FEATURED JOBS
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…United States Allied Health UTMB Health Requisition # 2402442 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient
…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional
…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.
…* + Works to ensure that patient treatment is reimbursed by contacting managed care organizations and completing initial utilization review. Documents in Midas
…responsibility through payment collection, cash handling, processing of insurance eligibility and managed care information. May also have direct patient care
…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans UPHS participates with and which insurers require a
…+ Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working
…or RN with behavioral health background. Preferred Qualifications + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills
…3-5 years nursing experience and knowledge of the utilization review process. Prior managed care and/or Medicare experience is preferred. + Strong organization
…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.