Healthcare Manager Care Specialist
Job Description
Job Description
A-Line Staffing is now hiring Healthcare Manager Care Specialist (Hybrid) in Harrisburg, PA 17110. If you are interested in this Healthcare Manager Care Specialist position, please contact Alexis at 1586-422-1748
Healthcare Manager Care Specialist (Hybrid)Compensation
- The pay for this position is 20.00-22.00 per hour
- Benefits are available to full-time employees after 90 days of employment
- A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
Healthcare Manager Care Specialist (Hybrid) Location Remote : Possible limited travel to Harrisburg meeting Required in office one day per month.
Healthcare Manager Care Specialist (Hybrid) Highlights
- This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
- The required availability for this position is M-F 8:30am-4:30pm
Healthcare Manager Care Specialist (Hybrid)Responsibilities
- Review and update forms, calendar, and file schedules on extranet.
- Received and process CAO notification forms received from MCO as needed.
- Prepare system notices as requested.
- Download, import and query Facility/Waiver database from Mainframe. Distribute reports as needed for processing by other units.
- Review OIM intranet for daily statuses, memos, bulletins and Operations Memo updates and changes’
- Coordinate reports being distributed related to MA Recidivism.
- Review requests received related to Enrollment Verification System.
- Make updates and corrections for Managed Care based on reports and requests from MCO and other program offices.
- Participate in testing of Electronic Client Information System after system releases and system updates.
- Review MCO alert file submissions.
- Review and complete monthly reports identifying capitation discrepancies related to newborn MA recipients.
- Review and complete monthly report identifying capitation discrepancies related to dates of deaths on MA records.
- Review requests to update recipient information related to Medicar
Complete special projects, as assigned by supervisor or senior staff
- Perform other duties as assigned.
Healthcare Manager Care Specialist(Hybrid)Requirements
- Experience required:
- Bachelor’s Degree or equivalent experience
- At least 2 years of healthcare industry experience, preferably with a health plan
- A working knowledge of healthcare operations preferably: billing/payments, customer service, claims/capitation processing, provider and reference files,
- Applied analytical skills
- Strong written and verbal communication skills
- Proficiency in Microsoft Office Suite, including Access, Excel, PowerPoint and Word
- Proven ability to successfully complete both short and long-term assignments
- Ability to lead meetings and/or presentations
If you think this Healthcare Manager Care Specialist position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!
For more information, please contact
Alexis
Staffing Manager
(586) 422-1748 Direct