…Qualifications** - Case Management and Discharge Planning experience preferred - Managed Care experience preferred - Microsoft Office experience preferred

…monitor appointments. 3. Schedule outpatient procedures. 4. Apply third party and managed care policies, procedures, and guidelines. 5. Obtain insurance

…customer service by providing consistent communication. Works appropriately within various managed care systems to make triage decisions. 15. Participates

…to assist with appeals of denied or downgraded coverage determinations by managed care , commercial payers, and recovery audit contractors **Minimum

…areas preferred: Behavior Health, Transplant, Neo-Natal or Oncology. + Previous experience in managed care a plus. + Clinical knowledge of the health or

…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional

…Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options

…payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and

…inpatient behavioral health care . + Must have experience working with managed care and understanding of prior authorizations and utilization review. +

…in billing and health insurance guidelines and practices, including commercial, Medicare and managed care payers. Solid knowledge of and ability to use,