JOB PURPOSE: The Intake Navigator will directly educate a prospective participant through the onboarding process leading to enrollment in CenterLight’s Program of All-inclusive Care for the Elderly (PACE). This person will work closely with referral sources, account managers, clinical intake and provider relations to ensure all and tasks are efficiently completed associated with the enrollment process. The Intake Navigator is expected to maintain...
JOB PURPOSE: The Nurse Educator will be driven by creating a learning experience that is as unique as those we are providing this resource to. And will apply the basic learning principles to develop a strategic education plan by reviewing the following areas: Data – An analysis of the current health care workforce and the needs of the future. Strategy – An overarching workforce planning approach. Planning – An approach to creating pipelines to fi...
JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data, refining processes, and ensuring compliance with State, CMS, and contractual guidelines. This role requires knowledge of Government Programs medical claims and authorization data analytics, encounter process, risk adjustment, and a strong focus on data-driven process improvement. JOB RESPONSIBILITIES: Medical Economi...
JOB PURPOSE: The Shared Services Data Quality Analyst is responsible for managing a high volume of inbound and outbound calls in a timely and professional manner. This role involves providing exceptional customer service, scheduling appointments, answering inquiries, and assisting patients and their families with accurate information regarding services provided by the healthcare organization. The ideal candidate will have excellent communication ...
JOB PURPOSE: The Claims and Encounter Analyst I support the efficiency and effectiveness of the claims department by analyzing data, refining processes, and ensuring compliance with State, CMS, and contractual guidelines. This role requires knowledge of Government Programs medical claims systems, encounter process, and a strong focus on data-driven process improvement. JOB RESPONSIBILITIES: Conduct in-depth claims analysis, root cause investigati...
JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel ...
JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel ...
