Managed Care Coordinator
: Job Details :


Managed Care Coordinator

MTK Resources

Location: Maitland,FL, USA

Date: 2024-12-20T04:06:59Z

Job Description:

Managed Care Coordinator

This is s full time hybrid role working at a facility in Maitland, FL. Must have extensive experience with contract negotiations with Insurance companies and Managed Care.

The candidate should have knowledge of

  • The credentialing and contracting process with third party healthcare insurance plans. Knowledge of major U.S. health plans, NPI Registry, taxonomies, EIN/Tax ID and governmental payer entities.
  • Must be familiar with computers, medical terminology, ICD-10 and CPT coding, and modifiers
  • Negotiates reimbursement rates in order to increase the percentage being offered for all lines of business
  • Maintains knowledge of managed care organization requirements for facility enrollment with payers.
  • Maintains the required level of confidentiality when communicating with employees at all levels. Uses sound judgment and discretion when relaying information that is of a confidential nature.
  • Is reliable and engaged and provides feedback on processes and policies.
  • Attends all department, team, and company meetings as required.
  • Maintains appropriate confidence to maintain and protect business operations.
  • Other duties as assigned

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