The Customer Operations Manager leads the call center team to increase member satisfaction, retention, and growth by efficiently delivering competitive services to members, provider, brokers and groups through a fully integrated organization staffed by knowledgeable, customer focused professionals supported by exemplary technologies and processes. Maintains oversight of c

The Revenue Cycle Quality Assurance Specialist plays a crucial role in enhancing the accuracy and productivity of all revenue cycle systems. This position focuses on performing quality assurance reviews, facilitating operational improvement projects, and ensuring the integrity of patient accounts. Under the guidance of the Revenue Cycle Education Leadership team, the spec

This position is primarily responsible for providing supervision and oversight of all activities and processes related to the maintaining the provider data within the credentialing system. The incumbent will gauge team productivity and inventory as well as make informed decisions and through use of corporate metrics. This individual will also be responsible for developing

Responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries related to Plan prescription benefits, eligibility or claim payment issues. Provide quality service and customer satisfaction through effective communication and education. Pre employment screening required. Qualifications HS High School Grad or Equivalent (Requi

Manages patient drug therapy in accordance with the medical staff approved clinical practice standards. Maintains current knowledge of drug use through continuing education. Serves as the primary resource for drug information. Assures the appropriateness of all physician medication orders. Precepts pharmacy students as assigned. Required experience must be in a retail set

Responsible for managing the drug distribution system and providing technical support in all aspects of the delivery of safe, effective, patient focused and cost efficient drug therapy. Prepare medications under the direction of a pharmacist. Registered with the NC State Board of Pharmacy. PTCB or NHA preferred Qualifications Pharmacy Technician State License Other/Nation

Position is responsible for managing a team of Special Investigative Unit (SIU) Investigators across multiple states. Is also responsible for reporting findings to appropriate government and regulatory agencies. Position requires extensive interaction with various internal departments as well as providers and government agencies. Responsible for reviewing and proposing up

Sentara Health is seeking a passionate leader to join our Enterprise PMO team as a Senior Enterprise Project Manager! This is a Full time & 100% Remote position Candidates must have a current residence in one of the following states Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine Maryland, Minnesota, Nebraska, Nevada, North Carolina, New Hamp

Responsible for the order entry process, communication and guest relations, medical record maintenance/analysis, responsible for transporting, lifting, positioning of patients, and various non technical/clerical duties. Demonstrates competency in the operation of radiologic systems for the management and transfer of digital images to complex media and converting images on

Responsible and accountable for the provision and facilitation of comprehensive care management, services, and quality outcomes for patients across the healthcare continuum, primary focus on the patient transition to the appropriate level of care while facilitating clinical appropriateness and LOS. Directly support those in hospital patients identified in need of comprehe

Directs and oversees the efficient and effective operations for a large number (11 or more) of ambulatory practices, hospital based practices, and/or diagnostic facilities. Supervises Practice Managers and Team Coordinators assigned to one or more practices. Develops and executes a strategic plan that aligns with the organizational objectives related to staffing, employee

The Specialty Pharmacy Technician I will ensure accurate and timely data entry, product dispensing, and packing of prescription orders and will be responsible to provide exceptional customer service. The technician will work in a high volume fulfillment and/or call center environment on a multi disciplinary team. Routine interaction with specialty pharmacy patients with c

The Patient Access Team Leader is a working resource to the patient registration teams. The responsibilities include registering patients, coordinating staffing and work assignments during the shift, real time monitoring of registration performance to ensure department standards and procedures are followed, and researching and resolving the team's insurance verification i

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and enter

Account and prepare all documents for precision scanning into the electronic medical record with strict attention to maintain patient confidentiality guidelines for safeguarding patient medical information. Required to work within many different computer environments to track, scan, identify, validate and access medical records. Responsible to maintain data and statistics