Managed Care Finance Director jobs in Fort Smith, AR

Managed Care Finance Director directs and oversees all policies and procedures for the financial and data operations of managed care contracts. Manages contracts, negotiates and sets rates, and reviews reimbursement levels and managed care agreements to ensure that proper payment practices are utilized. Being a Managed Care Finance Director implements processes that encourage and inform the organization how to increase levels of reimbursements. Requires a bachelor's degree. Additionally, Managed Care Finance Director typically reports to top management. The Managed Care Finance Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Managed Care Finance Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Remote Medical Insurance Reimbursement Specialist - Managed Care
  • Shared Services Center - Fort Smith
  • Fort Smith, AR FULL_TIME
  • This is a remote position. This is for the Managed Care team.

    The working hours are Monday-Friday, 8:00am -4:30pm, EST or CST.

    Summary: The Insurance Reimbursement Specialist, under the direction of Accounts Receivable Manager, ensures claims submitted to responsible entities are received, processed, and resolved in a timely manner. This position’s goals are met through professional communication, confidentiality and adherence to HIPAA guidelines, and a working knowledge of CMS/other payer guidelines.

    Essential Duties and Responsibilities: (List in order of importance or percentage of time spent on the particular responsibility. High to Low)

    • Uses various methods (phone, web, fax, e-mail) of contacting insurance payers and/or responsible entities to obtain claim status on submitted and unresolved claims. (40%)
    • Research patient accounts to ensure account integrity, using all available resources and tools (i.e., payer websites, contracts, and internal references). Use critical thinking skills to resolve account denials and payer barriers. (25%)
    • Take appropriate actions toward account resolution and appropriate balance. This may include actions such as facilitating interdepartmental communication, posting adjustment requests, and providing requested information to insurance payers and/or responsible entities. (20%)
    • Utilize internal computer systems and applications to thoroughly and professionally document all actions taken to reach resolution on an account. (10%)
    • Communicate daily with management about payer trends identified. (5%)

    Qualifications:

    Required Education: High school diploma or equivalent

    Required Experience: 1 year of experience in healthcare revenue cycle or business office.

    Required License/Registration/Certification: None

    Reasoning Ability:

    Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Use reasoning to meet and maintain department and personal benchmarks.

    Computer Skills:

    To perform this job successfully, an individual should have knowledge of Word Processing software, spreadsheet software and database software.


    Physical Demands:

    In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:

    The Employee is required to read, review, prepare and analyze written data and figures, using a pc or similar and should possess visual acuity.

    The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions.

    The Employee is not substantially exposed to adverse environmental conditions and therefore job functions are typically performed under conditions such as those found in general office or administrative work.

    Education

    Required
    • High School or better
  • Just Posted

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Remote Medical Insurance Reimbursement Specialist - Managed Care
  • SSC - Fort Smith
  • FORT SMITH, AR FULL_TIME
  • This is a remote position. This is for the Managed Care team. The working hours are Monday-Friday, 8:00am -4:30pm, EST or CST. Summary: The Insurance Reimbursement Specialist, under the direction of A...
  • 1 Day Ago

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Director of Operations and Finance
  • Hueman PE Talent Solutions
  • Fort Smith, AR FULL_TIME
  • A top client within the high metals manufacturing industry is searching for an experienced Director of Operations and Finance located in Fort Smith, AR. The Director of Operations and Finance will be ...
  • 2 Days Ago

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Consumer Loan Specialist
  • Heights Finance Corporation
  • Sallisaw, OK FULL_TIME
  • Overview We service our communities by offering personal installment loans designed to help our customers get the money they need when they need it. The Consumer Loan Specialist assists both new and e...
  • 12 Days Ago

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Yard Technician - Managed Pressure Drilling
  • Pruitt Tool & Supply Co Inc
  • Fort Smith, AR FULL_TIME
  • Pruitt is seeking candidates for an MPD Yard Technician on site at our Fort Smith, AR facility. Incumbent will install, test and maintain MPD (oilfield) equipment. Incumbent will work as part of the S...
  • 22 Days Ago

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Equipment Technician - Managed Pressure Drilling
  • Pruitt Tool & Supply Co Inc
  • Fort Smith, AR FULL_TIME
  • Pruitt is seeking candidates for an Equipment Technician on site at our Fort Smith, AR facility. Incumbent will install, test and maintain MPD (oilfield) equipment including MPD choke manifolds, actua...
  • 13 Days Ago

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0 Managed Care Finance Director jobs found in Fort Smith, AR area

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Construction Project Engineer Recent Graduates Welcome
  • JLM Strategic Talent Partners
  • Fort Smith, AR
  • WHO IS JLM STRATEGIC TALENT PARTNERS & WHAT IS OUR ROLE We partner with National & International prime contractors to pr...
  • 4/25/2024 12:00:00 AM

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Financial Advisor
  • Prudential Financial
  • Fort Smith, AR
  • Explore a career as a FINANCIAL PLANNER! Take your career to the next level at Prudential Advisors! Change your life by ...
  • 4/24/2024 12:00:00 AM

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General Manager - Fort Smith, AR
  • Brucknertruck
  • Fort Smith, AR
  • ** General Manager - Fort Smith, AR** **Job Category****:** General Manager **Requisition Number****:** GENER002740 Show...
  • 4/24/2024 12:00:00 AM

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Planning Specialist I
  • ArcBest
  • Fort Smith, AR
  • ArcBest is a logistics company with creative problem solvers who deliver integrated solutions for complex supply chain c...
  • 4/24/2024 12:00:00 AM

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Vice President, Corporate Services Administration
  • Government Of Northwest Territories
  • Fort Smith, AR
  • Vice President, Corporate Services Administration Aurora College's mission is to demonstrate leadership in the delivery ...
  • 4/23/2024 12:00:00 AM

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CORP - Sr. Manager of Technical & Veterinary Services
  • Bachoco OK Foods
  • Fort Smith, AR
  • Founded more than 80 years ago, OK Foods has grown from a livestock and poultry feed manufacturer to join one of the wor...
  • 4/23/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Fort Smith, AR
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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NPIS Sorter - 2nd Shift - Fort Smith, AR (10300249)
  • Bachoco OK Foods
  • Fort Smith, AR
  • Founded more than 80 years ago, OK Foods has grown from a livestock and poultry feed manufacturer to join one of the wor...
  • 4/22/2024 12:00:00 AM

Fort Smith is the second-largest city in Arkansas and one of the two county seats of Sebastian County. As of the 2010 Census, the population was 86,209. With an estimated population of 88,037 in 2017, it is the principal city of the Fort Smith, Arkansas-Oklahoma Metropolitan Statistical Area, a region of 298,592 residents that encompasses the Arkansas counties of Crawford, Franklin, and Sebastian, and the Oklahoma counties of Le Flore and Sequoyah. Fort Smith has a sister city relationship with Cisterna, Italy, site of the World War II Battle of Cisterna, fought by United States Army Rangers c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$124,523 to $160,900
Fort Smith, Arkansas area prices
were up 1.2% from a year ago

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