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Managed Care Associate Jobs in Wisconsin (NOW HIRING)

Associate Patient Care Coordinator Explore opportunities with Optum, in strategic partnership with ... Strong organizational and time management skills * Ability to multi-task and prioritize tasks to ...

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Managed Care Associate information

What is a managed care associate?

A Managed Care Associate is a professional who supports the administration and coordination of managed healthcare plans. They typically assist with processing claims, verifying patient eligibility, and ensuring compliance with healthcare regulations and insurance policies. Managed Care Associates often serve as a liaison between healthcare providers, insurance companies, and patients to resolve issues and provide information about coverage and benefits. This role is essential for maintaining efficient operations within managed care organizations and ensuring patient access to necessary healthcare services.

What are the key skills and qualifications needed to thrive as a managed care associate, and why are they important?

To thrive as a Managed Care Associate, you need a solid understanding of healthcare insurance, claims processing, and familiarity with managed care principles, often supported by a bachelor's degree in healthcare administration or a related field. Proficiency with claims management systems, Microsoft Office Suite, and knowledge of HIPAA regulations are typically required. Strong attention to detail, effective communication, and problem-solving skills help you excel in coordinating benefits and resolving issues with providers and members. These skills ensure efficient claims processing, regulatory compliance, and positive stakeholder relationships essential to managed care operations.

What are some common challenges managed care associates face when coordinating between healthcare providers and insurance companies?

Managed Care Associates often encounter challenges such as navigating complex insurance policies, ensuring accurate and timely authorization of services, and resolving discrepancies between providers and payers. They must balance the interests of both parties while maintaining compliance with regulations and ensuring patient care is not delayed. Effective communication and attention to detail are crucial, as associates frequently collaborate with clinical staff, billing departments, and insurance representatives to address issues and streamline processes.

What is the difference between Managed Care Associate vs Insurance Coordinator?

AspectManaged Care AssociateInsurance Coordinator
CredentialsTypically requires a healthcare-related certification or associate degreeOften requires insurance or administrative certifications
Work EnvironmentHealthcare facilities, insurance companies, managed care organizationsMedical offices, hospitals, insurance companies
Job FocusManaging patient care plans, insurance authorizations, and benefitsProcessing insurance claims, verifying coverage, and billing

Managed Care Associates focus on coordinating patient care and insurance authorizations within healthcare settings, while Insurance Coordinators primarily handle insurance claims and billing processes. Both roles require knowledge of insurance policies but differ in daily responsibilities and work environments.

What are the most commonly searched types of Managed Care jobs in Wisconsin?

The most popular types of Managed Care jobs in Wisconsin are:

Part Time Associate Patient Care Coordinator

Reliant Medical Group

Oconomowoc, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

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Reliant Medical Group rating

7.3

Company rating: 7.3 out of 10

Based on 26 frontline employees who took The Breakroom Quiz


Job description

Associate Patient Care Coordinator

Explore opportunities with Optum, in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind Caring. Connecting. Growing together.

The Associate Patient Care Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes. Supports the teams in meeting financial, clinical and service goals.

Location: 1185 Corporate Center Dr. Oconomowoc, WI 53066

Primary Responsibilities:

  • Greets visitors and patients in person, or communicates by telephone or video conferencing, upholding excellent customer service
  • Enters and updates patient demographic and financial information, ensuring the patient is fully registered as early in the process as possible
  • Obtains appropriate applications and forms, confirming signatures are on file. Photocopies/scans documents as needed
  • Provides patients with financial responsibility information and collects patient liabilities, documents amount in the appropriate fields, and balances the cash box daily
  • Works with partnering departments (Financial Counseling, Scheduling, Financial Clearance, and clinical areas) to ensure all aspects of the patient's encounter are completed as needed
  • Provides wayfinding instructions and assists with hospital information as requested
  • Coordinates patient admission needs, bed assignments, and tracking boards where applicable
  • Meets or exceeds audit accuracy standards. Works worklists and error reports timely, and proactively seeks assistance to resolve as needed
  • May perform other duties upon request

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma/GED
  • 1+ years of customer service experience in an office setting or professional work environment
  • Basic level of proficiency in Microsoft Office Products
  • Ability to work the following schedule
    • Week 1: Monday, Tuesday, Wednesday from 4:00pm - 8:00pm
    • Week 2: Monday, Tuesday, Wednesday from 4:00pm - 8:00pm
    • Thursday and Friday from 8:30am - 5:00pm
  • Must be 18 years of age or older

Preferred Qualifications:

  • Experience in a medical office or hospital admitting/registration office
  • Experience with electronic medical records system
  • Knowledge of medical terminology

Soft Skills:

  • Strong communication and customer service skills both in person and via phone
  • Strong organizational and time management skills
  • Ability to multi-task and prioritize tasks to meet all deadlines
  • Ability to work well under pressure in a fast-paced environment
  • Ability to work independently and maintain good judgment and accountability
  • Demonstrated ability to work well with others
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ('Internal Candidates') are not eligible to receive a sign on bonus.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.


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