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Contract Compliance Specialist-Managed Care FT-Days MSS

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Bennington, VT

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TitleContract Compliance Specialist-Managed Care, FT-Days, MSSDepartment92510 Managed Care ComplianceLocationMemorial Support ServicesSearch CategoryClericalJob Posting Number65486BRJob DescriptionReviews, analyzes and appeals all managed care denials, underpayments and aged accounts to ensure timely pursuit of payments by managed care plans and achievement of goals.1. Reviews and analyzes managed care denials, underpayments and aged accounts for appeal to managed care plans in accordance with department standards.2. Conducts appropriate follow-up on appealed accounts in accordance with departments policies and procedures.3. Requests and prepares all supporting documentation needed for all appeal and follow up actions.4. Responsible to meet and maintain production and quality standards defined by department policies and procedures.Experience Education: High School diploma required.Licensure, Certification and Registration: None required.Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Knowledge of managed care contracts, Microsoft products and collections.Required Work Experience: 2 years business office experience required.Employment TypeFull TimeShift Hours8:30-5Shift1Work ShiftFull Time Days

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