Managed Care Authorization & Appeals Coordinator
Ditmas Park Nursing & Rehab
The Managed Care Authorization & Appeals Coordinator is responsible for managing insurance authorizations, clinical documentation submissions, Medicare non-coverage notices, and insurance appeals for residents in a skilled nursing facility. This position works closely with nursing, rehabilitation, social services, and billing departments to ensure appropriate insurance coverage and maximize reimbursement while maintaining regulatory compliance. Benefits 401(k) Dental insurance Health insurance Paid time off Vision insurance #J-18808-Ljbffr Ditmas Park Nursing & Rehab
$19 per hour
The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director... ...related to processing Utilization Management prior authorization and appeals. JOB RESPONSIBILITIES Monitor... ...year as a UM Coordinator in a managed care payer environment preferred...SuggestedTemporary workLocal areaRemote work- ...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are... ...formal NTUC note. -Accurately enters request for service authorizations into HealthRules Health Rules Payor in accordance to department...SuggestedWork at office
$35.04k
...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are... ...formal NTUC note. -Accurately enters request for service authorizations into HealthRules Health Rules Payor in accordance to department...SuggestedFull timePart timeWork at officeFlexible hours$20 - $30 per hour
...delivering exceptional care, utilizing state-of-... ...SeniorDirector of Revenue Cycle Management Department/Location:... ...to project/anticipate authorizations. Provide... ...treating clinicians. Coordinate Peer-to-Peer (P2P) Review... ...Establish post denial appeal response recommendations...SuggestedRemote work$55k - $65k
...Overview - Surgical Scheduling Coordinator: Compensation: $55,000 - $65... ...County, NJ, where you'll manage the full patient journey from... ...inquiry to post-operative care. This high-impact role includes... ..., verifying insurance authorizations, and reviewing medical records...SuggestedFull timeTemporary workPart timeWork at officeMonday to Friday- Authorizations Coordinator Cebu City, Philippines Come and join Skilled Wound Care where an exciting career awaits you! Our company is looking for an experienced and motivated... ...knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines Ability to effectively...Full timeFor contractorsWork at officeWork from homeShift workNight shift
$25 - $30 per hour
...Dental Treatment Coordinator Dental Treatment Coordinator acts as the primary liaison between... ...financial options, and scheduling care. You ensure patients understand the value... ...treatment, maximizing case acceptance while managing insurance verification and follow-up to...Hourly payFull timeWork at officeShift work$42.5k
...hospice and palliative care programs offer a... ...families ease the burden of managing a life-limiting... ...position is responsible for coordinating the collection, maintenance... ...for audits and appeals. The HIM Coordinator must... ...providers, and authorized third parties. Prepare...Full timePart timeFlexible hours- ...Supervisor, Certified Clinically Advanced Nutrition Coordinator (CCANC) is an integral member of the care team supporting physician-led practice by driving... ...physicians, nurses, social workers, pharmacists, case managers, and hospital staff to ensure seamless delivery of...Full timeInternshipWork at office
$18 - $22 per hour
...Overview Essen Health Care is the largest privately held... ...nursing home support, care management, and in-home care through our... ...and detail-oriented Surgical Coordinator to join our healthcare team.... ...Insurance and Authorization: Verify patient insurance...Full timeWork at officeFlexible hours$85k - $105k
...is a membership-based preventive health care practice delivering cutting-edge primary... ...tailored interventions to prevent, reverse, or manage all major chronic diseases. Each member's... ..., and referrals. Diagnostic Imaging Coordinator The Diagnostic Imaging Coordinator is responsible...Full timePrivate practiceFlexible hours$70.48k - $90k
...comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center,... ...We have an exciting opportunity to join our team as a Space Management Coordinator. Reporting to the Assistant Director of Space Planning and...Work at office$25 - $30 per hour
...Dental Treatment Coordinator Dental Treatment Coordinator acts as the primary liaison between... ...financial options, and scheduling care. You ensure patients understand the value... ...treatment, maximizing case acceptance while managing insurance verification and follow-up to...Full timeWork at office$35.04k
...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are... ...maintaining positive provider/customer services. You will be asked to coordinate with various Elderplan departments and NPO teams to ensure...Full timePart timeWork at officeFlexible hours$22 per hour
