Managed Care Coordinator

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

Job Requirements: