…with Medcompass **Skills:** + MUST HAVE MEDCOMPASS or ASSURECARE exp. + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience,

…+ Effective communication skills, both verbal and written. **Preferred Qualifications** + Managed Care experience + Case Management in an integrated model

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…the hospital, and BSWH. Develops guidelines for working with insurers, managed care organizations, referral providers, patients, and families. Monitors

…components in conjunction with PCP. + Ensures case management is implemented and managed to improve continuity and quality of care . + Maintains communication

…Capacity to work closely with patients, physicians and their office staffs and managed care plans. Strong organizational and prioritization skills. Attention to

…to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which

…**Preferred Qualifications:** + Motivational interviewing skills + Call Center experience + Managed Care experience **Education** : High school diploma or GED

…benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record

…by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state, and federal