Managed Care Coordinator/Revenue Cycle
1 month ago
Overview:
Employment Type: Full Time
In Office Position
Benefits: M/D/V, Life Ins., 401(k), PTO, Paid Holidays
Norfolk, Virginia
Pay Range: $23-$25 hourly
JOB SCOPE: Under general supervision, provides administrative support to managed care function by auditing and maintaining managed care contract requirements in computer system, running standard reports, resolving contract errors, and answering routine contract questions. Processes provider credentialing and licensure applications ensuring all licensures are current.Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes Come join our team in the fight against cancer
About US Oncology
The US Oncology Network is one of the nations largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Responsible for entering payer contracts/rates for the practices into practice management system.
- Maintains and coordinates updates from payers to contract fee schedules within the Practice Management System.
- Audits managed care contracting rates and terms in management system ensuring rates are accurate and complete to contract.
- Provides contract summary sheets to revenue cycle staff regarding health plan limitations and restrictions.
- Monitors and communicates contract changes to revenue cycle staff.
- Answers routine and general contract term questions.
- Monthly, produces managed care paid claims reports.
- Reviews reports and verifies that paid claims are in compliance with contracted rates.
- Contacts third party payers to resolve issues and submits appeal in order to obtain outstanding payments.
- Tracks payer denial trends and notifies management of significant changes.
- Updates and maintains current provider licensure files for contracted physicians, practitioners, and nurses.
- Completes state medical license applications and payments to appropriate agencies ensuring applications are accurate, complete, and filed timely.
- Follows-up with state medical licensure boards on status of license applications. Notifies providers of any licensure expirations.
- Maintains contracting metrics and runs appropriate reports to obtain statistics.
- Drafts presentations and materials for contracting meetings.
- Other duties as requested or assigned.
Qualifications:
MINIMUM QUALIFICATIONS:
- High school diploma or equivalent required.
- Minimum of four (4) years combined medical billing and payment experience required.
- Medical coding experience required.
- Proficiency with computer systems and MicroSoft Office (Word, Power Point, and Excel) required.
- Working knowledgeable of state, federal, and third party claims processing required
- Must successfully complete required e-learning courses within 90 days of occupying position.
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.
-
Revenue Cycle Manager
2 days ago
Norfolk, Virginia, United States Regional Business Office Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Manager to join our Regional Business Office team. As a key member of our operations team, you will be responsible for overseeing the front office revenue cycle processes for multiple sites within our organization.Key ResponsibilitiesMaintain compliance with state and federal guidelines, including...
-
Revenue Cycle Coordinator
2 weeks ago
Norfolk, Virginia, United States Sentara Full timeLocation: Norfolk, VAOverview:Sentara Health is seeking a dedicated Full-Time Credit Balance Specialist to join our team in Hampton Roads, Virginia. This role offers a hybrid-remote work arrangement, requiring in-office presence one day per week.Key Responsibilities:- Manage daily operational tasks related to revenue cycle accounts receivable.- Ensure timely...
-
Revenue Cycle Education Specialist
6 days ago
Norfolk, United States Sentara Healthcare Full timePerforms a variety of education project development and mentoring tasks to meet the needs of the Revenue Cycle at each facility. Responsible for developing relationships with the leaders of the functional areas tasked with supporting and enhancing th Revenue, Cycle, Education, Specialist, Integrity, Manufacturing, Healthcare
-
Revenue Cycle Education Specialist
6 days ago
Norfolk, Virginia, United States Sentara Healthcare Full timeRevenue Cycle Education SpecialistAs a key member of the Sentara Healthcare team, the Revenue Cycle Education Specialist plays a vital role in driving excellence in our facilities through the development and implementation of education projects.Key Responsibilities:Build Strategic Partnerships: Foster relationships with leaders in functional areas to enhance...
-
Inventory Management Specialist
2 weeks ago
Norfolk, Virginia, United States Cycle Gear Full timeJob OverviewCompensation Range: $14 - $17+ per hour (base hourly pay plus uncapped tiered commission based on achieving sales targets)Company Overview:Cycle Gear is a leading omnichannel platform in the powersports aftermarket-products sector, committed to enhancing the experience of powersports enthusiasts worldwide. Our brands, including RevZilla, Cycle...
-
Administrative Coordinator
5 days ago
Norfolk, Virginia, United States Child & Family Services of Eastern Virginia Inc Full timeJob OverviewPosition Summary:The Administrative Coordinator / Billing Associate is tasked with managing the operational responsibilities of the office. This role is crucial in ensuring that clients experience a seamless check-in process. The Billing Associate is accountable for the collection, posting, and oversight of account payments, as well as the...
-
Client Services Coordinator
5 days ago
Norfolk, Virginia, United States The Up Center Full timeJob TypeFull-timePosition OverviewThe Administrative Coordinator / Billing Associate is tasked with managing the front office operations of the organization. This role is essential in ensuring a seamless check-in experience for clients. The Billing Associate is responsible for the collection, posting, and oversight of account payments, as well as the...