...Overview The Prior Authorization Coordinator will facilitate the logging in and... ...of all prior authorization, appeal, reimbursement and grievance... ...organizational and time management skills. Excellent ability to... ...Guardianship, Dedication and Caring. Essential Accountabilities...Hourly payTemporary work- ...Job Description: Position : Visiting Nurse ( RN Coordinator of Care) The Coordinator of Care is a Registered Professional Nurse who will manage all aspects of patient care related to services provided in the home. This would include Conducting home visits,...Full timeWork at officeLocal areaRemote workRelocation packageMonday to Friday
$80k - $85k
...require far more touch points than our primary care physicians have time to deliver and the... ...class clinical team to remotely monitor, manage, and support patients at home. Together... ...Health team seeks a Registered Nurse Coordinator to appropriately monitor and triage patients...Local areaRemote workHome officeWeekend work- ## Performance Improvement Coordinator - Quality Management - Hopewell - Full-Time - DAYSApplylocations: Pennington, NJtime type: Full timeposted on:... ...region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians...Full timeTemporary workPart timeFlexible hours
- Consociate-Health is offering a remote Utilization Management Coordinator position responsible for coordinating appeal activities and the UM process. Candidates should have strong administrative skills, excellent communication abilities, and a High School diploma or GED...Remote job
- Careers with Summit Management Consulting Location: Remote Job Id:... ...Objective The Student Reengagement Coordinator is the heart of our school’s... ..., reaches out with care and consistency, and works alongside... ...Coordinate with local authorities or court systems as needed,...Work experience placementWork at officeLocal areaRemote workHome officeMonday to FridayFlexible hours
$42.4k - $63.6k
...organization, we advance care for some of medicine’s... ...of life. The Prior Authorization Representative is responsible... .... Assists with appealing prior authorization denials... ...to the appropriate managers Checks the... ...initiates as required Coordinates required paperwork, clinical...Remote jobTemporary workH1bWork at officeLocal areaFlexible hours$107.99k - $140.39k
Job Title: Clinical Coordinator RN Location: SBC Corporation Department: ACO Req #: 0000251... ...responsible for effectively coordinating clinical care for patients. The Coordinator proactively... ...multidisciplinary teams to establish and manage care plans across the RWJBH network....Shift work$151.53k - $166.78k
NYU Langone Hospitals in Manhattan seeks a Transplant Coordinator, Pediatric or Family NP specializing in Peds Kidney Transplant. Candidates will oversee comprehensive nursing care, manage patient assessments, collaborate in clinical studies, and provide consultation to...Full time- ...We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced U.S.-based medical office . This role is responsible for... ..., coinsurance, out-of-pocket maximums) Obtain and manage prior authorizations for procedures, imaging, and specialty...Full timeFor contractorsWork at officeRemote work
$128.25k - $160k
...diagnostic and therapeutic care in virtually every... ...as a Supervisor‑Care Management *BSN & RN Required; 3... ...is responsible for the coordination and maintenance of programs... ...and insurance denial appeals. Oversees the... ...appeal, dispute resolution authority issues, commercial and...- Montefiore New Rochelle is seeking a Transplant Coordinator Practitioner to manage care for liver transplant patients, including evaluation, waitlist management, and follow-up. The role involves collaborating with multidisciplinary teams to ensure quality patient care in...
- ...Assistant for High Jewelry in New York. This role supports the Team Manager in providing personalized luxury services to High Jewelry clients, managing appointments, transactions, and aftersales care. The ideal candidate has 2-3 years of retail experience, preferably in...
$27 - $30 per hour
...supporting our licensed home care agencies, Ultimate Care and Swift... ...— while also providing the coordination, resources, and support our... ...Swift Home Care. This Team Lead manages and executes HR onboarding... ...move from applicant to work-authorized, audit-ready employees in a timely...Work at officeLocal areaMonday to Friday$132.02k - $156.77k
...Transplant Coordinator, Registered Nurse- Heart Transplant Nursing... ...with one high standard of care across 6 inpatient... ...about heart failure symptoms, management, and diet; interfacing... ...Complete paperwork for prior authorizations, denials/appeals with FGP medical secretary...Full time$132.02k - $156.77k
...This Role The Transplant Coordinator, Registered Nurse- Heart Transplant... ...team, overseeing care for advanced heart failure... ...heart failure symptoms, and management Complete disability, home... ...Complete paperwork for prior authorizations, denials/appeals Prepare information for...Full timeDay shift
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