You’ll need
Education
✓Equivalent experience will be accepted in lieu of the required degree or diploma.
✓Bachelor's in Business and/or Healthcare Administration, or related field.
Qualifications
✓2 years of recent relevant experience.
✓Working knowledge of managed care requirements and processes.
✓Knowledge of system, affiliate and community resources, and third-party payers (e.g., PPO, HMO, Medicare, insurance plans).
✓knowledge of insurance authorization process and HIPPA requirements.
✓Familiar with medical and managed care terminologies.
✓Understanding of disease process to assess referral requests and appropriate level/provider of care required.
✓Ability to define issues, collect data, establish facts and draw valid conclusions.
✓Displays a customer service focus in all decisions and actions.
✓Ability to communicate through verbal and written means, and to present information to a variety of audiences.
✓Organization skills to effectively manage and/or re-prioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness.
✓Ability to interact and maintain effective working relationships with those contacted in the performance of required duties.
✓Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment.
✓Demonstrates initiative in providing feedback/input to improve workflow/processes.
✓Ability to work effectively in a dynamic and fast-paced environment with changing business priorities.
✓Ability to maintain and work discreetly with confidential and sensitive information.
✓Ability to use essential applications and/or databases associated with the role’s duties and responsibilities.
Benefits
Benefits package (see posting)