JobMesh

Managed Care Associate

BronxCare Health System · US

Overview Managed Care Associate is responsible for coordinating all Managed Care Physicians credentialing & enrollment with respective Manage Care Payers. Th...

Job description

Overview Managed Care Associate is responsible for coordinating all Managed Care Physicians credentialing & enrollment with respective Manage Care Payers. This position is also the key individual who collaborates with payers responsible for communicating with Dept. Manager on the status and requirements for physicians enrollment. Liaison for health plans and internal departments to resolve credentialing inquiries. Maintain an accurate Access database with providers credentialing status. All applications and programs on all computers (MSL, Adobe Pro 8, Excel ,Access , CAQH). Responsibilities: - Establish and maintain positive relationships with patients, visitors, and other employees. Interacts professionally, courteously, and appropriately with patients, visitors and other employees. Behaves in a manner consistent with maintaining and furthering a positive public perception of BronxCare Health System and its employee. - Contributes to and participates in the Performance/Quality Improvement activities of the assigned department. Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of a...