- 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
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Managed Care Coordinator - Montgomery, United States - Baptist Health
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Description
Job Description - Managed Care Coordinator - CBO Billing MC Job Description Managed Care Coordinator - CBO Billing MC Description QualificationsPrimary Location
:CorporateWork Locations
:Corporate301 Brown Springs RdZIP Code 36117MontgomeryJob
:Patient Financial ServicesOrganization
:Baptist HealthSchedule
:RegularShift
:StandardJob Type
:Full-timeDay JobJob Posting
:04/30/2024, 3:40:45 PM