Managed Care Network, Inc.

Managed Care Network, Inc. is an established managed care company who strives to be the best employer in the Property & Casualty marketplace by living our values and by providing a work environment that employees can be proud of.  Through company values, we promote employee growth so each person can THRIVE and are appreciated for the expertise, hard work, and passion they bring to the company.  We provide unique solutions quickly to solve problems and make our customers' job easier. 

Full Time
 
Managed Care Network, Inc. Hybrid
At Managed Care Network, Inc., we’re a dynamic and growing managed care company committed to delivering exceptional service in the Workers’ Compensation and Auto Insurance industries. With a team of over 100 dedicated professionals, we’re expanding—and we want you to be part of our journey. Position Overview: The Fee Schedule Specialist is responsible for the review, analysis, and processing of medical bills for New York State Workers’ Compensation and Auto/No-Fault claims. This role ensures accurate reimbursement determination through the application of state fee schedules, Medicare methodologies, PPO contracts, and client-specific guidelines. The ideal candidate will possess strong analytical skills, attention to detail, and a working knowledge of medical coding, billing practices, and payer-side bill review operations. Candidates with CPC-A or CPB certification are strongly encouraged to apply. Key Responsibilities: •    Review and analyze medical bills, records, and...