Managed Care Specialist

Job Summary

A company is looking for a Managed Care Specialist to facilitate resolution of contract variances and discrepancies.

Key Responsibilities

• Maintain reporting requirements and manage contract files
• Identify and resolve contract variances through collaboration with payers and internal departments
• Conduct contract performance reviews and submit project appeals related to contract issues

Required Qualifications

• High School Diploma or GED
• At least three (3) years of experience in medical billing
• Knowledge of State, Federal, and Managed Care regulatory guidelines
• Experience with benefit insurance billing contract management