-
Patient Care Coordinator
4 days ago
Beachwood Dental Zephyrhills, United StatesJoin the Beachwood Dental family where every role is vital and every team member is valued We're in search of a friendly and organized front office team member to join us and help create positive experiences for our patients. We believe in fostering a culture of appreciation and ...
-
Care Transition Coordinator
21 hours ago
Mederi Caretenders Brooksville, United States Full timeMederi Caretenders of Brooksville, A Division of LHC Group is hiring for a Care Transition Coordinator. · The Care Transitions Coordinator is responsible for executing the sales strategy to increase company market share through account development and educating the medical commu ...
-
Managed Care Coordinator
1 week ago
Florida Medical Clinic Dade City, United StatesOur Vision is to be the best choice for healthcare in our community · This posting is for a FULL-TIME Managed Care Coordinator within our Family Practice office in Dade City. This role is responsible for assisting providers, supervisors, and staff members with all aspects of the ...
-
Managed Care Coordinator
2 weeks ago
Florida Medical Clinic Dade City, United StatesOur Vision is to be the best choice for healthcare in our communityThis posting is for a FULL-TIME Managed Care Coordinator within our Family Practice office in Dade City. This role is responsible for assisting providers, supervisors, and staff members with all aspects of the man ...
-
Care Access Coordinator
1 week ago
Chapters Health System, Inc Temple Terrace, United StatesIt's inspiring to work with a company where people truly BELIEVE in what they're doing · When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer servi ...
-
Associate Patient Care Coordinator
2 weeks ago
Optum Saint Petersburg, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
-
Associate Patient Care Coordinator
6 days ago
Optum Lutz, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
-
Spinal Solutions Fl Lakeland, United States**If interested in applying, please see call details below**: · **Responsibilities**: · - Answering phone calls · - Greeting and assisting patients in a professional and friendly manner · - Data entry and handling new patient paperwork · - Scheduling appointments and maintaining ...
-
care coordinator
3 weeks ago
LanceSoft Inc , FL, United StatesJob Description: · They will work from home but they are required to do Face to Face visits in the members home/Assisted Living Facilities or Nursing Home Facilities · This position is for Naples area, · BA in related fields like social work, health administration. · Day to day ...
-
care coordinator
3 weeks ago
LanceSoft Inc , FL, United StatesJob Description: · They will work from home but they are required to do Face to Face visits in the members home/Assisted Living Facilities or Nursing Home Facilities · This position is for SARASOTA/ VENICE area, · BA in related fields like social work, health administration. · D ...
-
care coordinator
3 weeks ago
LanceSoft Inc , FL, United StatesJob Description: · They will work from home but they are required to do Face to Face visits in the members home/Assisted Living Facilities or Nursing Home Facilities · This position is for Lee area, · BA in related fields like social work, health administration. · Day to day res ...
-
Patient Care Coordinator
2 weeks ago
Upperline Health Clearwater, United StatesAbout Us · Upperline Health launched in 2017 and is one of the nation's leading comprehensive and coordinated lower extremity healthcare organizations. Upperline Health provides the highest quality integrated health services to more patients in need through a skilled and compassi ...
-
Patient Care Coordinator
3 weeks ago
Upperline Health Clearwater, United StatesJob Description · Job DescriptionAbout Us · Upperline Health launched in 2017 and is one of the nation's leading comprehensive and coordinated lower extremity healthcare organizations. Upperline Health provides the highest quality integrated health services to more patients in ne ...
-
Care Transition Coordinator
2 weeks ago
LHC New Brooksville, United StatesSummary · Mederi Caretenders of Brooksville, A Division of LHC Group is hiring for a Care Transition Coordinator. · The Care Transitions Coordinator is responsible for executing the sales strategy to increase company market share through account development and educating the me ...
-
Patient Care Coordinator
2 weeks ago
Upperline Health Clermont, United StatesAbout Us · Upperline Health launched in 2017 and is one of the nation's leading comprehensive and coordinated lower extremity healthcare organizations. Upperline Health provides the highest quality integrated health services to more patients in need through a skilled and compassi ...
-
Care Transition Coordinator
3 weeks ago
LHC New Brooksville, United StatesSummary · Mederi Caretenders of Brooksville, A Division of LHC Group is hiring for a Care Transition Coordinator. · The Care Transitions Coordinator is responsible for executing the sales strategy to increase company market share through account development and educating the me ...
