…third party health care coverage experience and strong understanding of managed care regulations are required. + Strong interpersonal, organizational and

…to accommodate patient and provider needs. Inputs patient insurance and managed care plans, including prior authorizations, referrals, and pre-certifications.

…+ Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working

…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.

…skills + Experience in value-based payment arrangements such as Medicare Advantage/ Managed Care , risk contracting, shared savings arrangements, and/or post

…Specialist is responsible for: + Obtaining all insurance and dental authorizations and managed care referrals needed for BCH patients in accordance with

…and integrating the social/community needs of members. Experience in a managed care environment preferred. **License/Certification:** Valid driver's license,

…care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals

…preferred + Possess skilled nursing facility billing experience including Medicare, Medicaid and Managed Care + Proficient in Microsoft Excel and Word +

…care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals