REMOTE - Senior Managed Care Network Operations Specialist at Mercy
Chesterfield, MO 63017, USA -
Full Time


Start Date

Immediate

Expiry Date

28 Nov, 25

Salary

0.0

Posted On

28 Aug, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Office Procedures, Design Programs, Communication Skills, Managed Care, Medical Terminology, Medical Coding, Hospital Operations

Industry

Hospital/Health Care

Description

QUALIFICATIONS:

  • Experience: One-year managed care or health care experience desired with ability to develop and perform. In Lieu of degree, 5 years managed care or health care experience.
  • Required Education: Bachelor’s Degree or commensurate experience in lieu of the degree as outlined below.
  • Preferred Education: Understanding of physician office procedures, hospital operations, medical terminology and/or health plan benefits desired. Familiarity with medical coding desired. Requires a highly self-motivated and independent worker who is able to develop and keep own schedule, is able to prioritize assignments and design programs to meet the needs of individual groups and/or offices. Strong interpersonal and communication skills with the ability to design tools which will be useful in educating office staffs and physicians on issues related to Managed Care. Excel or Access knowledge helpful.
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Preferred Experience: Previous physician office, hospital or insurance company experience in filing/coding claims preferred.

  • Other: Understanding of physician office procedures, hospital operations, medical terminology and/or health plan benefits desired. Familiarity with medical coding desired. Requires a highly self-motivated and independent worker who is able to develop and keep own schedule, is able to prioritize assignments and design programs to meet the needs of individual groups and/or offices. Strong interpersonal and communication skills with the ability to design tools which will be useful in educating office staffs and physicians on issues related to Managed Care. Excel or Access knowledge helpful.
Responsibilities

Please refer the Job description for details

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