Managed Care Liaison

Guidance Care HMO; Lakewood Township (NJ); On-site; USD 55,000 - 75,000; Full time

Job summary

Guidance Care HMO is seeking full-time staff for our Liaison Department. The role focuses on assisting nursing homes with billing inquiries and related managed care issues.

Candidates should have experience in medical billing or case management, particularly regarding authorization requests and clinical reviews for skilled nursing facilities. Strong organizational skills and the ability to multitask in a fast-paced environment are essential.

Qualifications

• Experience in medical billing or case management related to skilled nursing facilities.
• Excellent organization and multitasking in a fast-paced environment.
• Proficiency in EMR systems preferred.

Responsibilities

• Assist nursing homes with billing inquiries and related issues.
• Process authorization requests and clinical reviews for skilled nursing facilities.
• Maintain organized workflow and manage multiple tasks simultaneously.

Skills

Medical billing

Case management

Tools

EMR systems

Job description

Guidance Care HMO is looking to hire Full Time employees in our Liaison Department.

Our Liaison Department assists nursing homes with various billing inquiries and other issues related to Managed Care.

Applicants must have experience in either medical billing or case management (authorization requests, clinical review processes etc.) as it relates to skilled nursing facilities.

The position requires exceptional organization skills as well the ability to multitask in a fast paced work environment. Proficiency in EMR’s preferred.