-
Receiving and Sales Associate
11 hours ago
Norfolk, Virginia, United States Cycle Gear Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Receiving and Sales Associate to join our team at Cycle Gear. As a key member of our retail operations team, you will be responsible for managing the store's backroom operations, receiving products into the POS system, and maintaining accurate inventory levels.Key ResponsibilitiesManage the...
-
Refrigeration and Climate Control Technician
6 days ago
Norfolk, Virginia, United States Life Cycle Engineering Full timePosition Overview:Life Cycle Engineering is seeking a skilled Refrigeration and Climate Control Technician to become a vital part of our team. This role involves supporting various technical activities related to troubleshooting, maintenance, and repair of shipboard climate control systems and equipment.Key Responsibilities:As a technician, you will be...
-
Managed Care Coordinator
2 months ago
Norfolk, United States Elevance Health Full timeThe Foster Care Managed Case Manager is responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract. How you will make an impact: Working with children within the Foster Care System Responsible for performing telephonic or face-to-face history and program needs...
-
Managed Care Coordinator
3 months ago
Norfolk, United States Elevance Health Full timeAnticipated End Date: 2024-06-03 Position Title: Managed Care Coordinator - Foster Care Job Description: The Foster Care Managed Case Manager is responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract. How you will make an impact: Working with children within the...
-
Supply Chain Coordinator II
6 days ago
Norfolk, Virginia, United States Trispoke managed services Full timeJob OverviewAs a Supply Chain Coordinator II, you will play a pivotal role in managing material procurement and supplier interactions. Your primary responsibility will be to gather pricing and availability details from suppliers for necessary materials, ensuring that you are aware of materials classified as Long Lead Time Material (LLTM) and identifying them...
-
Admin Assistant
7 days ago
Norfolk, United States Trispoke managed services Full timeJob DescriptionJob DescriptionAdmin Assistant (Supply chain) - Norfolk, VAUS Citizenship required for this positionJob description:Admin Assistant II Supply Chain. This position will be a good training opportunity learning insurance, working in our document portal onboarding suppliers and granting access. Maintaining supplier profiles, updating contact...
-
Staff Assistant
1 month ago
Norfolk, United States NATO Full timePost Context Headquarters Allied Joint Force Command Norfolk (JFCNF) provides a resilient, static Joint headquarters to plan, prepare and conduct operations across all domains in peacetime, crisis and conflict, in order to support NATO's three core tasks, at the Joint Operational level, as directed by SACEUR. The Support Directorate is responsible for...
-
Administrative Coordinator
2 weeks ago
Norfolk, Virginia, United States The Up Center Full timeJob Type: Full-time Position Overview:The Administrative Coordinator / Billing Associate is responsible for managing the front office operations and ensuring a seamless experience for clients during the check-in process. This role encompasses billing responsibilities, including the collection, posting, and management of account payments, as well as the...
-
Logistics Coordinator at Genuine Care LLC
2 weeks ago
Norfolk, Virginia, United States Genuine Care LLC Full timeJob OverviewGenuine Care LLC is seeking a dedicated logistics coordinator to enhance our operational team. We pride ourselves on fostering a supportive and dynamic work environment.Key ResponsibilitiesDesign, organize, and oversee delivery schedules for maximum efficiencyEnsure continuous communication with drivers to facilitate successful deliveriesKeep...
-
Office Operations Specialist
5 days ago
Norfolk, Virginia, United States The Up Center Full timeJob Type:Full-timePosition Overview:The Administrative Coordinator / Billing Expert is responsible for managing the front office operations and ensuring a seamless experience for clients during the check-in process. This role also encompasses the responsibilities of a Billing Associate, focusing on the collection, posting, and management of account payments,...
-
Patient Care Coordinator
1 week ago
Norfolk, Virginia, United States Eastern Virginia Medical School Full timePosition OverviewThe Patient Care Coordinator plays a crucial role in delivering non-medical case management and educational services to individuals with Sickle Cell Disease and General Internal Medicine needs. This position focuses on personalized case management and counseling, guiding patients through the eligibility and enrollment processes for various...
-
Entry Level Account Manager
4 weeks ago
Norfolk, United States REI Management Inc. Full timeJob DescriptionJob DescriptionWe are a professional marketing and sales firm that has developed a powerful, personal approach to connecting brands with their target market and driving brand loyalty and customer retainment. Our outreach and communication methods connect us with customers to promote various services and increase client revenue. Due to our...
-
Entry Level Account Manager
2 weeks ago
Norfolk, United States REI Management Inc. Full time $38,000 - $45,000Job DescriptionJob DescriptionWe are a professional marketing and sales firm that has developed a powerful, personal approach to connecting brands with their target market and driving brand loyalty and customer retainment. Our outreach and communication methods connect us with customers to promote various services and increase client revenue. Due to our...