Non Profit Org - Managed Care Coordinator

Job Description

Job Description

Description :

The Managed Care Coordinator is responsible for coordinating and managing the day-to-day activities associated with managed care programs, with a primary focus on monitoring and tracking patient enrollments and disenrollments to reestablish care with the health center and enhancing patient retention efforts. This role involves ensuring compliance with managed care contracts, providing support to patients, healthcare providers. The ideal candidate will have a strong understanding of healthcare systems, excellent organizational skills, and the ability to communicate effectively with various stakeholders.

General Accountabilities

Patient Management :

• Monitors and tracks patient enrollments and disenrollments.
• Ensures timely re-establishment of care.
• Develops strategies to improve patient retention and reduce disenrollment.
• Assists patients with re-establishing care, PCP switches, and scheduling with enrollment counselors.
• Facilitates patient access to healthcare services.
• Addresses patient inquiries and resolves issues related to managed care coverage.
• Assists with patient outreach initiatives.

Provider & Credentialing Support :

Data Analysis & Reporting :

Compliance & Regulation :

Communication & Collaboration :

Equal Employment Opportunity

Universal Community Health Center is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), age, disability, genetic information, national origin, or any other protected characteristic as defined under applicable state, federal, or local laws.

Requirements : Qualifications

Minimum of 2-3 years of experience in managed care, registration, enrollment, or a related field.

Skills :

Physical Requirements

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job

Work Environment