Managed Care Coordinator

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!

Job Title:

Cost Center:

Scheduled Weekly Hours:

Employee Type:

Work Shift:

Job Description:

JOB SUMMARY

The Managed Care Coordinator completes insurance requirements and provides case management as needed for services performed in various patient seeing settings.  The individual obtains and provides insurance benefit information to patients and patient care departments.  The Managed Care Coordinator assists patients and providers with developing strategies for alternative options for non-covered services by communicating with the provider, patient, insurance carrier and Patient Assistance Counselor.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: High school diploma or equivalent.  Successful completion of a medical terminology and an anatomy & physiology course, per departmental procedures, within one year of hire.

Preferred/Optional: Successful completion of a medical terminology and an anatomy & physiology course at time of hire.  Graduate of a Medical Assistant, Health Unit Coordinator or Health Care Business Service program.

EXPERIENCE 

Minimum Required: Three years’ experience in a medical business office or health care setting.  Prior experience should include working with and obtaining insurance eligibility and benefit information.

Preferred/Optional: None

CERTIFICATIONS/LICENSES 

The following licensure(s), certification(s), registration(s), etc., are required for this position.  Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required: For positions hired within the dental centers: Basic Life Support (BLS) awarded by the American Heart Association within one year of hire.

Preferred/Optional: Basic Life Support (BLS) awarded by the American Heart Association at time of hire.

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare.  Successful applicants will listen, serve and put the needs of patients and customers first.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.  This is a condition of employment.  Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.