Managed Care Coordinator jobs in Arkansas

Managed Care Coordinator coordinates utilization reviews of managed care contracts using established guidelines and processes. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Being a Managed Care Coordinator communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. Maintains managed care contracts and information databases and prepares reports. Additionally, Managed Care Coordinator typically requires an associate degree in nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). The Managed Care Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. To be a Managed Care Coordinator typically requires 5-7 years of related experience. (Copyright 2024 Salary.com)

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Managed Care Assistant
  • The Wellstone Group
  • North Little Rock, AR FULL_TIME
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    Long-Term Care Division is a leading provider of comprehensive care services across a network of over 20 buildings. Our commitment to delivering exceptional care is matched by our dedication to efficient and accurate billing processes. As part of our dynamic team, we are seeking a skilled Managed Care Medical Billing Assistant to support our billing operations under the guidance of the Managed Care Director.

     

    **Job Description:**

    We are seeking a detail-oriented Managed Care Assistant to join our Long-Term Care Division. In this role, you will play a vital part in managing of medical records for our extensive network of facilities. The ideal candidate will possess a thorough understanding of our practices, exceptional organizational abilities, and the capacity to thrive in a fast-paced environment.

     

    **Responsibilities:**

    - Review and assist with information for residents across multiple long-term care facilities

    - Verify insurance coverage and benefits for residents

    -Compile data and analysis for facilities

    - Collaborate with facility staff to ensure accurate documentation for billing purposes

    - Communicate with insurance companies to resolve billing discrepancies and inquiries

     

    **Requirements:**

    - High school diploma or equivalent; 

    - Proficiency in billing software and electronic health records systems specific to long-term care

    - Strong knowledge of medical billing codes relevant to long-term care services (CPT, ICD-10, HCPCS)

    - Excellent attention to detail and ability to manage large volumes of billing data

    - Effective communication and interpersonal skills, with the ability to collaborate with facility staff and insurance providers

    - Familiarity with managed care contracts and reimbursement methodologies in long-term care

     

     

    - Competitive annual salary of $40,000

    - Fully on-site position NO REMOTE WORK!

     

    **Benefits:**

    - Paid time off, including vacation and holidays

     

    If you are a motivated individual with a passion for healthcare and a strong background in medical billing, particularly within the long-term care sector, we encourage you to apply for the Managed Care Assistant Position Long-Term Care Division. Join us in providing exceptional care to our residents while contributing to the success of our operations.

     

    **How to Apply:**

    To apply, please submit your resume and cover letter outlining your qualifications and relevant experience to Kyrie@thespringsar.com. We appreciate your interest in joining our team and look forward to reviewing your application!

  • 9 Days Ago

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Safety Claims Coordinator
  • Safety Claims Coordinator
  • Little Rock, AR FULL_TIME
  • At CalArk, we respect what you have to offer. Our industry-leading wages and benefits ensure you always feel appreciated for what you individually bring to our team. Your talent has a home with us.
  • Just Posted

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Remote Medical Insurance Reimbursement Specialist - Managed Care
  • Shared Services Center - Fort Smith
  • Fort Smith, AR FULL_TIME
  • This is a remote position. This is for the Managed Care team. The working hours are Monday-Friday, 8:00am -4:30pm, EST or CST. Summary: The Insurance Reimbursement Specialist, under the direction of A...
  • 2 Months Ago

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Care Coordinator
  • Arkansas Total Care / Centene
  • Batesville, AR FULL_TIME
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri...
  • 13 Days Ago

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Care Coordinator
  • Arkansas Total Care / Centene
  • Monticello, AR FULL_TIME
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri...
  • 11 Days Ago

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Care Coordinator
  • Summit Community Care
  • Little Rock, AR FULL_TIME
  • POSITION SUMMARY: Develops, implements, and monitors the person-centered Total Plan of Care (TPOC) for assigned members with behavioral health needs, developmental/intellectual disabilities, and/or su...
  • 20 Days Ago

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Managed Care Coordinator
  • Mindlance
  • Columbia, SC
  • Job Title: Managed Care Coordinator Job Location: Columbia, SC Top 3/5 Skills: · RN / Registered Nurse License · Chronic...
  • 6/11/2024 12:00:00 AM

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Managed Care Coordinator
  • MJHS
  • New York, NY
  • Req #: 1509 Job ID: 13084 Job Location: New York, NY Zip Code: 10040 Category: Office and Administrative Support Agency:...
  • 6/10/2024 12:00:00 AM

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Case Manager (Care Coordinator)
  • Pacifica Hospital of the Valley
  • Los Angeles, CA
  • Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
  • 6/9/2024 12:00:00 AM

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Sales Manager/ Care Coordinator
  • Always Best Care Senior Services
  • Thousand Oaks, CA
  • Sales Manager / Care Coordinator Always Best Care, a National home care company, is currently looking for a seasoned, en...
  • 6/9/2024 12:00:00 AM

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Managed Care Coordinator - Foster Care
  • Elevance Health
  • Radford, VA
  • Description The Foster Care Managed Case Manager is responsible for overall management of member's individual service pl...
  • 6/9/2024 12:00:00 AM

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Credentialing and Managed Care Coordinator
  • Texas Oncology
  • Richardson, TX
  • Overview: The US Oncology Network is looking for a Credentialing and Managed Care Coordinator to join our team at Texas ...
  • 6/8/2024 12:00:00 AM

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Case Manager (Care Coordinator)
  • Pacifica Hospital of the Valley
  • Los Angeles, CA
  • Job Description Job Description CARE COORDINTOR (CASE MANAGER) BEHAVIORAL HEALTH URGENT CARE CENTER (OUTPATIENT CLINIC) ...
  • 6/8/2024 12:00:00 AM

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office manager/ care coordinator
  • 5 Stars Home Care LLC
  • Alexandria, VA
  • Job Description Job Description Job Summary: Duties: Responsible for all areas of Operations; human resources, intakes, ...
  • 6/7/2024 12:00:00 AM

Arkansas (/ˈɑːrkənsɔː/ AR-kən-saw)[c] is a state in the southern region of the United States, home to over 3 million people as of 2018. Its name is of Siouan derivation from the language of the Osage denoting their related kin, the Quapaw Indians. The state's diverse geography ranges from the mountainous regions of the Ozark and the Ouachita Mountains, which make up the U.S. Interior Highlands, to the densely forested land in the south known as the Arkansas Timberlands, to the eastern lowlands along the Mississippi River and the Arkansas Delta. Arkansas is the 29th largest by area and the 33rd...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$45,053 to $77,322

Managed Care Coordinator in New Orleans, LA
Health systems must meet the operational challenge of managing provider data for thousands of participating providers in their value-based care networks.
January 11, 2020
Managed Care Coordinator in Gainesville, FL
Many telehealth programs give patients easy access to any additional educational materials provided by their health plan or primary care provider.
December 23, 2019
Managed Care Coordinator in Houston, TX
Works with relevant parties to ensure deliverable from all parties are achieved in accordance with strategic timelines.Maintains CHSLI master list of service locations (facility, professional and continuing care)Assists in the resolution of referral, authorization and claims payment issuesSupports Directors in effort to educate and assist Hospital departments in meeting internal and MCO operational requirements.
December 27, 2019