Managed Care Specialist

Job Location US-NC-Winston-Salem
Job Opening ID
2022-141595
Facility
Hanes Mill
Department
Patient Financial Services
Work Schedule
8:00am-5:00pm
PRN Details
Work From Home, Mon-Fri, 40 hrs per week (daily hours negotiable between 7am-6pm)
Category
Administration
Job Status
Full-Time

Overview

Novant Health is seeking a Managed Care Specialist to review and proces contractual adjustments on accounts associated with insurance payments from managed care payers, including Medicare, Medicare Managed Care, and Medicaid. Ensure maximum and accurate reimbursement as outlined in our contracts and assure that patient accounts are accurate and take appropriate action needed to resolve payment discrepancies and contractual adjustments. Come join a remarkable team where quality care meets quality service, in every dimension, every time.

 

#JoinTeamAubergine #NovantHealth. Let Novant Health be the destination for your professional growth.

 

At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Qualifications

Education: High School or GED, required

 

Experience: Minimum three years Revenue Cycle experience, preferred

 

Additional Skills Required: Excellent verbal and written communications skills. Flexible, adaptable to change and stress. Ability to successfully complete generic and department specific skills validation and competency testing. Must have excellent customer service skills.

 

Additional Skills Preferred: Basic medical terminology .Basic personal computer skills, familiarity with all Microsoft Office products (Word, Excel, Outlook…); Siemens Patient Accounting experience preferred; Siemens Contract Management and optical imaging experience; Dimensions familiarity (EPIC) and knowledge of managed care payors/contracts.

Responsibilities

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

  • Our team members are part of an environment that fosters team work, team member engagement and community involvement.
  • The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
  • All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

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