- Elevance Health (Raleigh, NC)
- …practice managers, population health and quality directors on improving STARS/HEDIS or Risk Adjustment performance. + Six Sigma or formal process improvement ... a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid… more
- UNC Health Care (Smithfield, NC)
- …necessary escalate to management patient-level issues stemming from contested charges, Risk Management or Patient Relations. 4. Reviews Cosmetic & Elective account ... to resolve credit balances through refunds or posting adjustments. Compiles Medicare /Medicaid Cash Reports and quarterly Credit Balance reports. 6. Payor Audits… more