Managed Care Coordinator
West Reading, Pennsylvania
Be inspired to enhance the patient experience, and join the talented people of Reading Hospital. The Managed Care Coordinator serves as the conduit for Managed Care (payer) related issues between Reading Hospital and its contracted third party payers. Responsibilities include building/maintaining professional, productive relationships with key contacts at each of the contracted payer entities: Reading Hospital, Reading Health Connect, and the coding team. The Coordinator will understand and interpret payer contract language, oversee contract details, and be knowledgeable about the major provisions of agreements as they relate to day-to-day operations. Other functions include communicating with and educating Reading Hospital staff concerning contract provisions and assisting other Reading Hospital operational areas when issues arise that need payer intervention.
- Four years of working experience in a billing, health insurance, or equivalent operations environment
- Knowledge of CPT codes, Resource Based Relative Value Scale (RBRVS), and Medicare reimbursement policies/practices
- High school diploma or GED; Bachelor's degree preferred
- One to four years of experience drafting and interpreting contract language preferred
- Excellent communications, interpersonal, and general clerical skills
- Proficiency in Microsoft Excel, PowerPoint, Word, and Office Suite
Advancing Health. Transforming Lives.
Tower Health is a strong, regional, integrated healthcare system that offers leading-edge, compassionate healthcare and wellness services across Eastern Pennsylvania. We bring together more than 11,000 dedicated team members, 2,000 nationally recognized physicians, specialists, and providers across 65 convenient locations. Together, our six hospitals and other entities offer a full range of medical care to more than 2.5 million people. Here, we know that advancing the quality of care will transform the quality of life.
About Reading Hospital
Our nationally recognized flagship institution, Reading Hospital has served the local community since 1867. We're a Magnet® designated facility with many specialties, a dedicated rehabilitation hospital, and affiliated medical offices, all committed to delivering access to the region's highest quality care, leading-edge technology, and experienced medical professionals. Located in the friendly West Reading area, our main campus offers a variety of amenities that make working here every day a pleasure.
To apply, visit our career site, select Reading Hospital, and search via
Requisition # 1816454.
Tower Health is an Equal Opportunity Employer, M/F/D/V