Build a best-in-class team that reflects the AmeriHealth Caritas culture and supports the line of business. Join AmeriHealth Caritas Next's growing community of broker partners and help us enroll your clients in the quality health insurance plans they deserve. In this role, the Market President will be a proactive, strategic, and decisive leader who demonstrates a commitment to ensuring that our members have access to high quality health . We're here to help you, too. 33410 USA. Formulate and implement business plans and strategies to ensure profitable operations, meet short-term objectives, and support long-term growth, success, and competitive position in the market. AmeriHealth Caritas. You can mail or fax a written request to: Benefit Limit Exceptions Member Services Department AmeriHealth Caritas 8040 Carlson Road Suite 500 Harrisburg, PA 17112 Fax: 717-651-3591 Your provider can call the AmeriHealth Caritas patient care management department at 1-888-991-7200. Contact Information for Providers Important Telephone Numbers PNS Contact Tool Locate your designated AmeriHealth Provider Network Services (PNS) team contact. View job listing details and apply now. Industry. Do you have a question or need help with a form? We deliver comprehensive, outcomes-driven care to those who need it most. If you have a complaint, do not use this form. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. By email: If you have a question about AmeriHealth Caritas Louisiana or your benefits, use our secure email form. Updated daily. CARE IS doing the most you can to help people. Be accountable for full profit and loss responsibility and develop and implement adequate measures to meet the fiscal needs of the company and maintain an effective system of budgetary control. Visit the Career Advice Hub to see tips on interviewing and resume writing. AmeriHealth Caritas Health Plan in Palm Beach Gardens, FL What email should the hiring manager contact you at? Contact information by state Get help from our individual and family health plan teams in your state: Delaware Florida North Carolina South Carolina (First Choice SM Next) Use the information below for to get support with general questions or concerns. Claims mailing addresses. Get notified about new Pharmacy Specialist jobs in Orlando, FL. Please click on the link below for the applicable Prior Authorization form. Your feedback, questions, and concerns are always welcome. Connect with us on social media. Coastal Care Services (durable medical equipment, home health, and home infusion) 1-855-481-0505. AmeriHealth Caritas Pennsylvania Community HealthChoices, your benefits or how to join. Use the contact information below to get in touch. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Serve as an advocate for the member and acts as a liaison between the member and other community based agencies, facilities, providers, and practitioners in coordinating the members care. Ensure programs are established and monitored to comply with all relevant federal, State, and other local regulations. Marketplace expansion for the 2023 plan year includes Delaware, Florida, and South Carolina, and also adding counties in North Carolina. If you have questions about us, contact your Account Executive or email DelawareProviderNetwork@amerihealthcaritas.com. Learn how we can help you and your family get care and stay well. We'll invite you to our offices for an in-person interview. Orlando, FL. Terms and Conditions For more information on dental benefit limit exceptions, please read the AmeriHealth Caritas member handbook (PDF). Click the link in the email we sent to to verify your email address and activate your job alert. Palm Beach Gardens, FL, Referrals increase your chances of interviewing at AmeriHealth Caritas by 2x. Sales: 877.345.5256 Support: 800.891.8880 Register, complete, and submit the information on the next screens. Once you have access to the AmeriHealth Caritas Florida member portal, you can review your private health care information about: Your health care providers. Visit the Career Advice Hub to see tips on interviewing and resume writing. PO Box 7322. Identify State and/or product-specific priorities and determine the appropriate strategic approach that will drive business growth and differentiate AmeriHealth Caritas in the marketplace. Contact us by phone About us Medical foster care (MFC) parents can use the Medical Foster Care Parent Quick Reference Guide (PDF) for contracting and claim submission information. Monitor and analyze the changing Medicaid landscape and recommend programs and policies to proactively address the changing needs of the membership. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. From Medicaid to behavioral health and more, our award-winning health care plans are person-centered and prioritize healthy outcomes. More. For participating or non-participating providers Provider Services: 1-800-521-6007 Paper claims submission Paper claims should be submitted to AmeriHealth Caritas Florida at the following address: AmeriHealth Caritas Florida P.O. 1-866-833-9718. Access information to help you learn more about our health insurance plans and how the plans can support enrollees: Become a broker. Anybody you trust can help you write the letter. 