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