Full-time remote Managed Care Coordinator position available at Greenbrook TMS. The Managed Care Coordinator is responsible for contract assessment, negotiation, financial analysis, problem solving, revenue modeling, and advanced analytics. This position will work with the Business Office Team to monitor changes in payment schedules, changing reimbursements, changes in healthcare delivery models, and expiration dates of payer contracts. The Managed Care Coordinator will act as a liaison between Greenbrook practice locations and third-party payers.

Essential Functions and Job Responsibilities:

• Coordinates negotiation and full implementation of commercial contracts with third party payers, including confirmation of the completion of rate loading in payer systems for all applicable lines of business.
• Identifies and communicates to VP of Revenue Cycle any gaps or breakdowns in managed care contracting workflows.
• Monitors and communicates changes in payment schedules, reimbursements, and expiration dates of third-party payer contracts.
• Maintains and updates established department documents related to contracting functions.
• Monitors the performance of managed care contracts to ensure accurate claims processing, including level of underpayments and overpayments by providers.
• Creates and delivers education material regarding contracts and implications.
• Informs Director of Managed Care and VP or Revenue Cycle of any changes in reimbursement or regulatory requirements.
• Ensures all required processes related to strategic pricing, legal, reporting and communication are deployed to maximize contract performance and yield.
• Completes applications for payer contracts and analyzes contract offers from payers to ensure offerings are competitive within the market.
• Reviews contract language for financial, legal and operational impact and to ensure compliance with State and Federal Regulatory Agencies.
• Develops and administers the managed care contracts for the facility by working closely with clinicians and processing referrals.

Competencies, Skills, and Abilities:

• Proven leadership skills across multiple regional practices
• Ability to handle complex contract negotiations
• Proven ability to close negotiations in a timely manner that yield competitive and appropriate levels of reimbursement
• Proficient knowledge of medical contracting methodologies and claims pricing/reimbursement strategies
• Independent thinker and decision maker
• Strong analytical and problem-solving skills with attention to detail
• Excellent verbal and written communication
• Strategic business partner
• Ability to prioritize and manage multiple projects
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
• Ability to effectively communicate both verbally and written with internal and external customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy

Education and Experience Requirements:

• Five years of experience in working with Managed Care/Third Party Payers for physicians and outpatient services
• Previous experience in Behavioral Health financial management preferred
• Previous contract negotiation experience
• Bachelor’s Degree preferred
• Excellent computer skills and thorough knowledge of MS Excel and MS Word
• Critical thinking skills necessary to plan, coordinate, and execute strategic initiatives

We offer a competitive pay range (based on education level and prior experience) PLUS a generous benefits package including 401(k) with company match, paid time off, and medical/dental/vision benefits.

Who we are:

Operating through over 130 Company-operated treatment centers, Greenbrook is a leading provider of Transcranial Magnetic Stimulation (“TMS”) therapy, an FDA-cleared, non-invasive therapy for the treatment of Major Depressive Disorder and other mental health disorders, in the United States. TMS therapy provides local electromagnetic stimulation to specific brain regions known to be directly associated with mood regulation. Greenbrook has provided more than one million TMS treatments to over 27,000 patients struggling with depression.

Over 16 million Americans are affected by depression. Greenbrook TMS is changing the way that depression is treated, and YOU can be part of making a positive difference in the lives of patients by joining our amazing team!

To learn more about our WHY, click here: https://youtu.be/yrr-wlFftT0

For patient testimonies on HOW we are transforming lives for the better, click here: https://www.greenbrooktms.com/patient-stories

Greenbrook TMS is a growing company seeking dedicated individuals who will be key employees as we expand - come join us!

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