Managed Care Provider Relations Manager jobs in Scranton, PA

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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Business Office Manager
  • Bedrock Care
  • Kingston, PA FULL_TIME
  • Business Office Manager Full-time Day Shift Mon-Fri

    Join our fantastic team as our Business Office Manager Today!

    About Us:

    Our company is a leading healthcare organization dedicated to providing compassionate and exceptional care to our senior residents. We are currently seeking a professional, energetic, and qualified individual to join our team as a Business Office Manager in our Skilled Long-term Care facility located in Kingston, PA.

    Business Office Manager Position Overview:

    As the Business Office Manager, you will oversee the business office staff, company policies and procedures related to billing, accounts receivable, census processing, and payroll.                   

    Business Office Manager Benefits:

    • Competitive annual salary up to 83 K based on experience.
    • Comprehensive benefit packages.
    • Supportive and inclusive work environment
    • Opportunities for professional development and growth within our organization.

    Business Office Manager Key Duties:

    • Assist with collecting documentation for Medicaid applicants.
    • Meet with residents and families to discuss financial obligations.
    • Assist with the insurance authorization process.
    • Partner with Admissions to ensure agreements are executed.
    • Ability to follow professional standards, policies and procedures, federal, state, and local requirements, and DOH standards.
    • Maintain HIPAA privacy, security, and confidentiality standards. 

     

     Business Office Manager Qualifications:

    • Must have an A.A.S degree in Business, Finance, Bookkeeping, or related.
    • Strong knowledge of Medicare, Medicaid, and HMO process.
    • Two years of business office experience working in a SNF or LTC facility.
    • Proficient in budgeting and fiscal management.

    We welcome referrals so please share our job with friends and connections. We are an equal opportunity employer.

    Any Questions, please call HR at 570-288-9315 x 258

    If you are a driven and dedicated individual with a passion for healthcare please submit your resume and a cover letter outlining your qualifications and interest in this role to hr@kingstonhealthpa.com   You will be glad you did!

     

     

     

     

     

     

     

     

     

     

     

  • 2 Months Ago

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RN Unit Manager Registered Nurse
  • Bedrock Care
  • Barre, PA FULL_TIME
  • The Unit Manager assumes 24-hour responsibility and accountability for the nursing care of all residents on an assigned unit. Supervises licensed nurses and other nursing personnel in the delivery of ...
  • 16 Days Ago

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Office Manager
  • Berwick Veterinary Care Center
  • Berwick, PA FULL_TIME
  • Berwick Veterinary Care Center is seeking an experienced management professional to join our leadership team as an Office Manager, ideally with experience in the veterinary field. The successful candi...
  • 21 Days Ago

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Business Office Manager
  • We Care HCC
  • Montoursville, PA FULL_TIME
  • Come join the team at WeCare at Loyalsock! WeCare at Loyalsock is actively seeking a motivated Business Office Manager for our community in Montoursville, PA. Job Description: · Meeting with residents...
  • 13 Days Ago

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RN Clinical Manager
  • BAYADA Home Health Care
  • Clarks Summit, PA FULL_TIME
  • BAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of Nurse Manager/Home Care RN for our Clarks Summit, PA pediatric home care office. Highlights: Comprehensive benefits p...
  • 2 Months Ago

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RN Case Manager - Home Health
  • Traditional Home Health Care
  • Scranton, PA FULL_TIME
  • Traditional Home Health Care Join our team of professionals and make a difference in someone's life. **$15,000 Sign-on Bonus for full-time RN Case Manager** Job Title: Registered Nurse (Weekend Progra...
  • 16 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Scranton, PA area

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Commercial Insurance Account Manager
  • YMI Insurance
  • Stroudsburg, PA
  • As a Commercial Account Manager, you'll be based in our Allentown office, working alongside a team that values teamwork ...
  • 5/7/2024 12:00:00 AM

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Diesel Mechanic Technician
  • Ryder System
  • Hazleton, PA
  • Position Description Torque by Ryder is Immediately hiring a Permanent Full Time Experienced Mobile Diesel Technician to...
  • 5/7/2024 12:00:00 AM

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Agile Scrum Master
  • Saxon Global
  • Pittston, PA
  • Job Description: CEDC (Conservation and Environment Delivery Center) is looking for an experienced and motivated Project...
  • 5/6/2024 12:00:00 AM

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Customer Care Representative $17 hourly
  • Raymour and Flanigan
  • Wilkes Barre, PA
  • Job Description Who we are: With Raymour and Flanigan, you'll quickly learn that our core beliefs are about you! We beli...
  • 5/6/2024 12:00:00 AM

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Logistics Coordinator/ Route Supervisor
  • Aston Carter
  • Lake Ariel, PA
  • Description: The Route/Logistics Supervisor is responsible for directing the daily activities of drivers and helpers in ...
  • 5/6/2024 12:00:00 AM

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Casual Customer Care Representative $17 hourly
  • Raymour and Flanigan
  • Stroudsburg, PA
  • Job Description Who we are: With Raymour and Flanigan, you'll quickly learn that our core beliefs are about you! We beli...
  • 5/6/2024 12:00:00 AM

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Diesel Mechanic
  • Ryder System
  • WILKES BARRE, PA
  • Position Description Torque by Ryder is Immediately hiring a Permanent --Full Time Experienced Mobile Diesel Technician ...
  • 5/5/2024 12:00:00 AM

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Patient Care Technician I - Full Time Overnights - Advanced Acute Care Medical and Oncology Unit - No CNA Cert Required - No Experience Required
  • Geisinger Health
  • Scranton, PA
  • Location: Geisinger Community Medical Center (GCMC) Shift: Nights (United States of America) Scheduled Weekly Hours: 36 ...
  • 5/4/2024 12:00:00 AM

Scranton is the sixth-largest city in the Commonwealth of Pennsylvania. It is the county seat and largest city of Lackawanna County in Northeastern Pennsylvania's Wyoming Valley and hosts a federal court building for the United States District Court for the Middle District of Pennsylvania. With a population of 77,291, it is the largest city in the Scranton–Wilkes-Barre–Hazleton, PA Metropolitan Statistical Area, which has a population of about 570,000. The city is conventionally divided into 7 districts: North Scranton, Southside, Westside, East Scranton (Hill Section), Central City, Minooka, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$95,667 to $138,003
Scranton, Pennsylvania area prices
were up 1.5% from a year ago

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