Manager, Managed Care Accounting

Redlands Community Hospital   •  

Redlands, CA

Industry: Hospitals & Medical Centers

  •  

5 - 7 years

Posted 63 days ago

This job is no longer available.

Job Description

Reporting to the Director of Finance this position is responsible for the overall management of the Managed Care Department administration including oversight of personnel performing healthcare performing healthcare provider claims processing, member benefits eligibility verification, customer service, health plan reporting and audits, as well as maintaining regulatory compliance.

Managed Care Manager

Manager, Managed Care

Qualifications

  • Five or more years' experience managing staff who perform Managed Care administrative duties including claim processing, customer service & other Managed Care Administrative duties including health plan reporting and audits.
  • Knowledge of claims processing software: EZCAP and Meditech preferred
  • Excellent contract interpretation skills desired
  • Medical Terminology, CPT, and ICD9/10 coding knowledge
  • Strong communication, computer, and customer service skills, highly desired