Prepare and submit insurance claims accurately and in a timely manner Review and verify the accuracy of patient billing data, including diagnoses and procedure codes Monitor and follow up on unpaid claims, denials, and appeals Manage patient accounts, including posting charges, payments, and adjustments Provide clear and concise explanations of billing inquiries to patien

Responsible for delivering exceptional administrative duties for the organization with minimal supervision and ensuring assigned areas run effectively. Key areas of responsibility include client and clinician relations, appointment coordination, general billing support, general housekeeping, and office administration while maintaining department and organizational standar

Identify and track threat campaigns targeting the organization Develop and maintain threat actor profiles along with associated activity, trends, TTPS, etc. from all available sources Monitor threat landscape to identify new tactics, techniques and procedures employed by threat actors and update associated profiles Analyze malware and other threats to identify artifacts,

This position is responsible for the onboarding, training and administrative supervision of assigned Mental Health Practitioner (e.g., PILT) staff. This role will provide clinical oversight and supervision of clinical paperwork to ensure that services meet the standards of CARE Counseling and licensing bodies. Primary Responsibilities Support CARE's Mission, Vision and Va

Regularly perform intakes, diagnostic evaluations, prepare and monitor treatment planning while engaging in appropriate client therapy practices and following guidance provided by one's supervisor Form effective therapeutic alliances, supporting each client's unique needs and goals, with the result in positively impacting client outcomes and retention Demonstrate advanced

Regularly perform intakes, diagnostic evaluations, prepare and monitor treatment planning while engaging in appropriate client therapy practices and following guidance provided by one's supervisor Form effective therapeutic alliances, supporting each client's unique needs and goals, with the result in positively impacting client outcomes and retention Demonstrate advanced

Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre registration of patients Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc Verify insurance eligibility and completes automated insurance eligibility verificatio

Perform Skilled Nursing Facility (SNF) clinical documentation reviews on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Complete SNF concurrent reviews from a team queue, updating authorizations on a timely basis Collaborate effectively with the members' health care teams to establish an optimal d

Greets and welcomes patient in person Collects demographic and insurance information Checks in and interviews patient to complete appropriate paperwork Documents any issues and resolutions in electronic medical record Resolve claim issues or registration errors on patient accounts Uses resources, tools and procedure to complete registration for complex accounts Verifies e

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Familiarity with SMF/RMF record structures Ability to work with SAS programming and statistical data Utilize knowledge of large scale operational and system concepts Develop and maintain system performance reporting using MXG, SAS, and Splunk Monitor daily system health for areas of improvement and exceptions Deliver recommendations for enhancing performance Perform probl

Work with the StepWise software to configure rating algorithms, factor tables, and proposal outputs Work with the StepWise software to configure user experiences (including health plan sales and underwriting users) Work with the StepWise software to create business process / workflow automation Use Excel and SQL based systems to solve clients' business problems Present so

Regularly perform intakes, diagnostic evaluations, prepare and monitor treatment planning while engaging in appropriate client therapy practices and following guidance provided by one's supervisor Form effective therapeutic alliances, supporting each client's unique needs and goals, with the result in positively impacting client outcomes and retention Demonstrate advanced

Provide exceptional customer service to all consumers and members of the clinic staff Fills prescription orders with different types of prescription packaging and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies med

Design, code, test, document, and maintain high quality and scalable Big Data, Cloud solutions Design and architect data solutions to suit client product needs. Develop and implement analytic solutions Research, evaluate, and deploy new tools, frameworks, and patterns to build sustainable data pipelines Identify gaps and opportunities for improvement on existing solutions