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)
Description
JOB SUMMARY
Under the direction of the Revenue Integration Manager, the Managed Specialist is responsible for obtaining preauthorization for inpatient admissions, outpatient surgeries and advanced imaging procedures; and for charge processing through various methods to facilitate the billing process.
ESSENTIAL DUTIES AND RESPONSIBILITIES
CORPORATE CULTURE RESPONSIBILITIES
Requirements
EDUCATION/EXPERIENCE REQUIREMENTS
KNOWLEDGE, SKILLS AND ABILITIES
PHYSICAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS
EMOTIONAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS
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