Managed Care Specialist Salary
Managed Care Specialists in the United States are largely female. The average salary of the entire group is approximately $48K per year. A large number report receiving medical coverage from their employers and a fair number collect dental insurance. Most Managed Care Specialists report high levels of job satisfaction. The data for this snapshot was collected from individuals who took PayScale's salary survey.
|Salary||$35,302 - $68,234|
|Total Pay (||$28,799 - $63,192|
|Hourly Rate||$12.26 - $24.47|
|Total Pay (||$28,799 - $63,192|
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. (Copyright 2017 PayScale.com)
Managed Care Specialist Tasks
- Answer patient questions regarding the managed care program and policies.
- Coordinate marketing activities and policies to promote and educate managed care organizations.
- Collect and analyze data on managed care demographics, preferences and needs to identify potential contracts.
- Review and audit managed care program to ensure professional standards.
- Resolve patient complaints regarding claims and services rendered.
Managed Care Specialist Job Listings
Pay by Experience Level for Managed Care Specialist
Pay by Experience for a Managed Care Specialist has a positive trend. An entry-level Managed Care Specialist with less than 5 years of experience can expect to earn an average total compensation of $35,000 based on 23 salaries provided by anonymous users. Average total compensation includes tips, bonus, and overtime pay. A Managed Care Specialist with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of $39,000 based on 19 salaries. An experienced Managed Care Specialist which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of $45,000 based on 19 salaries. A Managed Care Specialist with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of $57,000 based on 7 salaries.
Key Stats for Managed Care Specialist
Rated 5 out of 5
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