…union environment preferred; prior networking (relationship building) experience for either managed care or integrated delivery systems; demonstrated ability to

…management techniques and applications; and Healthcare administration, including managed care administration, regulatory management, government regulations,

…direct patient care /clinical experience is required. + 2 years of experience in managed care is preferred. + Experience in the use of behavioral interviewing

…reduction and maintenance of bad debt + Leverage your understanding of all Center managed care contracts with third party payors including Medicare and Medicaid

…experience required + At least 2 years of experience with Federal Medicare/Medicaid and Managed Care reimbursement system management in working with the MDS and

…Resident Assessment Coordinator is responsible for all of the facility Medicare and Managed Care residents as directed by the Resident Assessment Director.

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

…denial process. 4. Educates patients, parents, guardians and/or appropriate designee on managed care process and communicates authorizations if needed. Reviews

…quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process improvement; or any

…preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a