- Trinity Health (Boise, ID)
- …on exceptional service and the highest quality of care. As a Patient Service Representative , you will work in conjunction with physicians and clinical staff to take ... a positive experience for patients. **Position Purpose:** As a Patient Service Representative , you will work in conjunction with physicians and clinical staff to… more
- Highmark Health (Boise, ID)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- Wolters Kluwer (Boise, ID)
- …and assisting with training and rollout, working with reps to drive utilization and customer satisfaction and ensure maximum renewal and retention, and helping ... analysis, and creating and presenting a monthly report to management on key metrics. * Support sales growth from...and/or technology systems used in Health Care (ie, Learning Management System, EHRs etc.). * B2B Inside Sales Experience… more
- HealthEdge Software Inc (Boise, ID)
- …Digital Health Management solutions have been shown to increase the utilization of preventive medicine services by 29%, reduce inpatient admissions by 17%, and ... **Overview** Company Overview: Wellframe is a digital health management platform that helps health plans offer convenient...reduce ER utilization by 9%. The platform meaningfully engages more people,… more
- Magellan Health Services (Boise, ID)
- …and reports; provides accurate and timely financial recommendations to management for decision making purposes. + Develops sophisticated financial models. ... in cost of care. Differentiates impact of rate versus utilization variations. + Supports SBUs by providing information, responding...It has come to our attention that a false representative is contacting potential candidates and offering them work… more
- Magellan Health Services (Boise, ID)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... care plan team which may include member, caregivers, member`s legal representative , physician, care providers, and ancillary support services to address care… more
- CBRE (Boise, ID)
- …a region, line of business or large, complex client. Includes the management of such functions as budgeting, forecasting, financial reporting, strategic planning and ... management reporting processes and work product. This position can...and approval. Plans and monitors appropriate staffing levels and utilization of labor, including overtime. Prepares and delivers performance… more
- St. Luke's Health System (Mountain Home, ID)
- …with facility leadership and is the senior in-house administrative representative after hours for the medical center.The Administrative Supervisor assist ... with daily operations, collaborates with leadership, crisis management , staffing issues, and more. + Provides day-to-day oversight. Is a resource and operational… more
- WM (Boise, ID)
- …business development position is responsible for the development of biosolids management solutions by employing both traditional and next generation organics ... facilities. + Fosters and builds partnerships and relationships with Biosolids management companies and consultants to source volume, develop facilities and expand… more
- Sutherland Global Services (Boise, ID)
- …of Benefits Requests + Authorizations + Status Inquiries + Denial Rationale + Utilization Management Appeals + Prior Authorization Verification + Eligibility and ... a high-volume call center environment as a customer service representative + Effective verbal and written communication skills +...skills with a strong attention to detail + Time Management skills + Sufficient Internet speeds while connected to… more
- Trinity Health (Nampa, ID)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Care Management / Utilization Review personnel, as needed. + Obtains and ... routine payer or provider issues and escalates to Lead Patient Financial Services Representative . + Acts as a point of contact for assigned payers. + Maintains… more