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Managed Care Representative Jobs (NOW HIRING)

42 NORTH DENTAL LLC

Patient Care Representative

Needham, MA

$18.75 - $23/hr

Full-Time Patient Care Representative This is Full-Time Patient Care Representative role. 42 North ... Maintain and manage patient records from initial forms and paperwork through billing procedures ...

42 NORTH DENTAL LLC

Patient Care Representative

Natick, MA

$17.50 - $21.75/hr

Full-Time Patient Care Representative This is Full-Time Patient Care Representative role. 42 North ... Maintain and manage patient records from initial forms and paperwork through billing procedures ...

The Urgent Care LLC

Patient Care Representative

Harvey, LA

$14.50 - $18/hr

Patient Care Representative Looking for a highly motivated and positive individual to add to our ... managing the waiting room, answering phone calls, making check-in times, triage patients, and ...

The Urgent Care LLC

Patient Care Representative

Gretna, LA

$14.25 - $17.50/hr

Patient Care Representative Looking for a highly motivated and positive individual to add to our ... managing the waiting room, answering phone calls, making check-in times, triage patients, and ...

42 NORTH DENTAL LLC

Patient Care Representative

Boston, MA

$18.50 - $22.75/hr

Part-Time Patient Care Representative This is a Part-Time Patient Care Representative role ... Maintain and manage patient records from initial forms and paperwork through billing procedures ...

Empress EMS

Patient Care Representative

Tarrytown, NY

$18/hr

Patient Care Representative - Valhalla, New York (Westchester Medical Center) Job Code: TY05047 Pay ... Maintains courteous and cooperative working relationships with all levels of management and ...

Empress EMS

Patient Care Representative

Tarrytown, NY · On-site

$18/hr

Patient Care Representative - Valhalla, New York (Westchester Medical Center) Job Code: TY05047 Pay ... Maintains courteous and cooperative working relationships with all levels of management and ...

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Managed Care Representative information

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$24.5K

$44.2K

$77K

How much do managed care representative jobs pay per year?

As of May 28, 2026, the average yearly pay for managed care representative in the United States is $44,219.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $43,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Managed Care Representative, and why are they important?

A Managed Care Representative typically needs a background in healthcare administration, customer service, and knowledge of insurance or managed care processes, often supported by a relevant degree or experience. Familiarity with claims processing systems, healthcare databases, and industry software such as Microsoft Office or CRM platforms is essential. Strong interpersonal skills, attention to detail, and problem-solving abilities help build effective relationships with providers, payers, and patients. These competencies ensure efficient handling of claims, clear communication, and improved satisfaction among stakeholders in managed care environments.

How does a Managed Care Representative typically collaborate with healthcare providers and insurance companies?

A Managed Care Representative serves as a vital link between healthcare providers, patients, and insurance companies. They regularly communicate with providers to clarify coverage details, facilitate authorizations, and resolve billing or reimbursement issues. This role often involves problem-solving and negotiating solutions to ensure that patients receive necessary care while maintaining compliance with payer policies. Effective collaboration and clear communication are key to building strong working relationships and ensuring smooth care coordination.

What are Managed Care Representatives?

Managed Care Representatives are professionals who serve as liaisons between healthcare providers, insurance companies, and patients to ensure efficient coordination of care and benefits. They help negotiate contracts, explain insurance coverage, and resolve billing or authorization issues. Their goal is to streamline communication and ensure that patients receive the care they need while managing costs for healthcare organizations.

What is the difference between Managed Care Representative vs Insurance Claims Specialist?

AspectManaged Care RepresentativeInsurance Claims Specialist
CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma; certifications like Certified Claims Professional (CCP) are common
Work EnvironmentHealthcare insurance companies, managed care organizations, customer service centersInsurance companies, healthcare providers, claims processing departments
Employer & IndustryHealthcare insurance industry, managed care organizationsInsurance industry, healthcare providers
Primary FocusCommunicating plan benefits, resolving member issues, explaining coverageReviewing, processing, and adjudicating insurance claims

While both roles involve healthcare insurance, Managed Care Representatives focus on member communication and plan details, whereas Insurance Claims Specialists handle the processing and adjudication of claims. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

What states have the most Managed Care Representative jobs? States with the most job openings for Managed Care Representative jobs include:
Managed Care Representative jobs near you
Patient Care Representative

Patient Care Representative

42 NORTH DENTAL LLC

Needham, MA

$18.75 - $23/hr

Other

Posted 24 days ago

42 North Dental rating

6.6

Company rating: 6.6 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Full-Time Patient Care Representative

This is Full-Time Patient Care Representative role.

42 North Dental is committed to helping our supported practices provide quality dental care and exceptional patient care. To achieve this requires a commitment to securing and supporting the best and brightest – employees who share our vision and culture.

Become part of a team approach to providing excellence in comprehensive dental care with a focus on quality, service and patient satisfaction. The Patient Care Representative (Dental Receptionist) will provide administrative support to facilitate the relationship between our patients and dentists. With a focus on exceptional patient service, the Dental Receptionist is the front line to patient communication, assisting the patient in the necessary administrative functions of dental care.

Responsibilities
  • Interact with patients in a positive professional manner via telephone and in person
  • Schedule and confirm appointments
  • Review and educate patients on treatment plans and financial responsibilities
  • Accurately confirm insurance benefits, communicate and collect patient payment obligations.
  • Maintain and manage patient records from initial forms and paperwork through billing procedures with accurate data entry of all patient information
  • Respond to and reply to requests for information
  • Maintain strict compliance to HIPPA and patient privacy
  • Perform other related job duties as assigned
Qualifications
  • Excellent customer service skills
  • Clear speaking and telephone voice
  • Positive attitude and energetic personality
  • Comfortable in computerized environment
  • Ability to multitask

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