Join our Talent Network
Skip to main content
   Current UPHS employees must apply HERE

Managed Care Plan Coordinator

This job posting is no longer active.

Job ID: 160780
Category: Customer Service/Patient Access
Work Type: FT
Location: Woodbury Heights, NJ, United States
Date Posted: Nov 30, 2022
Work Schedule: Variable

Save Job Saved

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

  • The Managed Care Plan Coordinator provides support to the practice and its patients as it relates to managed care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals, and assists practice management with policy/protocol development and training as it pertains to managed care plans.
  • Department: Shared Services Woodbury
  • Location: Penn Medicine Woodbury Heights – 1006 Mantua Pike
  • Entity: Clinical Care Associates

Responsibilities:

  • Greets and interacts with patients in a positive, pleasant and professional manner and accommodates patient’s special needs and to address any questions or concerns
  • Appropriately handles referral related calls and messages transferred/delivered from other staff personnel per practice procedure
  • Prepares necessary referral in method as outlined by insurance carrier and practice procedure- paper, electronic, method etc
  • Works in conjunction with the physician and advance practice providers to prepare and provide appropriate referrals according to practice protocol and insurance policy
  • Verifies insurance card; verifies completeness and accuracy of referral form
  • Issues referrals for specialists and diagnostic studies as directed
  • Maintains up to date knowledge of insurance requirements pertinent to patient service and managed care
  • Assists practice manager with developing policy and procedures and provides in-services to staff as it pertains to managed care
  • Updates patient registration in system according to established protocol

Credentials:

    Education or Equivalent Experience:

    • Associate of Arts or Science
    • 2+ years medical office experience
    • H.S. Diploma/GED (Required)
    • 2+ years of college or work experience

    We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

    Live Your Life's Work

    We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

       Current UPHS employees must apply HERE
    Share: mail
     

    Similar Jobs