Managed Care Liaison Specialist

Company Description Assured Managed Care partners with post-acute providers to remove the complexity and chaos of managed care through precise authorizations, strategic contracting support, and operational clarity—protecting revenue while allowing facilities to focus on exceptional patient care. We deliver specialized support across contracting, rate negotiations, compliance, and case management, ensuring providers are positioned for success within Managed Care Organizations (MCOs). From authorizations to denial resolution, carve-outs, and eligibility challenges, our team brings clarity, control, and results in an increasingly complex reimbursement landscape. Role Description The Managed Care Liaison Specialist serves as a critical bridge between client facilities, payers, and internal teams. This role is responsible for resolving reimbursement challenges, navigating payer requirements, and ensuring timely, accurate payment across all managed care interactions. You will play a key role in driving communication, removing barriers, and supporting facilities through complex MCO-related issues. Key Responsibilities Research, interpret, and communicate reimbursement rates, payer guidelines, and MCO policies Investigate and resolve claim denials to ensure timely payment and reduce revenue leakage Serve as the primary liaison between client facilities and internal teams (Pre-Cert, Clinical, Contracting) Facilitate resolution of complex issues including authorization challenges, high-cost carve-outs, and single-case agreements Support providers with payer‑specific requirements, eligibility issues, and ongoing MCO inquiries Collaborate cross-functionally to escal Qualifications Proven experience in SNF managed care billing, authorizations, and Medicaid Managed Care processes Strong analytical, problem‑solving, and organizational skills Effective written and verbal communication skills Experience with credentialing and payer compliance guidelines preferred Knowledge of healthcare regulations and managed care protocols strongly preferred Self‑starter with the ability to manage multiple priorities and meet deadlines Proficiency with healthcare management software is a plus #J-18808-Ljbffr Assured Managed Care