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 Biller
  • The Blossoms
  • Little Rock, AR FULL_TIME
  • Responsibilities include but are not limited to:

    • Collect, enter and process primary and/or secondary claim information on departmental cycle for multiple SNF locations.
    • Monitor verifications and authorizations obtained and ensure complete service spans are covered.
    • Answer business office manager and/or responsible party inquiries on account status and charges.
    • Researches and resolves all zero payment explanations or benefits and exercises all options to obtain claims payments; initiates adjustments as necessary.
    • Timely submission of SNF claims to various insurance companies
    • Prepares and generates clean claims for submission to all payor types, including third party payors, Medicare and Medicaid.
    • Develop and maintain working relationships with internal/external providers to ensure billings and collections procedures are current.
    • Monthly billing for all Commercial and Managed Care plans
    • Oversee authorization process to ensure accuracy
    • Create deposits weekly
    • Post cash to resident ledgers weekly
    • Follow up on all outstanding A/R

    Qualifications:

    • High School Diploma/GED or equivalent required; Associates Degree or Medical Billing Certificate preferred.
    • Experience in area of billing, denials review, and accounts receivable processes required.
    • Medicaid Medicare and Managed Care Billing Experience

     

  • 6 Days Ago

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Salon Coordinator
  • Sport Clips - Coordinator - AR101
  • Little Rock, AR FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 1 Month Ago

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Salon Coordinator
  • Sport Clips - Coordinator - AR205
  • Rogers, AR FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 1 Month Ago

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Salon Coordinator
  • Sport Clips - Coordinator - AR203
  • Bentonville, AR FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 1 Month Ago

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Salon Coordinator
  • Sport Clips - Coordinator - AR207
  • Siloam Springs, AR FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 1 Month Ago

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Salon Coordinator
  • Sport Clips - Coordinator - AR206
  • Rogers, AR FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 1 Month Ago

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MANAGER-CARE COORDINATION
  • LifeBridge Health
  • Baltimore, MD
  • MANAGER-CARE COORDINATION Baltimore, MD SINAI HOSPITAL CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN Leader 8...
  • 3/19/2024 12:00:00 AM

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Manager Care Coordination
  • Catholic Health Services
  • West Islip, NY
  • Overview Manager of Care Coordination (MCC) - Registered Nurse (RN) Are you exceedingly driven, dedicated, and passionat...
  • 3/19/2024 12:00:00 AM

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Manager Care Coordination
  • St. Catherine of Siena
  • West Islip, NY
  • Overview Manager of Care Coordination (MCC) - Registered Nurse (RN) Are you exceedingly driven, dedicated, and passionat...
  • 3/19/2024 12:00:00 AM

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Manager-Care Coordination
  • Baptist Memorial
  • Memphis, TN
  • Summary Develop and implement care coordination activities that support strategic initiatives around population health. ...
  • 3/19/2024 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, ...
  • 3/19/2024 12:00:00 AM

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Managed Care Coordinator
  • Mindlance
  • Columbia, SC
  • Job Title: Managed Care Coordinator Job Location: Columbia, SC Zip Code: 29219, 29203, 29229, 29201 Top 3/5 Skills: · RN...
  • 3/18/2024 12:00:00 AM

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Managed Care Coordinator
  • Mindlance
  • Columbia, SC
  • Job Title: Managed Care Coordinator Job Location: Columbia, SC Zip Code: 29219, 29203, 29229, 29201 Top 3/5 Skills: · RN...
  • 3/16/2024 12:00:00 AM

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Manager-Care Coordination
  • St. Catherine of Siena
  • Rockville Centre, NY
  • Overview Manager, Care Coordination (RN), Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-p...
  • 3/16/2024 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
$45,212 to $77,593

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