Develop product vision and strategy Lead the development of multi year strategic product roadmaps for key products and initiatives using customer feedback, stakeholder input, and data/analytics Research and define the customer segments served by the products based on developing a deep understanding of customer goals, the value customers derive from the product, and the bu

Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed Contacts and performs initial interviews with patients who are in need of health coaching programs Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, f

Lead a team of ServiceNow Developers, System Analysts, and Business Analysts Leverage data, analytics, and predicted value realization to drive overall end to end strategic direction for the platform Work and negotiate directly with cross functional leaders to drive a holistic view of the ServiceNow strategy and execution plan Serve as a subject matter expert for ServiceN

The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment. Supporting credentialing and enrollment work Run primary source verifications for credentialing representatives Enter da

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

Patient Care Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illnesses Regularly re evaluate patient nursing needs Uses health assessment data to determine nursing diagnosis Initiates and develops a Plan of Care, which establishes goals based on nursing diagnosi

Provide daily utilization oversight and external communication with network physicians and hospitals Daily UM reviews authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews, as needed Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost effective healthcare deliver

Performs all nursing duties within the scope of a Licensed Vocational / Practical Nurse (procedures, injections, medication administration, EKGs, phlebotomy) as determined by the applicable State Board of Nursing Participates in implementing established education plans for patients and their families with common health problems and well defined health learning needs Coord

Interpret contracts to create billing and revenue rules within the PeopleSoft ERP (PS ERP) Review, analyze and validate billing data Setting up revenue recognition in accordance with accounting standards (GAAP) Generate and validate Invoices Work with Project Managers/Operations/Finance to ensure accuracy Work with Cash Applications/Accounting Teams Problem Solving Effect

Greet customers into the practice and provide instruction and/or direction as necessary both on the phone and in person Schedule and coordinate all patient appointments as directed Maintain an organized and clean work area, free of clutter Prepare all documentation and records with accuracy as directed or necessary for the patient's care Meet or exceed the performance mea

Provide clinical coverage for the primary APC during periods of PTO or short/long term absences Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, and interventions Manage members during a short term, sub acute rehabilitation episode Conduct comprehensive assessments Effectively manage acute and chr

The Medical Assistant will increasingly gain responsibility for providing assistance to the healthcare clinician by providing direct patient care Obtains patient histories and vital signs and records accurately in the Electronic Medical Record Prepares patients for examination and treatment and documents chief complaints Retrieves laboratory and radiology test results and

Greets patients, family members and guests with a friendly smile Assists patients with signing in and completing registration Enters and scans patient's demographic and insurance information into Epic Verifies insurance eligibility and benefit information; informs patients of insurance benefits Collects co payments and patient balances Answers incoming phone calls in a co

Consistently exhibit behavior and communication skills that demonstrate the company's commitment to superior customer service, including quality care and concern with internal and external customers Use, protect, and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Anticipat

Greets patients as they arrive and manages wait time Complete check in and check out tasks to include insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company policies Processes wa