Managed Care Provider Relations Manager jobs in Charleston, WV

Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Managed Care Biller
  • CommuniCare Family of Companies
  • Charleston, WV FULL_TIME
  • Managed Care Biller

    Due to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Central Billing Department. This position will be based in our Central Billing Office located in Charleston, WV, but it can be remote if the employee lives more than an hour's commute from Charleston.

    PURPOSE/BELIEF STATEMENT

    The position of Managed Care Biller/Collector is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned. Ultimately they are responsible for hitting their cash collection goals each month and minimizing the impact of Bad Debt for the buildings/facilities assigned to them.

    WHAT WE OFFER

    All CommuniCare employees enjoy competitive wages and PTO (Paid Time Off) plans. We offer full time employees a menu of benefit options that include:

    • Life Insurance and Disability Plans
    • Medical, dental, and vision coverage from quality benefit carriers
    • 401K with employer match
    • Flexible Spending Accounts

    POSITION REQUIREMENTS

    • Knowledge of medical billing/collection practices.
    • 3-5 years experience in managed care billing preferred
    • Experience billing various Managed Care companies and understanding the requirements for each payor
    • Claim appeal/resolution expertise preferred
    • Must have a high degree of attention to detail.
    • Strong verbal and written skills required in order to interact with insurance companies to resolve unpaid claims via telephone and written correspondence.
    • Basic computer literacy and skills.
    • Strong organizational skills a must.

    About Us

    A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

  • 12 Days Ago

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Managed Care Biller
  • Stonerise Corporate
  • Charleston, WV FULL_TIME
  • Managed Care Biller Due to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Billing Office located in Charleston, WV. PURPOSE/BELIEF STATEMEN...
  • Just Posted

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Precertification Specialist, Managed Care Experience Preferred
  • CommuniCare Family of Companies
  • Charleston, WV FULL_TIME
  • Do you have previous Admissions experience with Managed Care?Due to continued growth, CommuniCare Health Services is currently seeking the right professional to fill the full time position of Pre-cert...
  • 1 Day Ago

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IN-HOME CARE PROVIDER
  • Seneca Health Services, Inc
  • Webster, WV FULL_TIME
  • Are you Compassionate, Dedicated, Dependable? If you have a passion for caring for others, APPLY NOW, to join our team!Our care providers assist individuals with intellectual disabilities with daily l...
  • 1 Month Ago

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IN-HOME CARE PROVIDER
  • Seneca Health Services, Inc
  • Summersville, WV FULL_TIME
  • Are you Compassionate, Dedicated, Dependable?If you have a passion for caring for others, APPLY NOW, to join our team! Our care providers assist individuals with intellectual disabilities with daily l...
  • 1 Month Ago

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Palliative Care Advanced Practice Provider
  • AlignMed Partners
  • Charleston, WV FULL_TIME
  • Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on call or weekends)! We are seeking a full-time (40 hours per week) Palliative Care ...
  • 16 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Charleston, WV area

Charleston is the most populous city in, and the capital of, the U.S. state of West Virginia. Located at the confluence of the Elk and Kanawha rivers, the population during the 2017 Census Estimate was 47,929. The Charleston metropolitan area as a whole had 214,406 residents. Charleston is the center of government, commerce, and industry for Kanawha County, of which it is the county seat. Early industries important to Charleston included salt and the first natural gas well. Later, coal became central to economic prosperity in the city and the surrounding area. Today, trade, utilities, governm...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$90,808 to $130,992
Charleston, West Virginia area prices
were up 1.2% from a year ago

Managed Care Provider Relations Manager in Atlantic City, NJ
No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey.
February 11, 2020
Managed Care Provider Relations Manager in Fort Wayne, IN
Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.
January 08, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019