The Managed Care Coordinator is responsible for accurately analyzing implementing and monitoring Managed Care contractual relationships. Working under limited supervision this role resolves problems between the organization and payers.
Responsibilities
Resolves departmental and divisional conflicts related to managed care bringing in senior staff if necessary to reach a conclusion that benefits the organization as much as possible. Leads joint operating committee meetings with payers to include holding both the organization and the payer accountable for resolving conflicts. Negotiates single case agreements with payers and ensures that payment is received. Responsible for coding of contract databases development performance and documentation of tasks for the appropriate contract management applications. Performs other duties as assigned.
Required: Associates requires 5 years of Managed Care experience Bachelors requires 3 years of Managed Care experience Juris Doctor requires 1 year of legal experience
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