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    Managed Care Coordinator - Montgomery, United States - Baptist Health

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    Full time
    Description
    Job Description - Managed Care Coordinator - CBO Billing MC Job Description Managed Care Coordinator - CBO Billing MC Description Qualifications
  • Bachelor's degree in a related field or 10 years of hospital industry knowledge, hospital billing knowledge and managed care insurance claims processing experience.
  • Excellent organizational and communication (written and verbal) skills; required.
  • Demonstrated negotiation aptitude and analytical skills; required.
  • Working knowledge of computer hardware/software (Microsoft Office Suite); required.
  • Excellent interpersonal skills; required.
  • Knowledge of Net Revenue and the calculation based on contracted rates for inpatient, outpatient, and Ambulatory claims.
  • Expert knowledge of current reimbursement and reporting rules and regulations
  • Thorough knowledge of hospital billing, collecting, and reimbursement industry standards
  • Thorough knowledge of physician billing, collecting, and reimbursement industry standards
  • Knowledge of the regulations related to Medicare and Medicaid, patient rights, compliance, and other related areas
  • Knowledge of professional business and communication practices including spoken and written communication
  • Ability to articulate thoughts and concepts in a professional manner
  • Ability to successfully complete work within time constraints with the ability to multi-task
  • Ability to review key performance indicators, identify opportunities, and implement improvement plans
  • Ability to create a collaborative environment and promote relationship based care ideas
  • Analytical and problem solving ability and attention to detail are important
  • Must be able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
  • Primary Location

    :Corporate

    Work Locations

    :Corporate301 Brown Springs RdZIP Code 36117Montgomery

    Job

    :Patient Financial Services

    Organization

    :Baptist Health

    Schedule

    :Regular

    Shift

    :Standard

    Job Type

    :Full-timeDay Job

    Job Posting

    :04/30/2024, 3:40:45 PM


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