The Assistant to CEO provides high level administrative, clerical and special project support to CEO’s of the organization and their management teams.
Essential Job Functions:
1. Screens telephone calls and visitors and ascertains who can be redirected to subordinate management. Provides information to callers, which requires comprehensive knowledge of company policies, practices, and operations. Resolves sensitive issues for high-level customers using independent decision-making and j...
NEEDED ASAP FOR 6 MONTH PROJECT
The Credentialing Specialist is responsible for verifying submitted Credentialing documentation for all Ophthalmology and Optometric practitioners who provide services to companies members.
Essential Responsibilities
Ensure compliance with all individual States, the National Committee for Quality Assurance (NCQA), and company regulations and standards, when credentialing or re-credentialing all applications and documentation submitted to company.
Prima...
DUTIES INCLUDE BUT NOT LIMITED TO:
1. Receives and reviews charge documents for accuracy and enters charges into practice management system.
2. Balances Charge Summary to tickets keyed before updating charges
3. Works with A/R and payers on denials/rejections.
4. Extracts information from medical records, operative notes, hospital admissions, consults, progress notes and discharges.
5. Coordinates with front office staff on payment/billing issues.
6. Identifies quality issues with regist...
The UR Clerk will be responsible for sorting, logging and distributing incoming correspondence to include all faxes and emails.
Duties include:
Sorting and logging all correspondence.
Monitoring voicemail daily.
Enter and retrieve data from internal databases.
File, maintain and retrieve records/reports.
Contact member and providers via email, fax, and telephone to provide notification on determinations.
Candidates MUST be bilingual, (fluent in Sp...
Underpayment position logging discrepancies and correcting nonpayment
related discrepancies.
Duties include
• Generate reports to determine types of discrepancies and assign appropriate reason codes
• Correct any non-payment related discrepancies
• Refer all other discrepancies to the appropriate Analyst
EDUCATION
• High school diploma or GED required
EXPERIENCE
• At least one year of logging-related experience required
Must have basic computer skills and be proficient in M...
This position provides high-level admin, clerical, and project support to the Vice President or assigned team member/physician.
Job Functions:
Greets and assists visitors. Operates a multi-line telephone.
Use best discretion in responding to questions and requests from employees, physicians, patients, and family members.
Main contact point for vendors. Must maintain vendor certification.
Interpret and evaluate policies and procedures pertaining to departmental/f...
