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Develop a professional relationship with member physician office, and managed care payer personnel. Educate providers on client’s processes for treatment review. Coordinate selected registration, scheduling, faxing, billing and reporting for OrthoNet contracts may include, maintaining logs, faxing, verifying information, entering data, generating reports, etc. Research appropriate benefit do
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Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stake
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Ability to manage a compliance program with an understanding of complex or dual products Engages in high risk/complex remediation strategy & resolution and promote compliance with applicable laws and contractual obligations for various Medicaid products Collaborate with a team that conducts product specific legal research and monitors changes to requirements to mitigate risks and achieve compl
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Interface with senior leaders (e.g., CEO) at high volume facilities/groups or directly with providers as indicated. Communicate with facilities/groups/providers to initiate appropriate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with Practice Management IOP Program targets. Support those high performing facilities and providers such that performa
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Work across business partners to establish and cultivate strategic business relationships with key managed care payers, influencers, and customers Support network access adequacy needs through ensuring existing agreements and client relationships are maintained Drive payer client retention and profitability via account management routines and a disciplined approach to financial performance Coll
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Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures Maintain established quality control standards Record and process patient care documentation quickly and accurately Coordinate patient care as directed by physicians, company standards and policies Organize, stock and clean exam and treatment rooms and sterilize instruments Maintains qu
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Conduct full life cycle recruitment including candidate sourcing, screening, interviewing and offer negotiation and communication Develop sourcing strategies in partnership with leadership, as well as candidate pipelines for specific positions Share market research and trends in candidate flow, market reactions and awareness to local/national branding Interview and evaluate candidates utilizing c
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Design, create and implement quality improvement projects and initiatives Conduct and manage outcomes of various studies that may include analyzing, reviewing, forecasting, trending and presenting information for quality management planning and management needs Develop and present recommendations and alternatives for management and executive review Assist in developing department strategic action
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Positions in this function create and deliver high quality system solutions for our applications, products and services across all technology functions. They consult with users and technology specialists to define business processes and the information systems for supporting those processes. Individuals in these roles may perform analysis and also serve as business liaisons to understand and refin
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Pre register and / or register patients according to departmental policy and procedure Enter patient information and charges into appropriate system Provide patients with all pertinent information and obtain appropriate signatures on medical, legal and financial forms Verify financial / insurance information using appropriate database retrieval systems Provide guidance and assistance to patients a
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Reviews insurance verification information and account notes entered by the Patient Registration Representative and/or Registration. Ensures any missing information is captured. As necessary, verifies patient’s insurance coverage, determines benefit levels, reviews level of services, and calculates patient’s financial liability and explains the Payment and Billing Assistance Program to
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• Effectively lead and own delivery for the work of multiple development teams while using your highly technical skills as a hands on software architect • Hire, develop, grow and retain great engineering talents • Engage in technical discussions as a subject matter expert, have a point of view to offer and have strategic influence with the product, business stakeholders and other en
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Anticipates customer needs and proactively develops solutions to meet them Serves as a key resource on complex and/or critical issues Solves complex problems and develops innovative solutions Performs complex conceptual analyses Reviews work performed by others and provides recommendations for improvement Forecasts and plans resource requirements Authorizes deviations from standards May lead funct
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Assist in opening and closing the clinic, locking and unlocking the doors and maintaining a clean waiting area Welcome all On Site Clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process Answer multi phone lines, filing, faxing, scanning documentation and completing daily patient callbacks Collect all insurance
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Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakehol
Posted Today
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