Managed Care Assistant Home Care

VNA Care Network, Inc - Southborough, MA2.2

Full-timeEstimated: $30,000 - $40,000 a year
EducationSkills
Managed Care Assistant

Position Summary: Reporting to the Managed Care Supervisor the Managed Care Assistant will be responsible for all initial and ongoing authorizations of services as required by payers in order to ensure payment for services.

Responsibilities:
Obtains authorization for home care services from select payers online, by telephone or fax per company requirements.

Maintains accurate filing systems and utilizes Microsoft applications to organize and store documents.

Acts as liaison between the clinicians and the Utilization Review/Medical Management departments at insurance companies.

Works with team to problem solve and create efficient processes.

Education:
High School Graduate or GED required, Associate's Degree preferred.

Experience:
Computer literacy with MS Office software.

Knowledge of medical terminology.

Minimum one year of clerical and data entry experience.

Previous experience with managed care, insurances, billing and/or home care.

Excellent communication and time management skills.

Position is located in Southborough, MA. Hours are Monday - Friday 8:00AM - 4:30PM

About VNA Care:
As the Commonwealth's largest home health and hospice provider, VNA Care serves more than 50,000 patients each year. Founded by Massachusetts most established and trusted home care organizations, VNA Care Network, VNA of Boston, and VNA Hospice & Palliative Care; VNA Care has the capabilities and resources to deliver a full range of home health, hospice, and community services to patients of all ages and health care needs. VNA Care, a subsidiary of Atrius Health, focuses on promoting the health and well-being of patients and families by providing high-quality, cost-effective health care to vulnerable individuals in their homes and communities.