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Managed Care Coordinator

HMO

 

Address   Franciscan Health
    7905 Calumet Avenue
    Hammond, IN 46321

Hours  Days

Calendar  Full-Time

Education Bachelor's Preferred

WHAT WE NEED

Champion of patients

WHO WE ARE LOOKING FOR

At Franciscan Health compassionate care extends beyond the doctors and nurses to include everyone on our team. This is particularly true for our Managed Care Coordinators. These special people review managed care contract terms ensure these contract profiles and correct reimbursement are set up in our Managed Care application.

Do you love working with detail? Are you able to analyse and then coordinate that to information in our software program? Do you enjoy multi-tasking and working with lots of variety? We have a special place waiting just for you. 

WHAT YOU WILL DO
  • Subject matter expert of patient accounting system and how it relates to the managed care software.
  • Analyse and conceptualize how contracts can be entered on the software program.
  • Coordinate the managed care, receivable, and financial areas all interaction in managed care environment.
  • Review contract and decide the most effective way to load required data.
  • Verify that computed contractuals are correct and accurate.
  • Provide necessary documentation to pursue contested payments.
  • Assist commercial team members in understanding the reimbursement component of the contracts.
  • Work on contract modeling and assists Finance and Managed Care areas in retrieving necessary information.
  • Familiar with different levels of care and how they are billed.
  • Test data and pursue tedious changes to ensure that output is accurate and of value to the institution.
WHAT IT TAKES TO SUCCEED
  • Interact with others in a calm, friendly and caring manner.
  • High attention to detail.
  • Strong organizational and analytical skills.
  • Follow well-defined instructions and comply with regulations, standards and procedures
  • Multi-task in a fast-paced environment.
  • Proficient computer skills.


WHAT WE'RE LOOKING FOR

 

1-3 Years Experience

License(s): Not Applicable

Certification(s): Not Applicable

Travel: Never or Rarely

 

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

ADMINISTRATIVE/CLERICAL ​​​​


Nearest Major Market: Gary
Nearest Secondary Market: Chicago