Managed Care Follow Up Specialist

A company is looking for a Managed Care Follow Up Specialist. Key Responsibilities Monitor and track the status of submitted reconsiderations, appeals, and disputes Manage claims resolution workflows and ensure timely follow-up on appeals Research appeal cases and document notes for proper case processing Qualifications and Requirements Associate degree in Business Administration, Healthcare Administration, or a related field with 2 years of relevant work experience Minimum of two years in medical collections Basic understanding of the Revenue Cycle Process Experience with payor online portals Basic knowledge of Microsoft Applications: Outlook, Excel, Word

Apr 17, 2025 - 03:51
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Managed Care Follow Up Specialist
A company is looking for a Managed Care Follow Up Specialist. Key Responsibilities Monitor and track the status of submitted reconsiderations, appeals, and disputes Manage claims resolution workflows and ensure timely follow-up on appeals Research appeal cases and document notes for proper case processing Qualifications and Requirements Associate degree in Business Administration, Healthcare Administration, or a related field with 2 years of relevant work experience Minimum of two years in medical collections Basic understanding of the Revenue Cycle Process Experience with payor online portals Basic knowledge of Microsoft Applications: Outlook, Excel, Word