…of Milliman or InterQual criteria Preferred: + Experience working within a managed care environment Specific Technical Skills Preferred: Computer proficiency

…providing care in the home setting + Experience working within a managed care environment + Specific Technical Skills Required: Computer proficiency SCOPE

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

…vacancies due to cancellations. + Obtain pre-certifications as required by patients' health care insurers or managed care providers. Register patients for

…disorders. 7. Negotiates level of care and length of stay with managed care companies; continually re-evaluates client's needs and informs the third party

…and/or Interqual criteria. + Track, trend and analyze reports with documentation. + Managed Care or IPRO experience. + Knowledge of regulatory requirements ie

…appropriate. + Provides necessary information/communication to meet all requirements needed for managed care authorization of services and 3 rd party insurance

…and new policies; reviews problems and opportunities. + Collaborates with the managed care department. MINIMUM QUALIFICATIONS: + Bachelor's degree in business

…travel required for this position + Bachelor's Degree + 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider

…online insurance eligibility and pre- certification systems. Must have expertise in insurance, managed care and federal/ state coverage. Must be customer focused