation, Temporary Conservatorship (T-Con) referrals, and Firearms Prohibition Form Mental Health Reporting System (MHRS) Report.
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Under general direction of the Executive Director for Supportive Housing Re-Rentals in the Office of Supportive/Affordable Housing with wide latitude for the exercise of independent judgment, initiative and decision making the Director of Supportive Housing Re-Rental Follow Up is responsible for direct oversight of the housing coordinators in the follow-up unit, including the monitoring of program operations and contributing to program planning.
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The Retirement Sales Director will follow up with the potential client and/or consultant to gauge if there are areas where T. Rowe Price can be more competitive. Senior Retirement Plan Sales ExecutiveThe Senior Retirement Plan Sales Executive sells 401(k) Retirement Plan Services (RPS) full-service recordkeeping to small and mid-market clients (Defined Contribution plans under $50 million in AUA) with the objective of creating a partnership with T. Rowe Price.
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Someone who has been a Call Center Manager, Sr. Manager, or Director at a Health Plan. Someone who has come into a health plan and assisted with redefining auding practices and audit strategy, processes, benchmarking, team size etc., to reimplement audit protocols and team to address claims quality/payment integrity issues is the ideal experience.
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Actively engage in actions that contribute to the overall mission and strategic plan of Clear Creek ISD. Follow the established CCISD accident procedures and protocols; accurately complete all necessary reporting both verbally and written of vehicle damage, student injuries and mechanical failures.
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Cares for patients in all phases of preventative care, health maintenance, diagnosis, treatment, and follow-up as patients move along the continuum of care. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance.
$30 - $44.5Full-timeExpandApply NowActive JobUpdated Today
follow up health plan jobs Company: Optum in State-farm, Virginia
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