Managed Care Provider Relations Manager jobs in Augusta, GA

Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Medical Assistant for a Managed Care Clinic
  • EVOLVE MANAGED CARE SOLUTIONS
  • Augusta, GA FULL_TIME

  • Medical Assistant- Managed Care/ Case Management 

    ·       One (1) year related experience.
    ·       CMA certified 
    ·       Strong interpersonal skills with patients and co-workers.
    ·       Proven ability to interact professionally and empathetically with patients and their families, particularly in sensitive situations.
    ·       Ability to field and manage a high volume of interaction with patients and their families.
    ·       Ability to balance multiple responsibilities and shift priorities as needed.
    ·       Ability to consistently prioritize patient care over other work demands.
    ·       Be able to maintain strict confidentiality with experience applying sound judgment and discretion.
    ·       Have excellent communication skills with the ability to communicate verbally and in writing.
    ·       Ability to work with mental health populations, including autistic children.

    Preferred Qualifications:
     
    ·       Positive Personality
    ·       Self-motivated and detailed oriented 
    ·       Eager and excited to learn new things 
    ·       Electronic Medical Record experience
    ·       Experience with Microsoft Office products
     
     
    Special Conditions:
     
    ·       Needs to be forward-thinking and able to drive practice and patient goals. 



    Role and Responsibilities:
     
    ·       Answer phone calls, emails, and in-person inquiries
    ·       Communicate with patients to set up and schedule optimal appointment times.
    ·       Facilitate and engage as an integral part of the team and workflow by helping where needed and communicating needs.
    ·       Gather and track medical information from patients. 
    ·       Organize and input data into electronic health records. 
    ·       Inquire and process patients’ health insurance. 
    ·       Support office with administrative and secretarial tasks 
    ·       Communicate with the internal office team and providers to ensure patients are helped, and everyday tasks are accomplished. 
    ·       Understand and maintain HIPAA regulations. 
    ·       Perform TMS. (Onsite Training)
    ·       Perform duties of differing service platforms and any other responsibilities required. 
    ·       Act as liaison between patients, providers, and care team
    ·       Pays close attention to details and documentation.
    ·       Exhibits ability to be flexible to address patient needs as they arise.
    ·       Communicates clearly with patients’, family, and medical care team.
    ·       Exhibits strong interpersonal skills.
    ·       Works well with a diverse population.
    ·       Knowledge of Microsoft Office programs
     
     
     
  • 23 Days Ago

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Front Office Medical Assistant
  • EVOLVE MANAGED CARE SOLUTIONS
  • Augusta, GA FULL_TIME
  • Front Office Medical Assistant· One (1) year related experience.· CMA certified · Strong interpersonal skills with patients and co-workers.· Proven ability to interact professionally and empatheticall...
  • 23 Days Ago

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Licensed Mental Health Therapist /Social Worker/Clinical Counselor Remote and onsite work
  • EVOLVE MANAGED CARE SOLUTIONS
  • Augusta, GA PART_TIME
  • Licensed Mental Health Therapist /Social Worker/Clinical Counselor Remote and onsite work, Serene Health is looking for licensed behavioral health professionals to join us as we redefine behavioral he...
  • 24 Days Ago

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Cleaner
  • Aware Manager
  • Augusta, GA FULL_TIME,PART_TIME,CONTRACTOR
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 19 Days Ago

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Community Relations Manager (External Sales)
  • Homestead Hospice
  • Augusta, GA FULL_TIME
  • Job Summary:The Community Relations Manager serves as Homestead Hospice’s first contact with the public, both patient/family and clinical. The Community Relations Manager initiates positive customer r...
  • 3 Days Ago

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Business Office Manager
  • Care Network
  • Appling, GA FULL_TIME
  • We are looking for a Business Office Manager to work in our financial office at our skilled nursing facility (SNF). The Business Office Manager must be professional, pay attention to detail, have exce...
  • 16 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Augusta, GA area

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TeleSales Representative - Remote
  • InsuraTec
  • Augusta, GA
  • Job Description Job Description TeleSales Representative- Remote Job Description: Are you a self-motivated, driven indiv...
  • 4/18/2024 12:00:00 AM

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Plant Mechanic Series (Trainee - IV)
  • City of Augusta, GA
  • Augusta, GA
  • Salary: $33,684.00 - $54,187.00 Annually Location : Augusta, GA Job Type: Full Time Permanent Job Number: 201203377 Depa...
  • 4/18/2024 12:00:00 AM

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Maintenance Engineer
  • Augusta Marriott
  • Augusta, GA
  • Benefits: 401(k) matching Dental insurance Employee discounts Health insurance Paid time off Vision insurance Please do ...
  • 4/18/2024 12:00:00 AM

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Payroll Specialist
  • Staff Financial Group
  • Augusta, GA
  • Payroll Specialist Duties & Responsibilities: Reviewing timesheets, wage computation, and other information to detect an...
  • 4/18/2024 12:00:00 AM

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Diesel Mechanic
  • Ryder System
  • North Augusta, SC
  • Position Description Torque by Ryder is Immediately hiring a Permanent Full Time Experienced Mobile Diesel Technician to...
  • 4/17/2024 12:00:00 AM

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Construction Project Manager
  • Insight Global
  • Augusta, GA
  • Role description: We are seeking an experienced Project Manager to lead the building construction of a largescale, brown...
  • 4/17/2024 12:00:00 AM

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Director of Sales - Chattanooga, TN
  • Auben Realty
  • Augusta, GA
  • Job Description Job Description Job Description Title: Director of Sales Department: Leadership Team Reports to: Preside...
  • 4/16/2024 12:00:00 AM

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Commercial Service Manager
  • Snider Fleet Solutions
  • Augusta, GA
  • People who want to do a great job want to work for a company that values that dedication. We do. Snider Fleet Solutions ...
  • 4/15/2024 12:00:00 AM

Augusta is located on the Georgia/South Carolina border, about 150 miles (240 km) east of Atlanta and 70 miles (110 km) west of Columbia. The city is located at 33°28′12″N 81°58′30″W / 33.47000°N 81.97500°W / 33.47000; -81.97500 (33.470, −81.975). According to the United States Census Bureau, the Augusta–Richmond County balance has a total area of 306.5 square miles (793.8 km2), of which 302.1 square miles (782.4 km2) is land and 4.3 square miles (11.1 km2) (1.42%) is water. Augusta is located about halfway up the Savannah River on the fall line, which creates a number of small falls on the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$93,330 to $134,631
Augusta, Georgia area prices
were up 1.5% from a year ago

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