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Robert Half International Medical Claims Representative in Southborough, Massachusetts

Description Managed Care Assistants are responsible for all initial and ongoing authorizations of services as required by payers in order to ensure payment for services.

Hours: Monday – Friday 8:00AM – 4:30PM

Responsibilities for Managed Care Assistants:

= Obtain authorization for home care services from select payers online, by telephone or fax per insurance company requirements

= Maintains accurate filing systems and utilizes Microsoft applications to organize and store documents

= Acts as liaison between the clinicians and the Utilization Review/Medical Management departments at insurance companies

= Uses reports to identify new referrals, pending authorizations, expiring authorizations and overutilization

= Work with team to problem solve and create efficient processes

Experience Required for Managed Care Assistants:

= Previous experience with managed care, billing and/or home care

= Proficient with Microsoft Office Software; create, open, save and print documents; ability to insert and format text and images.

= Proficient with Outlook; attach, open and save documents in email, utilize calendar

= Proficient with eFax.

= Proficient with Excel

= Knowledge of medical terminology Requirements Patient Account, Patient Accounting, Patient Access, Medical Terminology, Medical Terminology Knowledge, Data Entry, Microsoft, Microsoft Excel, Microsoft PowerPoint, Microsoft Word

Accountemps, a Robert Half Company, matches skilled accounting and finance professionals with remote or on-site jobs on a temporary and temporary-to-hire basis. Our experienced staffing professionals can promote you to employers and advocate on your behalf. We provide access to top jobs, competitive compensation and benefits, and free online training. For more opportunities, get the Robert Half app and receive instant notifications when our AI matches your skills and experience with jobs.

When you work with us, you’re working with the best. Robert Half has been recognized as one of FORTUNE’s “Most Admired Companies” every year since 1998 and was named to Forbes’ inaugural list of America’s Best Temporary Staffing Firms.

Questions? Call your local office at 1.888.490.3195. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to temporary professionals. Visit for more information.

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