Managed Care Coordinator jobs in Towson, MD

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
  • CommuniCare Family of Companies
  • Linthicum Heights, MD FULL_TIME
  • Managed Care Biller

    CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.

    Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions.

    Our more than 150 skilled nursing, assisted living, independent living, behavioral health and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across seven states (Ohio, Indiana, Maryland, Virginia, West Virginia, Pennsylvania, Missouri).

    PURPOSE/BELIEF STATEMENT

    The position of Managed Care Biller/Collector is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned. Ultimately they are responsible for hitting their cash collection goals each month and minimizing the impact of Bad Debt for the buildings/facilities assigned to them.

    WHAT WE OFFER

    All CommuniCare employees enjoy competitive wages and PTO (Paid Time Off) plans. We offer full time employees a menu of benefit options that include:

    • Life Insurance and Disability Plans
    • Medical, dental, and vision coverage from quality benefit carriers
    • 401K with employer match
    • Flexible Spending Accounts

    POSITION REQUIREMENTS

    • Knowledge of medical billing/collection practices.
    • 3-5 years experience in managed care billing preferred
    • Experience billing various Managed Care companies and understanding the requirements for each payor
    • Claim appeal/resolution expertise preferred
    • Must have a high degree of attention to detail.
    • Strong verbal and written skills required in order to interact with insurance companies to resolve unpaid claims via telephone and written correspondence.
    • Basic computer literacy and skills.
    • Strong organizational skills a must.

    About Us

    A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

  • 4 Days Ago

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Clinical Quality Managed Care Specialist
  • Johns Hopkins Medicine
  • Hanover, MD FULL_TIME
  • Who you are: As a Clinical Quality Managed Care Specialist, you are a guru when it comes to working in a NCQA-accredited managed care organization. You not only understand Clinical HEDIS and Stars Mea...
  • 25 Days Ago

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Pharmacy Benefits/Quality Assurance Specialist (Healthcare)
  • Jai Medical Systems Managed Care Organization, Inc.
  • Cockeysville, MD FULL_TIME
  • Jai Medical Systems Managed Care Organization, Inc. was founded in 1997 and serves a diverse population of children and adults throughout the State of Maryland. Since our founding, Jai Medical Systems...
  • Just Posted

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Claims Auditor
  • Jai Medical Systems Managed Care Organization, Inc.
  • Cockeysville, MD FULL_TIME
  • Baltimore-based Medicaid Managed Care Organization company is seeking a hardworking and reliable individual for Claims Auditor position. The Claims Auditor will review and analyze claims data, profess...
  • 6 Days Ago

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Managed Care Centralized Business Office Manager
  • CommuniCare Family of Companies
  • Linthicum Heights, MD FULL_TIME
  • CommuniCare Health Services is currently recruiting a Managed Care Team Lead / Centralized Billing Office Manager for our Central Billing Office in Linthicum Heights, MD.PURPOSE/BELIEF STATEMENTThe Ma...
  • 1 Month Ago

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Salon Coordinator
  • Sport Clips - Coordinator - MD118
  • Middle River, MD FULL_TIME
  • Calling all future professionals! We are looking for cosmetology students! Learn the Salon Industry while you are in school. Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join...
  • 1 Month Ago

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0 Managed Care Coordinator jobs found in Towson, MD area

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RN Care Coordinator - Grace Medical Center
  • LifeBridge Health
  • Long Green, MD
  • RN Care Coordinator - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER FAM H&W CENTER Full-time - Day shift - 8:3...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator - Grace Medical Center
  • LifeBridge Health
  • Towson, MD
  • RN Care Coordinator - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER FAM H&W CENTER Full-time - Day shift - 8:3...
  • 4/18/2024 12:00:00 AM

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RN Care Coordinator - Grace Medical Center
  • LifeBridge Health
  • Lutherville Timonium, MD
  • RN Care Coordinator - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER FAM H&W CENTER Full-time - Day shift - 8:3...
  • 4/18/2024 12:00:00 AM

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UTILIZATION REVIEW NURSE (RN)
  • LifeBridge Health
  • Randallstown, MD
  • UTILIZATION REVIEW NURSE (RN) Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30...
  • 4/17/2024 12:00:00 AM

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Extended Care Coordinator
  • German International School Washington D.C.
  • Potomac, MD
  • Job Description Job Description Who we are: The German International School Washington D.C. is a leading international s...
  • 4/17/2024 12:00:00 AM

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RN Care Coordinator - Grace Medical Center
  • LifeBridge Health
  • Baltimore, MD
  • RN Care Coordinator - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER FAM H&W CENTER Full-time - Day shift - 8:3...
  • 4/15/2024 12:00:00 AM

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Health Care Coordinator
  • KMM Technologies, Inc.
  • Baltimore, MD
  • KMM – an ISO 9001:2015, CMMI Level 2 certified company – provides high-quality IT consulting services and innovative sol...
  • 4/15/2024 12:00:00 AM

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Customer Care Coordinator
  • Numotion
  • Baltimore, MD
  • Customer Care Coordinator Tracking Code 8079-128 Job Description By joining Numotion, you will be a part of the nations ...
  • 4/15/2024 12:00:00 AM

Towson is located at 39°23′35″N 76°36′34″W / 39.39306°N 76.60944°W / 39.39306; -76.60944 (39.392980, −76.609562). According to the United States Census Bureau, the CDP has a total area of 14.2 square miles (37 km2), of which, 14.0 square miles (36 km2) is land and 0.2 square miles (0.52 km2) (1.06%) is water. The community is located immediately north of Baltimore City, inside the Beltway (I-695), east of I-83 and along York Road. Its census boundaries include Pikesville to the west, Lutherville and Hampton to the north, Parkville to the east, and Baltimore to the south. Major neighborhoods...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$50,640 to $86,905
Towson, Maryland area prices
were up 1.5% from a year ago

Managed Care Coordinator in San Francisco, CA
Care managers also sometimes provide case management--for example, information about transportation assistance, food programs, and other social services.
December 12, 2019
Managed Care Coordinator in Santa Barbara, CA
Nursing home administrators manage staff, admissions, finances, and care of the building, as well as care of the residents in nursing homes.
February 02, 2020
Managed Care Coordinator in Orange, CA
Assist with on-boarding and training of new Managed Care Coordinators.
January 20, 2020