-
RN, Care Coordinator
3 weeks ago
Chapters Health System Hudson, United StatesRN, Care Coordinator · It's inspiring to work with a company where people truly BELIEVE in what they're doing · When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high ...
-
Patient Care Coordinator
3 weeks ago
Upperline Health Clearwater, United StatesAbout Us · Upperline Health launched in 2017 and is one of the nation's leading comprehensive and coordinated lower extremity healthcare organizations. Upperline Health provides the highest quality integrated health services to more patients in need through a skilled and compass ...
-
Patient Care Coordinator
3 weeks ago
Upperline Health Clermont, United StatesAbout UsUpperline Health launched in 2017 and is one of the nation's leading comprehensive and coordinated lower extremity healthcare organizations. Upperline Health provides the highest quality integrated health services to more patients in need through a skilled and compassiona ...
-
Patient Care Coordinator
6 days ago
Align Foot & Ankle Saint Petersburg, United StatesJob Description · Job DescriptionAlign Foot & Ankle, Office Coordinator - Full Time · St Petersburg, Florida · Dr. Zachery P. Barnett · Job Highlights · Align Foot and Ankle (AFA) is a boutique podiatry practice that is patient focused with community in mind, in a beautifully ren ...
Managed Care Coordinator - Dade City, United States - Florida Medical Clinic
Description
Our Vision is to be the best choice for healthcare in our communityThis posting is for a FULL-TIME Managed Care Coordinator within our Family Practice office in Dade City. This role is responsible for assisting providers, supervisors, and staff members with all aspects of the managed care plans. Qualified candidates must have a strong understanding of Medicare insurances and Excel spreadsheets, medical terminology. Five years of experience in a similar role preferred. Medical Assistant background a plus.
WHAT DOES FLORIDA MEDICAL CLINIC ORLANDO HEALTH HAVE TO OFFER ITS EMPLOYEES?
We offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great.
Gives you an employer that you will have pride in working for
Provides excellent training programs and opportunities for growth
Offers Medical Benefits including:
Employer Contributions to HSA high deductible plan
Discounts at our medical facilities
Cigna Open Access OAPIN & OAP plans
Supports Incentive based Wellness Programs
Offers company sponsored Life Insurance with buy-up provisions
Provides Dental, Vision, Long and Short Term Disability, Accident & Illness policy options
Supports Paid Time Off and Holidays
Gives generous 401K plan with annual 3% Employer contribution after one year of employment
Values and appreciates its employees
Boasts a reputation for superior health care and quality service
Job Qualifications:
High school graduate or GED
Strong customer service orientation
Time management and multitasking
Organize and manage multiple priorities
Computer proficiencies
Strong team player
Maintains MRA data as required by Managed Care Carriers
Reviews and completes managed care report; suspect, Hedis , Prostar.
Updates the Plan Code Audit for center
Normal physical ability; able to sit for long periods
Normal concentration and normal complexity of decision making
High level verbal and written communication skills
Keys to Success in this Role:
Essential Functions of the Position:
Acts as Case Manager
Obtains approval from the provider for requested authorizations
Coordinates visits
Notifies patients of the appointments
Forwards clinical data to the treating provider and/or facility
Notifies specialist office and patient of denied requests for authorization
Uses approved web tools to obtain authorizations
Reviews hospital census daily and distributes information to supervisors
Coordinates admissions with providers and facilities
Assists with coordination of care for patient
Assist in managing care for Out of State patients
Assists with complicated referrals for Home Health, DME and denials
Physician Staff Support
Train new providers on play polices, MRA, Hedis.
Updates providers and staff on changes in referral process, MRA and Part D coverage.
Inputs providers into Practice Management.
Works with supervisors and staff to promote team work.
Maintains MRA data as required by Managed Care Carriers
Submits claim encounters
Reviews and completes managed care reports; suspect, Hedis reports and updates Estar.
Addresses and handles all tasks in a timely manner
Coordinates meetings between providers/Medical Directors
Prepares agenda
Types minutes of meetings
Follows through on all requests by providers.
Provides reports to CFO (center totals, membership)
Handles and returns referral related calls
Additional Responsibilities:
Maintains an organized and clean work area
Participates in maintenance of office supplies
Performs other incidental and related duties as required and assigned
Physical and Mental Demands:
Routine desk and office activities
Ability to move frequently throughout the facility and to sit for long periods of time
High level verbal and written communication skills
Above average ability to manage multiple tasks and projects simultaneously
We are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status
#IND123