MedPro Managed Care Specialist

Requirements

• Utilize the Managed Care Worklist to track receipt, delays and completion of requests, to prioritize requests and obtain authorizations prior to scheduled date of service, as required by protocol.
• Communicate in a professional manner with staff in medical offices and co-workers.
• Be knowledgeable of current insurance carrier requirements regarding pre-authorization of services and update/maintain the Preauthorization Insurance Matrix at minimum on an annual basis.
• Stay current on insurance carrier requirements for pre-authorizations through continuing education opportunities and research.
• Assist medical offices with questions.
• Analyze data recorded in the Managed Care Work list to provide recommendations for process improvements.
• Maintain an understanding of the impact on the remainder of the billing process and work with leadership on continued process improvements and efficiencies.
• Accurately follows written and verbal instructions.
• Follow established corporate and department-specific policies and procedures.
• Attend all corporate and department-specific required training.
• Uphold MCC’s Purpose, Values, and Vision.
• Abide by MCC’s Corporate Culture Responsibilities.
• Perform other duties as may be assigned cheerfully and willingly.

Benefits

• Paid time off
• Retirement plan
• 401(k) matching
• Medical benefits
• Dental benefits
• Vision benefits