Managed Care Plan Coordinator - PMPH

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Position Overview Full‑Time Managed Care Plan Coordinator Location: 5 Plainsboro Rd Schedule: M‑F 8am‑4:30pm Department: OBGYN The Managed Care Plan Coordinator provides support to the practice and its patients as it relates to managed care insurance plans. The Coordinator registers patients, verifies insurance, issues referrals, and assists practice management with policy/protocol development and training as it pertains to managed care plans. Responsibilities Greets and interacts with patients in a positive, pleasant and professional manner and accommodates patients’ special needs and addresses any questions or concerns. Appropriately handles referral‑related calls and messages transferred/delivered from other staff personnel per practice procedure. Prepares necessary referral in method as outlined by insurance carrier and practice procedure – paper, electronic, method etc. Works in conjunction with the physician and advanced practice providers to prepare and provide appropriate referrals according to practice protocol and insurance policy. Verifies insurance card, verifies completeness and accuracy of referral form. Issues referrals for specialists and diagnostic studies as directed. Maintains up‑to‑date knowledge of insurance requirements pertinent to patient service and managed care. Assists practice manager with developing policy and procedures and provides in‑services to staff as it pertains to managed care. Updates patient registration in system according to established protocol. Qualifications Education or Equivalent Experience: H.S. Diploma/GED and 2+ years of college or work experience (Required) Associate’s degree and 2+ years medical office experience (Preferred) Benefits We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Salary Range $19.01 – $30.29 per hour. Live Your Life's Work As part of their job offer, successful candidates are provided a specific rate, taking into consideration various factors including experience and education. Equal Opportunity Employer We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. #J-18808-Ljbffr