Managed Care Specialist Salary
Women comprise the majority of Managed Care Specialists in the United States. Individuals in this line of work make around $49K annually on average. Medical benefits are awarded to nearly all, and most earn dental coverage. For the most part, Managed Care Specialists enjoy their work and report high levels of job satisfaction. Respondents to the PayScale salary survey provided the data for this report.
|Salary||$35,349 - $69,986|
|Total Pay (||$28,282 - $62,682|
|Hourly Rate||$11.75 - $25.00|
|Total Pay (||$28,282 - $62,682|
Job Description for Managed Care Specialist
Managed care specialists generally work in the healthcare industry to verify insurance coverage; they may work directly with patients. These professionals refer patients to specialists, keep track of referral status, and obtain authorization on behalf of patients from managed care organizations. Other tasks performed by managed care specialists include working with patients' physicians to clarify specialist referrals, as well as performing a liaison function among the insurance company, customer operations staff, patient billing staff and other relevant professionals. These specialists address patients’ concerns regarding health insurance coverage, explain benefits to patients and may be involved in sales efforts.Read More...
Managed care specialists must follow their employer's guidelines, policies and procedures at all times. They may be required to attend training classes and workshops relevant to their job, as well as train and coach new specialists. Managed care specialists must know the differences among different types of healthcare plans such as HMOs, PPOs and EPOs, as well as be familiar with insurance codes relevant to patient billing.
Employers generally require that candidates for managed care specialist positions have at least high school diploma or equivalent. Companies may be willing to train employees to become managed care specialists, but they often prefer candidates with previous experience in the position. Managed care specialists must be able to work in a team environment, have basic computer skills, have excellent interpersonal and communications skills, and be able to work effectively and efficiently with patients.
Managed Care Specialist Tasks
- Review and audit managed care program to ensure professional standards.
- Resolve patient complaints regarding claims and services rendered.
- Collect and analyze data on managed care demographics, preferences and needs to identify potential contracts.
- Answer patient questions regarding the managed care program and policies.
- Coordinate marketing activities and policies to promote and educate managed care organizations.
Managed Care Specialist Job Listings
Search for more jobs:
Pay by Experience Level for Managed Care Specialist
Median of all compensation (including tips, bonus, and overtime) by years of experience.
Managed Care Specialists who reported more years of relevant experience also reported higher earnings. During the first five years of their careers, Managed Care Specialists see a median income of $36K. Survey respondents with five to 10 years of experience report an only modestly higher median of $40K. Managed Care Specialists claiming one to two decades of experience make an estimated median of $46K. More than 20 years of experience seem related to solid financial gains; veterans in this group report earning a median of $57K.
Key Stats for Managed Care Specialist
Rated 5 out of 5
based on 4 votes.