27357. 8171 Baymeadows Way W Jacksonville FL 32256. Box 7368 London, KY 40742 What happens after you file a grievance AmeriHealth Caritas Florida will mail you a letter within five business days of receipt. Claims and Billing Information. Orthotics/prosthetics. . Health services that you have received. We'll make an offer to the candidate we feel is best fit to fill the role. Email: humanresources@amerihealthcaritas.com Corporate mailing address and main phone number: AmeriHealth Caritas Corporate Office 3875 West Chester Pike Newtown Square, PA 19073 Phone: 1-215-937-8000 For media-related inquiries: Phone: 1-215-863-5458 Member and provider services AmeriHealth Caritas Pennsylvania is a Medical Assistance (Medicaid) managed care health plan with deep roots right here in Pennsylvania. Several types of providers offer telemedicine services. Box 7367 London, KY 40742 2022 CareerBuilder, LLC. The member co-payment schedule (PDF) will show you the different costs of over-the-counter medicines and vitamins. To use our website, you must agree with the Providing health care solutions for those most in need for more than 30 years through Medicaid and Medicare managed . Provider data in the online directory is updated daily Monday through Friday. when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Explore our service areas and see where we're building the next generation of managed care. Only verified, open positions at top companies. The Market President will provide the strategic vision and operational expertise to successfully lead the AmeriHealth Caritas Florida Health Plan. By creating this job alert, you agree to the LinkedIn User Agreement and Privacy Policy. Call Provider Services at 1-800-617-5727 to speak to a representative. By creating this job alert, you agree to the LinkedIn User Agreement and Privacy Policy. Apply on company site. The Claims Eligibility Specialist is the point-of-contact for the State and Provider community on Medicaid regulations, Medicaid eligibility requirements and resolving issues related to Medicaid coverage and services. Vision, hearing, and speech pathology services (HCPCS codes in the "V" series). The company's mission is to help those most in need get care, stay well, and build healthy communities. By mail: AmeriHealth Caritas Louisiana PO Box 83580 Baton . Medicaid Enrollee Services. Responsibilities: Resolve discrepancies in coverage, eligibility, enrollment and billing. Referrals increase your chances of interviewing at AmeriHealth Caritas by 2x. Your career starts now. when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. View our Member benefits For Members Member homepage Benefits and services Member handbook Find a provider 1 to 3 years Care Management experience; must have relevant experience/education to work with members with complex health, behavioral health, and sup ports and/or psychosocial needs. AmeriHealth Caritas Jobs Visit the Career Advice Hub to see tips on interviewing and resume writing. Sign in to create your job alert for Pharmacy Specialist jobs in Orlando, FL. I have access to NaviNet, but I don't see AmeriHealth Caritas Florida in my list of plans. Were looking for the next generation of health care leaders. EOE Minorities/Females/Protected Veterans/Disabled, Help us improve CareerBuilder by providing feedback about this job: All rights reserved. 202-408-4720 or 1-800-408-7511. Monitors appropriate utilization of the members benefits and coordinates services with other payer sources. By creating this job alert, you agree to the LinkedIn User Agreement and Privacy Policy. Referrals increase your chances of interviewing at AmeriHealth Caritas by 2x. . Were looking for the next generation of health care leaders. Report this job. For Members Member homepage Become a member Member benefits Find a doctor, drug or pharmacy For Providers Get notified about new Order Entry Specialist jobs in Orlando, FL. AmeriHealth Caritas Delaware Attn: Compliance Department 220 Continental Drive, Suite 300 Newark, DE 19713 Fax: 1-302-722-4355 Providers The best partnerships are formed by staying in touch. Call 1-866-533-5490 (TTY 711), Monday through Friday, 8 a.m. - 8 p.m., from April 1 to September 30; or seven days a week, 8 a.m. - 8 p.m., from October 1 to March 31, for more information. Title: AmeriHealth Caritas Florida - Provider Alert - NaviNet New Prior . Get email updates for new Market President jobs in Palm Beach Gardens, FL. Forms and Documents. Get email updates for new Order Entry Specialist jobs in Orlando, FL. You may also call Member Services at 1-888-991-7200 to find out . Call Member Services, Monday through Friday, 8 a.m. - 8 p.m. at 1-833-613-2262 (TTY 1-844-214-2471). Your career starts now. You can save your resume and apply to jobs in minutes on LinkedIn. Responsibilities: The Market President will provide the strategic vision and operational expertise to successfully lead the Ameri Health Caritas Florida Health Plan. AmeriHealth Caritas Florida has worked with NantHealth | NaviNet to bring you, Medical Authorizations, a robust, intuitive, . 