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of Requests for Proposals (RFPs) from providers whose services match a need for entering into a contract. * ... and work experience. * Experience working with providers, health plans, members and vendors. * Must be able to handle...
Job Details: * High School diploma or equivalent * Supervisory Experience * * Supervises Claims production staff, Data Entry Operators, administrative support, and mailroom staff and effectively monitors inventory receipts and work...
Supervisor, Clms Production Department: Cap Claims - Site Schedule: Full-Time Shift: Days Hours: 8:00am -4:30pm Job Details: * High School diploma or equivalent * Supervisory Experience * * Supervises Claims production staff, Data Entry...
Job Details: * High School diploma or equivalent * Responsible for the performance of multiple duties in the physician medical office, includingtelephone answering and triage, appointment and resource scheduling, insurance verification,...
Administrator is a member of the Nautilus Information Services team responsible for the implementation, ... care is required. Minimum of 5 years working in an IPA, Health Plan or Medical Group setting. * Excellent...
claims performance (Snapshot), interest payments, and health plan audit preparation. Essential Functions: * ... Compliance & Audit templates, reports & databases - health plan timeliness, claims performance (Snapshot,...
making process. Reviews each request to determine if the services are being requested for delivery in the most ... appropriate setting, within the criteria guidelines of the health plan, within the contractual requirements, and are...
o return home with the highest possible quality of life while minimizing readmissions. Some of the primary duties of the Case Manager will be patient education, arrangement of home health and equipment, nursing tasks (such as wound care...
Front Office Assistant II Department: Family Care Centers-Irvine Schedule: Full-Time Shift: Days Hours: 8am to 5pm Job Details: * High School diploma or equivalent * Responsible for the performance of multiple duties in the physician...
Limited X-Ray Tech Department: Family Care Centers-Woodbridge Schedule: Full-Time Shift: Variable Hours: 8Am to 8PM Job Details: * High School diploma or equivalent * * The Limited X-Ray Tech will perform equipment procedure to include...