Managed Care Coordinator jobs in the United States

Liberty Health Care Center is accepting applications for a hybrid role:

Bookeeper/Managed Care Coordinator to work with our team of dedicated health care professionals!

SUMMARY OF DUTIES:

• Works with the admissions team, patient/family, and insurance companies to promote timely admissions utilizing appropriate precertification process in order to maximize patient benefits
• Pre-certification of admissions/ readmissions
• Daily updates with insurance companies
• Insurance appeals, payment appeals and communication with UR team
• Schedule all resident transportation including insurance information and prior authorizations as needed
• Cancel transportation as needed and communicate changes to family members
• Review and verify ambulette/ambulance billing.
• Primarily responsible to provide bookkeeping and secretarial support within the nursing facility.
• Includes, but not limited to establishing and maintaining payment resources, guardian documents, and resident trust funds.

REQUIREMENTS:

• Minimum 1-2 years healthcare, experience preferred and experience with progressive responsibility in the healthcare environment
• Critical thinking skills, decisive judgment, and the ability to work with minimal supervision meeting firm deadlines
• Assertive and persuasive and creative communication and negotiation skills, action oriented
• Excellent skills in communication both verbal and written documentation
• Interpersonal relations
• Organizational Skills
• Ability to develop and maintain rapport with the insurance provider, patient, families, and the interdisciplinary team.
• one-year experience in long-term care billing with a working knowledge of Medicare, Medicaid, PPS, Managed Care Organizations, and private insurance.

EDUCATION:

• Associates degree preferred in AR, accounting, billing, clerical, or related field.

Windsor House offers a competitive benefit package:

• NEW College Loan Payoff Program for RNs & LPNs!*
• $1.00 an Hour Attendance Bonus on every hour worked paid quarterly!
• Performance Based Annual Bonus Plan.
• Tuition Reimbursement for LPN or RN programs available.
• Multiple health coverage offerings to choose from.
• Vision.
• Company-paid and Supplemental Life Insurance.
• 401K.

Locally, family owned and operated. Come Join our Team and be part of the Tradition of Caring that Windsor House, Inc. has been providing for over 60 years!

Consider joining our team of dedicated medical professionals committed to providing the best quality of care to those most vulnerable members of our communities.

Job Type: Full-time

Location: 1355 Churchill-Hubbard Road 44505

Phone: 330-759-7858

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• Monday to Friday

Ability to Relocate:

• Youngstown, OH 44505: Relocate before starting work (Required)

Work Location: In person