87716. There may be co-pays for some dental services. Click the link in the email we sent to to verify your email address and activate your job alert. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. Language services at the office. Provide personal leadership that encourages employee productivity and responsiveness to the needs of current and prospective members, providers, and other community and regulatory customers. Under the Supervision of the Manager of Care Management, the Care Manager is responsible for the overall accountability for the identification of members appropriate for care management services. For a complete list of claims submission addresses, refer to the professional and facility payer ID grids at www.amerihealth.com/edi.There . Generic prenatal vitamins are covered for all pregnant members. Race and/or ethnicity. AmeriHealth Caritas Health Plan. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience delivering comprehensive, outcomes-driven care to those who need it most. You can unsubscribe from these emails at any time. AmeriHealth Caritas Report Job. AmeriHealth Caritas . Were looking for the next generation of health care leaders. You can also call Member Services at 1-888-991-7200 for more information about your dental benefits. Prescription or refill approvals. They will call you back within 24 hours. Mailing Address 1901 Market Street Philadelphia, PA 19103 Email 1-800-617-5727 Main Line 1-855-464-8812 Providers interested in joining the AmeriHealth Caritas Florida network should call this number. NaviNet is an easy-to-use, no-cost, web-based platform that links providers to AmeriHealth Caritas Florida. favorite_border. Learn how you can become a broker partner for AmeriHealth . To unlock your profile and take advantage of all features on CareerBuilder.com, you need first to upload or build a resume. . Learn more. Call Participant Services at 1-855-235-5115 (TTY 1-855-235-5112 ) 24 hours a day, 7 days a week. By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder 365 Days from the DOS. Hanger (orthotics and prosthetics) 1-877-754-6542. Automotive Claims Adjuster- Remote - Mechanical skills, Specialty/Commercial Casualty Claims Adjuster - Remote, Lost Time Claims Adjuster - Workers Compensation - Remote, Auto Claims Specialist- Litigation- Hybrid, Senior Lost Time Claims Adjuster - Workers Compensation - Remote, See who AmeriHealth Caritas has hired for this role, Collect, post and manage account payments, Submit claims, audit claims and follow up with insurance companies, Prepare and submit clean claims to insurance companies electronically or by paper, Audit claims after submission and correct errors, Respond to insurance audit requests in a timely manner, Review month-end reports, revenue, cash and adjustments for accuracy, Answer questions from patients, staff and insurance companies, Identify and resolve patient billing complaints, Prepare, review and send patient statements, Evaluate patient financial status and establishes budget payment plans; monitor and report status of delinquent accounts, Review accounts for possible assignment and make recommendations to the Billing Supervisor; prepare information for the collection agency, Assist patients in locating financial assistance programs for monies due for medications, Prepare daily reports and performs financial system maintenance as required, Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers, Process payments from insurance companies and prepares a daily deposit, Participate in educational activities and attends monthly staff meetings, Conduct self in accordance with companys employee manual, Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations, High School Diploma or equivalent required, Minimum one (1) year of specialty pharmacy billing experience required. Medicaid, a government-funded health insurance program in the United States, serves low-income people. That's why we offer a variety of benefits, services, and tools that focus on the whole person. Were looking for the next generation of health care leaders. Real jobs from real companies. Link below for the applicable Prior Authorization form have access to NaviNet, i!, contact your Account Executive or email DelawareProviderNetwork @ amerihealthcaritas.com learn more about our health insurance program the... Florida has worked with NantHealth | NaviNet to bring you, too comply with all relevant federal, State and. Program in the marketplace days a week Plan year includes Delaware, Florida, and are! A best-in-class team that reflects the AmeriHealth Caritas by 2x healthy outcomes Caritas a! To see tips on interviewing and resume writing addresses, refer to the User! 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