Managed Care Finance Director jobs in Youngstown, OH

Managed Care Finance Director directs and oversees all policies and procedures for the financial and data operations of managed care contracts. Manages contracts, negotiates and sets rates, and reviews reimbursement levels and managed care agreements to ensure that proper payment practices are utilized. Being a Managed Care Finance Director implements processes that encourage and inform the organization how to increase levels of reimbursements. Requires a bachelor's degree. Additionally, Managed Care Finance Director typically reports to top management. The Managed Care Finance Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Managed Care Finance Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Bookeeper /Managed Care Coordinator
  • LIBERTY HEALTH CARE CENTER
  • Youngstown, OH FULL_TIME
  • Liberty Health Care Center is accepting applications for a hybrid role:

    Bookeeper/Managed Care Coordinator to work with our team of dedicated health care professionals!

    SUMMARY OF DUTIES:

    • Works with the admissions team, patient/family, and insurance companies to promote timely admissions utilizing appropriate precertification process in order to maximize patient benefits
    • Pre-certification of admissions/ readmissions
    • Daily updates with insurance companies
    • Insurance appeals, payment appeals and communication with UR team
    • Schedule all resident transportation including insurance information and prior authorizations as needed
    • Cancel transportation as needed and communicate changes to family members
    • Review and verify ambulette/ambulance billing.
    • Primarily responsible to provide bookkeeping and secretarial support within the nursing facility.
    • Includes, but not limited to establishing and maintaining payment resources, guardian documents, and resident trust funds.

    REQUIREMENTS:

    • Minimum 1-2 years healthcare, experience preferred and experience with progressive responsibility in the healthcare environment
    • Critical thinking skills, decisive judgment, and the ability to work with minimal supervision meeting firm deadlines
    • Assertive and persuasive and creative communication and negotiation skills, action oriented
    • Excellent skills in communication both verbal and written documentation
    • Interpersonal relations
    • Organizational Skills
    • Ability to develop and maintain rapport with the insurance provider, patient, families, and the interdisciplinary team.
    • one-year experience in long-term care billing with a working knowledge of Medicare, Medicaid, PPS, Managed Care Organizations, and private insurance.

    EDUCATION:

    • Associates degree preferred in AR, accounting, billing, clerical, or related field.

    Windsor House offers a competitive benefit package:

    • NEW College Loan Payoff Program for RNs & LPNs!*
    • $1.00 an Hour Attendance Bonus on every hour worked paid quarterly!
    • Performance Based Annual Bonus Plan.
    • Tuition Reimbursement for LPN or RN programs available.
    • Multiple health coverage offerings to choose from.
    • Vision.
    • Company-paid and Supplemental Life Insurance.
    • 401K.

    Locally, family owned and operated. Come Join our Team and be part of the Tradition of Caring that Windsor House, Inc. has been providing for over 60 years!

    Consider joining our team of dedicated medical professionals committed to providing the best quality of care to those most vulnerable members of our communities.

    Job Type: Full-time

    Location: 1355 Churchill-Hubbard Road 44505

    Phone: 330-759-7858

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Paid time off

    Schedule:

    • Monday to Friday

    Ability to Relocate:

    • Youngstown, OH 44505: Relocate before starting work (Required)

    Work Location: In person

  • 2 Days Ago

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HR Director for Long Term Care
  • Quality Care LTC
  • Youngstown, OH FULL_TIME
  • Generous compensation package! Park Vista is seeking a dynamic, organized and self-motivated individual to join our growing team of healthcare leaders for our long-term care facility in Youngstown. No...
  • 13 Days Ago

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Director of Nursing
  • LIBERTY HEALTH CARE CENTER
  • Youngstown, OH FULL_TIME
  • Liberty Health Care Center has a wonderful opportunity for anyone who is passionate about nursing leadership!! Come Join our Windsor House family of dedicated medical professionals!! Be part of the be...
  • 19 Days Ago

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Director of Housekeeping
  • Quality Care LTC
  • Youngstown, OH FULL_TIME
  • Quality Care LTC is seeking a dynamic candidate to join our long term care facility near Youngstown, OH. NOW HIRING: Housekeeping Director The Housekeeping Director is responsible for directing and le...
  • 7 Days Ago

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Assisted Living Director
  • Quality Care LTC
  • Youngstown, OH FULL_TIME
  • Providing services in the Wick Park District of Youngstown for 70 years, Park Vista is a Youngstown tradition! We are proud to continue the tradition of providing 5 levels of top quality care services...
  • 3 Days Ago

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Director of Nursing DON
  • Quality Care LTC
  • Youngstown, OH FULL_TIME
  • Quality Care LTC is seeking a strong, motivated, and passionate leader to lead our clinical team and enhance the quality of life of our residents for our skilled nursing facility near the Youngstown, ...
  • 14 Days Ago

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0 Managed Care Finance Director jobs found in Youngstown, OH area

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Administrative / Office Assistant
  • Danieli Corporation
  • Cranberry Twp, PA
  • Job Brief: The Administrative Support Assistant is responsible for providing administrative support to the Danieli USA o...
  • 4/27/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Youngstown, OH
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/27/2024 12:00:00 AM

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Finance Associate, nonprofit
  • Felician Sisters of North America
  • Beaver Falls, PA
  • The Felician Sisters of North America are hiring a full-time Finance Associate to work at our administration office, loc...
  • 4/27/2024 12:00:00 AM

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Controller - Hybrid
  • NuHire, LLC
  • Salem, OH
  • Job Description Job Description We’re hiring a Controller who will play a vital role in leading our Financial Planning &...
  • 4/24/2024 12:00:00 AM

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Senior Financial Analyst
  • First Federal Bank
  • Youngstown, OH
  • Position Title: Senior Financial Analyst Department: Accounting Position Reports to: Manager or Director of Financial Pl...
  • 4/23/2024 12:00:00 AM

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Chief Financial Officer
  • Highway Equipment Co
  • Zelienople, PA
  • Are you looking for a rewarding career helping to build a better America? If that sounds like you, we'd love for you to ...
  • 4/23/2024 12:00:00 AM

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Senior Business Financial Analyst
  • Robert Half
  • Warren, OH
  • Exciting opportunity alert! We are currently seeking a talented Business/Financial Analyst for a contract-to-hire role i...
  • 4/23/2024 12:00:00 AM

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Branch Office Administrator
  • Edward Jones
  • Salem, OH
  • Would you call yourself a relationship builder, a problem solver or a critical thinker? If you answered yes, we need you...
  • 4/9/2024 12:00:00 AM

Youngstown is a city in and the county seat of Mahoning County in the U.S. state of Ohio, with small portions extending into Trumbull County. According to the 2010 Census, Youngstown had a city proper population of 66,982, while the Youngstown-Warren-Boardman, OH-PA Metropolitan Statistical Area it anchors contained 565,773 people in Mahoning and Trumbull counties in Ohio, and Mercer County in Pennsylvania. Youngstown is located on the Mahoning River, approximately 65 miles (105 km) southeast of Cleveland and 61 miles (100 km) northwest of Pittsburgh. Despite having its own media market, Young...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Finance Director jobs
$132,938 to $171,774
Youngstown, Ohio area prices
were up 1.3% from a year ago

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