Managed Care Provider Relations Manager jobs in Buffalo, NY

Managed Care Network, Inc., (MCN) is a growing company headquartered in Niagara Falls, New York, which offers Managed Care services to Property & Casualty Insurance Carriers throughout New York State.

MCN strives to be the best in the marketplace by providing our customers with responsive service, innovative solutions, and high-quality outcomes. We take pride in our work and our company, and for being viewed as a reliable and dependable partner for our customers. We value our customers each and every day and in everything we do.

This specific position is for a certified professional coder (CPC). The Certified Coder will work with provider billers on a daily basis to negotiate bills that do not fall under a fee schedule. The Certified Coder will also review bills and corresponding medical notes to determine the point of stabilization on DWI cases, incidents of syncope, heart attack, stroke and other medical conditions that are not accident related.

Qualifications:

· Candidate must be a Certified Professional Coder (CPC)

· High level of integrity, attention to detail, dependable

· Excellent reading, writing, and verbal communication skills

· Analytical and researching skills

· Excellent computer skills, including Microsoft Office - Word, Outlook, and Excel.

· Able to meet deadlines

· Must have an excellent, pleasant, and persuasive communication style both verbally and in written form.

Education & Experience:

· Certified Professional Coder (CPC) Certification

· Certification in Medical Coding

· Comprehensive Knowledge of International Classification of Diseases (ICD-10)

· Experience with Workers Compensation, No-Fault Insurance Medical Bills, Diagnosis Related Groups (DRGs) and Enhanced Ambulatory Patient Groups (EAPGs)

Job Duties and Responsibilities

· Reviewing medical bills and auditing those bills for validity and accuracy

· Comply with various fee schedules

· Ensure coding and charges are supported by appropriate clinical documentation

· Write legally sound affidavits to be submitted for arbitration and litigation purposes

· May have to testify in relation to an audit or affidavit they have written.

Work Location:

Must be a New York State Resident

Hybrid; Remote is available

Job Type / Schedule:

Monday-Friday

Full-time

8-Hour Shifts

Salary: $55,000 - $75,000 per year

Available Benefits:

• 401(k) With company matching
• Dental insurance
• Health insurance
• Health Savings Plan (HSA)
• Life & disability insurance
• Paid time off

Ability to commute/relocate:

• Niagara Falls, NY 14303: Hybrid/ Remote available

License/Certification:

• Driver's License (Preferred)
• Certified Professional Coder (CPC)

Shift availability:

• Day Shift (Required)

Job Type: Full-time

Salary: $55,000.00 - $75,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Hybrid work
• Office

Ability to commute/relocate:

• Niagara Falls, NY 14303: Reliably commute or planning to relocate before starting work (Required)

Work Location: Hybrid remote in Niagara Falls, NY 14303

Job Type: Full-time

Pay: $55,000.00 - $75,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Office

Ability to Relocate:

• Niagara Falls, NY 14303: Relocate before starting work (Required)

Work Location: In person