Managed Care Supervisor jobs in Rhode Island

Responsibilities:

Patient Benefit Verification Information: Ensures accurate completion of benefit verification of all new patient insurance information and authorization in accordance with State and Federal regulations, individual requirements and Hospital policies and procedures.

Insurance Referral & Authorization Requirements: Responsible for obtaining required authorizations and/or referrals for all new outpatients scheduled by OP intake coordinators and physician admins for existing and new outpatient program visits

Patient Financial Responsibility: Reviews/obtains insurance co-payment information from third party payers for accuracy. Communicates co-payment and deductible information to Outpatient Receptionists, PBO and Patients.

Requirements:

Education: High School Diploma

Training and Experience: Benefit verification 2 to 4 years exp,

Special Qualifications: Systems: Epic, Cerner preferred but not required

Applicants MUST have strong knowledge and experience with insurance benefit interpretation, interacting with insurance companies, etc.

Schedule: Per Diem Union position

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.