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
- ...St. Charles Health System is seeking a Prior Authorizations and Referral Management Representative to coordinate prior authorizations and referrals for patients across... ...surgery. You will liaise between patients and care teams, ensuring accurate benefit verification and...SuggestedPart time
- ...building the best primary care environment for... ...Job SummaryThe Referral Coordinator plays a vital role in... ...care coordination by managing insurance pre-verifications... ...external referrals, authorizations, and follow-up activities... ...respond to denials or appeals. Value-Based Care...SuggestedWork at officeFlexible hoursWeekend work
$25 - $29 per hour
...women, is seeking a Surgical Coordinator. The first of its kind, Viva... ...destination where they can manage all aspects of their overall... ...included, patients receive the best care. As a Surgical Coordinator... ...and obtain necessary pre-authorization for surgical procedures....SuggestedLocal area- ...a detail-oriented Customer Service / Prior Authorization Representative. You will be the first point of contact for patients, manage insurance prior authorizations, verify benefits... ...communication skills are essential for timely patient access to care. #J-18808-Ljbffr...Suggested
- ...organized Entry‑Level Surgical Case Manager to support the coordination and oversight of surgical... ...carriers to ensure timely authorization, documentation, and continuity of care for surgical patients from pre... ...and legal staff to prepare appeal documentation and supporting...SuggestedWork at office
- Job Title: Insurance Case Manager About Us: Waterview Nursing Care Center is a leading... ...facility. This role involves coordinating with insurance providers... ...that all required authorizations and referrals are obtained... ...submit insurance claims, appeals, and other documentation...Full timeTemporary work
- Remote Key Responsibilities Authorization Management - Verify and document health plan travel authorizations... ...1+ year experience in Authorization coordination or similar logistics-based role. 1+... ...dedicated to reducing barriers to care by improving the delivery of non-...Remote work
- ...Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how... ...of our health plan members' lives. The A&G Coordinator will investigate and respond to written or verbal appeals and grievances submitted by members and...Contract work
$22.15 - $24 per hour
...Lucet, we’re transforming whole-person care. We deliver integrated behavioral and physical... ...You Will Do - Essential Functions The Appeals Coordinator processes and documents all aspects of... ...appeals, claims, utilization management, or health plan experience may be considered...Hourly payFull timeWork at officeLocal areaRemote workWork from homeHome officeFlexible hours- ...the best-ever personalized care with utmost compassion... ...to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population... ...adjudication, denial/appeal, and payment posting.... ...eligibility checks, and prior authorization tracking as needed. Help...Full timeWork at officeRemote workWorldwide
$40k - $52.3k
Become a part of our caring community Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team. Reporting to the... ...all incoming inpatient and outpatient prior authorization (PA) requests as outlined by Humana policies...Full timeTemporary workWork at officeRemote workWork from homeHome officeMonday to Friday$69.2k - $85k
...The Supervisor, Prior Authorization is responsible for overseeing... ...Denials & Appeals, PA360, and PA Mismatch... ...authorization issues, managing team productivity and... ...authorization denials, including coordination of appeals,... ...part of the standard of care to protect health and...For contractorsWork at officeImmediate startRemote workWorldwide$128k - $160k
...Supervisor, Appeals Pharmacist Charlotte, North Carolina, United... ...advanced AI-powered care delivery, Judi Health helps clients... ...subject matter expert on prior authorization and appeals operations that are... ..., skilling, performance and managing compliance risks. Position...Contract workWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workWeekend work$69k - $103k
...Contracts Coordinator – Facilities & Real Estate – Full-Time – Weill CornellAt NewYork-Presbyterian, our Facilities & Real... ...vital role in shaping the environments where world-class care is delivered. From managing construction and renovation projects to overseeing vendor...Full timeContract workWork at office- ...WellSky is seeking a Program Coordinator to support the Authorization Management program. You will coordinate requests from intake to payer determination, assign cases to clinical reviewers, and submit documentation to payers. The role requires organization, attention...
