to the behavioral health care plan as appropriate Works collaboratively with the outreach team and Fallon NaviCare ESR... assessments to be completed within timelines Monitors compliance Strictly observes HIPAA regulations and Fallon Health...
and prioritize PACE related strategic projects and initiatives based on alignment to the Fallon Health strategic plan, financial...-Level Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits...
member and provider inquiries received through Fallon Health's 1-800 numbers, as well as providing direction on Plan policies... About Fallon Health: Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse...
with Risk Adjustment coding is preferred Fallon Health provides equal employment opportunities to all employees... Education: Bachelor’s degree or equivalent work experience License/Certifications: Possession of AHIMA (American Health...
information. Computer Skills (QNXT, Trucare, Excel, Word) Fallon Health provides equal employment opportunities...
), Business Objects / Web Intelligence, MS Visio, MS Office, other applications Fallon Health provides equal employment...Responsibilities Major reas of responsibility and accountability Prepares comprehensive health care information...
Proven ability to function independently Fallon Health provides equal employment opportunities to all employees...+ years’ experience with Provider data Health care experience required Proficiency with data entry. Experience...
platform, QNXT Fallon Health provides equal employment opportunities to all employees and applicants for employment..., as assigned by manager. Qualifications Education: Bachelor’s Degree or equivalent experience in managed health care...
and standards; problems lacking in clear precedent are reviewed with Manager prior to acting. Fallon Health provides equal...
and positively represents Fallon Health when meeting in-person with customers for eligibility and premium related inquiries. Enters... preferred Experience: Experience: 5 plus years’ experience in an office environment, preferably in health care...
Vaccination: With the end of the Global Coronavirus COVID-19 Pandemic, Fallon Health no longer requires all employees... are required to be vaccinated and/or they are in Member/participant facing positions. Fallon Health provides equal employment opportunities...
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits... and keeping current with Fallon products, policies and procedures. Responsible for documenting the results of all outbound calls...