Managed Care Coordinator

2 weeks ago

Miami, United States North Coast Medical Supply LLC Full time

About Our CompanyAdvanced Diabetes Supply® was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply® to a national leader in the industry. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best. We strive to maintain a casual, fun environment whenever possible, but we don't just play around. We work hard every day to provide a positive work culture and respectful atmosphere. The standards we set for ourselves are high, and we love to be challenged If you enjoy working in a collaborative environment, have a passion for excellence and a bias for action, we may be just what you've been looking for.Interested in learning more about our company and its culture? Visit us at www.northcoastmed.com About The Position Hours: 8:30 AM to 5:00 PM ET, Monday to FridayLocation: RemotePosition Summary The Managed Care Coordinator is responsible for accurate Durable Medical Equipment maintenance with various Managed Care and Medicaid State insurance plans including but not limited to maintaining portals and billing pages, identifying authorization requirement changes, and assisting with acquiring necessary documentation for managed care payor contracts. The Managed Care Coordinator will work within the scope of responsibilities as dictated below with guidance and support from our Sales Operations leadership team.Essential FunctionsVerifies enrollment status for all Managed Care Plans including contracted Medicaid states to ensure proper and timely billingCommunicates with providers and others in the organization to obtain necessary documentation for application/contract submissions.Maintains all payer portals which includes but not limited to password updates, unlocking portals, adding new users, etc.Maintains authorization requirements for individual insurance plans.Adapts quickly to frequent process changes and improvements.Is reliable, engaged, and provides feedback as to improve processes and policies.Attends all department, team, and company meetings as required.Embraces and exemplifies ADS core values:We grow togetherWe careWe obsess over the customer experienceWe commitWe WOWOther ResponsibilitiesMay perform any additional responsibilities or special projects as required.Duties and responsibilities may be subject to change based upon the needs of the department. Requirements High School diploma or equivalentDemonstrated success in meeting goals and objectivesMinimum 6 months in billing/authorizationsExperience with managed care payors desirableBasic knowledge of payer portal.Proficiency in basic math and business calculationsWorking knowledge of computer/data entry with the ability to learn new system.Basic level of MS Office proficiency proficiencyExpected CompetenciesProfessional verbal and written communication skills, including interpersonal skills with a demonstrated ability to collaborate with a teamEffective, professional, and engaging communication and presentation skillsStrong organizational and time management abilities; proven ability to meet deadlines within time and resource constraintsService-orientation and aptitude to effectively resolve problemsClear diction and knowledge of the English language, both written and verbalSelf-directed accountability and reliabilityCultural competencePhysical DemandsThe physical demands described below 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 employees with disabilities to perform the essential functions.While performing the responsibilities of the job, the employee is required to remain in a stationary position most of the time (stand or sit). While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to stand, walk and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.Other RequirementsCandidates must successfully pass a background check. Candidates must be able to provide proof of eligibility to work in the United States without support; sponsorship is not available.Pay Range and Compensation Package Pay ranges may vary depending on location. Actual compensation depends on education, experience, and relevant skills. Benefits for full-time employees include:Health, Dental & Vision optionsFSA and HSA plan with Employer ContributionEmployer paid EAP401k with 4% Company MatchPaid Time Off (PTO) Including 7 Paid Holidays and a Birthday HolidayOn-Site GymIn-house Training ProgramsA fun culture in a fast-growing organizationEqual Opportunity Statement Advanced Diabetes Supply® provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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