Managed Care Reconciliation & Payments Specialist
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Job Location:
Sherman Oaks, CA - USA
Hourly Salary:
$ 33 - 36
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
JOB DESCRIPTION
Position: Managed Care Reconciliation & Payments Specialist
Pay Range: $33 - $36/Hourly
Reporting To: VP of Finance
Work Type: On-site
Position Summary
Libertana is seeking a highly analytical and detail-oriented Managed Care Reconciliation & Payments Specialist to support the organizations complex healthcare payment model. This role focuses on reconciling managed care payments investigating discrepancies and ensuring accurate payment flows between health plans and facilities.
Key Responsibilities
- Reconcile payments from managed care plans against expected amounts
- Investigate discrepancies between claims remittances and submitted invoices
- Identify and resolve underpayments and missing payments
- Follow up with team members to resolve payment issues
- Support accurate facility payment disbursements
- Collaborate with billing operations and support teams
- Maintain documentation for audit and compliance
- Analyze trends and escalate systemic issues
Qualifications
- 25 years in healthcare billing managed care or reconciliation
- Strong understanding of managed care payment models
- Advanced Excel skills
- Strong analytical and investigative mindset
- Excellent communication and organizational skills
PHYSICAL REQUIREMENTS:
- Stand sit talk hear reach stoop kneel and use of hands and fingers to operate computer telephone and keyboard on a frequent basis (up to 75% of the time).
- Close vision requirements due to computer work.
- Light to moderate lifting may be required.
Required Experience:
IC
About Company
Changing the Face of Home Health GET CARE FOR A LOVED ONE ONE FAMILY AT A TIME Quality and Compassionate Care in the Comfort of Your Home Personalized, compassionate care that enhances quality of life: that’s what we do here at Libertana. Our caring staff is dedicated to ensuring your ... View more
