Managed Care Provider Relations Manager jobs in West Virginia

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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Managed Care Biller
  • CommuniCare Family of Companies
  • Charleston, WV FULL_TIME
  • Managed Care Biller

    Due to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Central Billing Department. This position will be based in our Central Billing Office located in Charleston, WV, but it can be remote if the employee lives more than an hour's commute from Charleston.

    PURPOSE/BELIEF STATEMENT

    The position of Managed Care Biller/Collector is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned. Ultimately they are responsible for hitting their cash collection goals each month and minimizing the impact of Bad Debt for the buildings/facilities assigned to them.

    WHAT WE OFFER

    All CommuniCare employees enjoy competitive wages and PTO (Paid Time Off) plans. We offer full time employees a menu of benefit options that include:

    • Life Insurance and Disability Plans
    • Medical, dental, and vision coverage from quality benefit carriers
    • 401K with employer match
    • Flexible Spending Accounts

    POSITION REQUIREMENTS

    • Knowledge of medical billing/collection practices.
    • 3-5 years experience in managed care billing preferred
    • Experience billing various Managed Care companies and understanding the requirements for each payor
    • Claim appeal/resolution expertise preferred
    • Must have a high degree of attention to detail.
    • Strong verbal and written skills required in order to interact with insurance companies to resolve unpaid claims via telephone and written correspondence.
    • Basic computer literacy and skills.
    • Strong organizational skills a must.

    About Us

    A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

  • 8 Days Ago

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Integrated Behavioral Health Provider
  • Pendleton Community Care, Inc.
  • Franklin, WV FULL_TIME
  • Pendleton Community Care, Inc. is a Federally Qualified Health Center (FQHC) looking for a Master’s level: Licensed Psychologist, Licensed Clinical Social Worker, or Licensed Professional Counselor to...
  • 7 Days Ago

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Home Care Provider
  • Senior Monongalians Inc
  • Morgantown, WV PART_TIME
  • Local senior center seeks indivduals to provide non medical, in home, one on one assistance to the elderly and disabled indivduals in Monongalia County. Duties include, but not limited to assisting th...
  • 9 Days Ago

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Medical Eye Care Provider
  • The Eye Group
  • Petersburg, WV FULL_TIME
  • Join our 10 MD Ophthalmology Practice in Northern West Virginia and Western Maryland! Exciting Opportunity: We are seeking a stellar optometrist to join our team part or full-time. Location: Enjoy pra...
  • 11 Days Ago

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In Home Care Provider
  • Coalfield Community Action Partnership
  • Kermit, WV FULL_TIME,PART_TIME
  • Apply at www.coalfieldcap.org/employmentWe are seeking caring individuals who enjoy working with senior citizens. The position provides in-home care services.Requirements: valid driver’s licenseRate o...
  • 19 Days Ago

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IN-HOME CARE PROVIDER
  • Seneca Health Services, Inc
  • Webster, WV FULL_TIME
  • Are you Compassionate, Dedicated, Dependable? If you have a passion for caring for others, APPLY NOW, to join our team!Our care providers assist individuals with intellectual disabilities with daily l...
  • 20 Days Ago

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Relationship Manager
  • Ascensus
  • Greensboro, NC
  • Newport, an Ascensus company, helps employers offer their associates a more secure financial future through retirement p...
  • 6/11/2024 12:00:00 AM

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Relationship Manager
  • GROVER GAMING
  • Elyria, OH
  • Job Description Job Description Job Title: Relationship Manager Department: Ohio Sales Reports To: Sales Manager Status:...
  • 6/11/2024 12:00:00 AM

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Relationship Manager
  • Allium Financial Advisors, LLC
  • Lake Oswego, OR
  • Summary This position is responsible for partnering with Financial Advisors to help manage client relationships by perfo...
  • 6/10/2024 12:00:00 AM

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Relationship Manager
  • Flourish
  • New York, NY
  • Flourish was founded in 2017 with the goal of helping financial advisors to better secure the financial futures of their...
  • 6/9/2024 12:00:00 AM

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Relationship Manager
  • Wind River Payments
  • Madison, WI
  • As a Relationship Manager at Wind River Payments (WRP), you will thrive on building strong, long-term client relationshi...
  • 6/9/2024 12:00:00 AM

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Relationship Manager
  • Palmetto
  • Company Description Recognized by Forbes as one of the fastest-growing private companies in the United States, Palmetto ...
  • 6/7/2024 12:00:00 AM

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Relationship Manager
  • Valley Bank
  • Jacksonville, FL
  • Why you should consider applying to this opportunity: You're excited to build relationships with Commercial & Industrial...
  • 6/7/2024 12:00:00 AM

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Relationship Manager
  • Team Select Home Care
  • Evansville, IN
  • Overview: You can apply by texting TSC to 97211 Now offering DailyPay! Ask us about it! Are you looking for an exciting ...
  • 6/7/2024 12:00:00 AM

West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston. West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$91,217 to $131,583

Managed Care Provider Relations Manager in Trenton, NJ
Rizk says McKesson has created a collegial relationship by reaching out to providers.
January 03, 2020
Managed Care Provider Relations Manager in Gary, IN
Aetna (57% favorable/37% unfavorable) has turned around providers by changing leadership and addressing provider concerns.
February 24, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019