This position is responsible for performing compliance monitoring of sub contracted organizations, working collaboratively with departments across CareOregon. Primary responsibilities include delegation oversight, process improvement, and reporting. Essential Responsibilities Delegation Oversight Work at the guidance of and with input from the Regulatory Manager to interp

The Health Care Coordinator (HCC) acts an entry point to CareOregon's Regional Care Teams, as well as provides care coordination. This position provides intake functions, physical and behavioral health plan navigation, and care coordination including assessing member needs, developing individualized care plans, coordinating with providers and with members. A focus of this

This position is responsible for working with CareOregon members, their providers, and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit. This is an advanced level support position, requiring Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary

Community Newcastle Place Address 12600 N Port Mequon, Wisconsin 53092 Pay Range $121,000.00 $172,250.00+ Annual Live your purpose. Grow your career. Thrive through teamwork. Create meaningful, personalized experiences. At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment where each team member

for the role will include Maintain a working knowledge and understanding of DMEOPS CPT and ICD 10 codes. Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied. Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contrac

Position Description As a Patient Relations Representative II in the Department of Multi Specialty you will assist patients with routine billing, scheduling and registration inquiries and provide customer service using basic knowledge of organization policies and procedures, under general supervision. Position emphasis will be on verification of patient insurance, deducti

Position Description Every great life changing discovery begins the same way with new knowledge. It can change everything, from a single life to the future of entire communities. That's why academic medicine, and the continuous pursuit of knowledge, is at the center of everything we do at the Medical College of Wisconsin (MCW). In the role of HIV Linkage to Care Specialis

The Call Center Representative is a vital member of our Customer Care team, responsible for taking incoming phone inquiries and providing assistance to shareholders in a timely, efficient, and professional manner. In this role, you will be interacting on the phone 100 % of the time with shareowners, their representatives, and the investment community supporting activities

Provides leadership and direction to carry out the definition of Froedtert Health vision and strategies and working in alliance with the Information Technology team, Operational leaders and Chief Information Officer (CIO). Develops and executes effective methodologies to deliver ambulatory Epic build across the Froedtert Health organization; coordinates with other IT and

Performs the receptionist and clerical duties on the patient care areas. Coordinates patient information and communication for the department and is responsible for maintaining accurate medical records. Reports to the Nurse Manager of the assigned unit and the RN's on duty for their assigned shift. Performs other duties as assigned. EXPERIENCE DESCRIPTION A minimum of 6 m

Demonstrates a high level of performance in the Patient Access Center employee role and effectively establish, prioritize, and balance the various duties of both the lead and employee roles Provide first level support to the Patient Access team A technical professional who assists with the development and tracking of department metrics and will provide reports and updates

Greets patients and visitors and responds to routine requests for information. Answers telephone, screens calls, and takes messages. Registers patients; obtains demographic and insurance information; verifies insurance coverage, collects co pays, deductibles, and previous balances; posts payments and updates demographic and insurance information. Schedules patient appoint

Supervises the day to day activities of non physician staff, ensuring a high level of productivity. Continuously monitors the functioning of the medical group and revises operational procedures as necessary. Oversee all functions of the medical group including reception and scheduling activities, patient service areas, accounting, medical records, transcription, business

Responds to and operates multi function work stations, paging systems (overhead and pocket pager), emergency hotline and alarm devices for the purpose of answering, connecting, and directing calls to appropriate locations, and to facilitate hospital response to emergency situations. Provides an expeditious communication link between in house and on call personnel, patient

Greets and checks in patients arriving for their appointments. Ensures patient information is complete and accurate. Collects patient responsibility as identified in the pre registration process. Completes the registration process on walk in patients, verifies and/or updates patient demographic and insurance information if changes or additions have occurred. Verifies insu