- ...Nurse practitioner to provide comprehensive and patient centered care for individuals with disorders of the ear, nose, throat, head... ...healthcare team Responsible to evaluate, diagnose, treat and manage both acute and chronic ENT conditions in both an outpatient and...Full timeTemporary workNight shift
$20 - $27.14 per hour
...are dedicated to creating a caring, professional, patient-... ...team to provide excellent, coordinated, cost-effective dermatology... ...the Clinical Call Center Manager, the Prior Authorization Coordinator will be responsible... ...Manage denials and submit appeals to get them approved from...Hourly payFull timeTemporary workRemote work$20 per hour
...LifeStance Health is seeking an Intake Coordinator to help new patients establish care, schedule initial assessments, verify insurance, and manage referrals. The role requires strong interpersonal skills and excellence in patient service within a fast-paced environment...Full timeRemote work- ...Humana is seeking a remote Utilization Management Administration Coordinator 2 to support provider inquiries, authorizations, and access to care. This hourly, work-from-home role includes weekend/holiday shifts and a training period 8:00 AM–4:30 PM CST for the first month...Hourly payPermanent employmentRemote workWork from homeShift work
$50k - $55k
...Anchor Health Home Care is hiring a Staffing Coordinator to manage caregiver schedules, fill open cases, and help patients receive consistent care. If you have experience matching caregivers with patients, handling last-minute call-outs, and keeping a busy caseload...Full timeWork at officeShift work- ...Aisles & Abroad seeks a detail-oriented Booking Coordination Specialist for a fully remote position. You will manage reservations, verify details, and communicate with clients to ensure a smooth experience. In this role, you will maintain organized booking records,...Remote work
$39k - $48.15k
...today as we strive to create a system of care that every doctor wants for their own... ...to consider every qualified candidate authorized to work in the United States, although... ...for this role at this time. Position: Appeals Coordinator Position Summary: Responsible for reviewing...Full timeWork at officeRemote workVisa sponsorshipWeekend work- The ALF HHA Coordinator is stationed at the assigned assisted living facility... ...liaison between Arista Home Care, the facility, patients and... ...team. The Coordinator manages intake paperwork for each new... ...accordance with the plan of care, authorized services, and agency...Work at officeShift work
- Job Title Schedule Management Coordinator About Children's Minnesota Children's Minnesota is one of the largest pediatric health systems in the... ...United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young...Full timeContract workPart timeWork at officeLocal areaShift workNight shiftWeekend work
- ...United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young... ...our patients and families. Position Summary The Schedule Management Coordinator has shared responsibilities within the Staffing Office and as...Work at officeShift work
- OOS Management Corp. is looking for a detail-oriented Authorization Specialist to join their growing operations team in New York. The role involves managing insurance authorizations, verifying benefits, and coordinating between various departments to ensure efficient service...
- VNS Health is seeking a Per Diem Intake Coordinator to manage referrals, verify patient information, and facilitate timely transitions of care. You will work with hospitals, clinics, and caregivers to ensure accurate documentation and effective handoffs. The role emphasizes...Daily paid
- Navista seeks a Coordinator, Managed Care, Credentialing to ensure active credentialing/enrollment with contracted payors for all groups and providers. You will maintain licensure, track credentialing activity, and support enrollment processes across regions. Ideal candidates...Flexible hours
- Allegis Global Solutions seeks a Recruitment Coordinator to support client recruitment teams and manage candidate care and administrative tasks from application through onboarding. The role requires attention to detail, strong communication, and the ability to meet deadlines...
$79.72k - $119.58k
...Inpatient Certified Advanced Nutrition Coordinator-Mount Sinai Hospital The Inpatient Certified... ...and provides advanced nutrition care for critically ill and medically complex... ...nutrition support, fluid and electrolyte management, growth monitoring and intervention planning...Full timeTraineeshipInternshipWork at officeWeekend work
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