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Managed Care Assistant

Status : Full-time

Office Location: Worcester, MA

Description:

Managed Care Assistants are responsible for all initial and ongoing authorizations of services as required by payers in order to ensure payment for services.

Hours: Monday – Friday 8:00AM – 4:30PM

Hybrid Schedule: 2-3 days in Worcester office

Responsibilities for Managed Care Assistants:

  • Obtain authorization for home care services from select payers online, by telephone or fax per insurance 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
  • Uses reports to identify new referrals, pending authorizations, expiring authorizations and overutilization
  • Work with team to problem solve and create efficient processes

Experience Required for Managed Care Assistants:

  • Previous experience with managed care, billing and/or home care
  • Proficient with MS Office Software; create, open, save and print documents; ability to insert and format text and images.
  • Proficient with Outlook; attach, open and save documents in email, utilize calendar
  • Proficient with eFax.
  • Proficient with Excel
  • Knowledge of medical terminology

Education:

Associate Degree Preferred

Fully Benefited

Founded by Massachusetts most established and trusted home care organizations, VNA Care, VNA of Boston, VNA Hospice & Palliative Care, and VNA Care Advantage; 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.


About VNA Care:
VNA Care is one of the Commonwealth's largest home health and hospice providers, serving more than 200 communities in Eastern and Central Massachusetts. Our nonprofit includes VNA Care Network, VNA of Boston, and VNA Hospice & Palliative Care. Working together, we provide a full range of home health, palliative, hospice, and community services to patients with a wide range of health care needs. VNA Care focuses on promoting the health and wellbeing of patients and families by providing high-quality, cost-effective health care to vulnerable individuals in their homes, assisted living facilities, and other settings.
 

 

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