Synthesize and forecast industry trends, customer needs, competitive threats, survey insights, member experience best practices and internal and competitive performance to design industry leading customer service and health plan improvement strategies Serve as a subject matter expert in CAHPS measure specifications, member pain points, survey strategy and business operati

Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community Be knowledgeable on and apply all necessary regulatory requirements for assigned re

Coordinates the resolution of unpaid accounts. Receives and resolves calls from patients, insurance companies, attorneys, and departments. Obtains and processes payments. Collaborates with patients to create payment arrangements. Updates incomplete and missing account information. Documents collection activities. Other duties as assigned. You'll be rewarded and recognized

Collaborate cross organizationally in the development, proposing and prioritization of customer solutions to reduce trend (programs, processes, benefit design, network, etc.) Works with business partners to ensure are aligned with successfully achieving savings targets Development and execution of cross functional strategies, projects and tactics which result in increment

Follow established departmental policies, procedures and objectives Notify Provider Enrollment Manager of non compliance issues May involve travel to meet with providers to ensure complete and accurate forms are completed Completion of PIN form for submission to Excellian, track payer data in Symed Follow up on outstanding enrollment issues to ensure timely reimbursement

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

Compile, process, and maintain patient's health information in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the practice in a timely manner. The Electronic Medical Records Technician responsibilities are in accordance with the Health Information Management procedures as it pertains to the Chart Prep, Radiology Pathology

This position provides operational leadership in partnership with the Executive Director and Program Directors in moving forward the mission of MNCASA. The Operations Director supports all areas of MNCASA, through a range of organizational strategic functions including oversight of internal operations and contracts, while advancing policies and procedures that improve org

Who We Are Phyllis Wheatley Community Center (PWCC) has proudly served the Minneapolis Community since 1924 and was the first agency in the Twin Cities committed to meeting the human services needs of a growing African American community. For many Blacks, PWCC was a safe port in the midst of a racially segregated city. Although our community remains chronically underserve

Twin Cities Orthopedics

Transcribe and edit medical dictations from mental health professionals using voice recognition technology within specified deadlines. Proofread transcriptions for accuracy, grammar, clarity, and adherence to medical terminology standards. Collaborate with clinicians to rectify any discrepancies in reports and ensure the accuracy of client records. Translate medical jargo

RAYUS Radiology, formerly Center for Diagnostic Imaging, is looking for a Front Office Associate to join our team. As a Front Office Associate, you will be responsible for providing services to patients and referring professionals by answering phones, scheduling appointments, greeting and registering patients in a cheerful, professional, and sincere manner, and performing

Provide Front Desk Coverage as needed Collect copays Scheduling for both internal and external appointments for patients by phone Documenting and Communicating all details of each appointment with the patient Serve as a liaison between patients and medical staff Manage the scheduling queues Answer incoming scheduling calls May float to different locations to assist with s

Job Title Surgical Clinical Manager, Mountain Region Abiomed Function MedTech Sales Sub Function Technical Sales MedTech (Commission) Category Manager, Technical Sales MedTech (Commission) (PL7) Location Wisconsin, United States; Iowa, United States; Colorado, United States; Arizona, United States; Wyoming, United States; Utah, United States; Texas, United States; South D

Responsible for the complete and accurate billing process and patient charges in accordance with Business Office procedures as it pertains to Accounts Receivables. Upon successful completion and training at MNGI's NE Minneapolis Corporate office, there may be an opportunity to transition to remote work. This is a full time position, scheduled M F. The starting rate of pay