Weekend Managed Care Coordinator

Concierge Home Care • Jacksonville, FL

2d • $18 - $20 • Remote

About The Position

Concierge Home Care is seeking a Weekend Managed Care Coordinator to play a critical role in helping patients receive the home health services they need. This PRN position is remote and requires availability every Saturday and Sunday from 8:30 AM to 5:00 PM. The coordinator will be responsible for ensuring insurance benefits are verified, authorizations are obtained, and required payer processes are completed accurately and on time. This role is part of the Intake Department and collaborates closely with Operations, Sales, referral sources, and insurance payors. The position offers meaningful work in a growing healthcare organization with opportunities for professional growth and development.

Requirements

• Some college
• Minimum 2 years of recent experience obtaining medical insurance authorizations
• Experience with insurance eligibility and benefit verification
• Experience communicating with insurance companies and managed care organizations
• Experience navigating insurance portals and authorization systems
• Experience working with an EMR or electronic healthcare documentation system
• Strong attention to detail and accuracy
• Excellent organizational and follow-through skills
• Ability to manage multiple authorization requests and deadlines simultaneously
• Strong written and verbal communication skills
• Ability to work collaboratively with multiple departments
• Ability to maintain patient confidentiality and follow HIPAA requirements

Nice To Haves

• Experience in home health, hospice, healthcare, or another post-acute setting
• Knowledge of home health insurance authorization and reauthorization processes
• Familiarity with medical terminology
• Experience working with multiple EMR platforms
• Experience working with Medicare Advantage, managed care, Medicaid, commercial insurance, or other healthcare payors
• Experience working in a high-volume Intake or Managed Care environment

Responsibilities

• Complete daily insurance eligibility and benefit verification for new and existing patients.
• Review patient insurance information and identify payer requirements.
• Verify coverage, benefits, limitations, and authorization requirements.
• Monitor and reconcile insurance changes.
• Maintain accurate payer and patient information within the EMR.
• Obtain initial authorizations for home health services.
• Monitor authorization status and expiration dates.
• Obtain reauthorizations as required to support continued patient care.
• Follow up with insurance companies and managed care organizations regarding pending authorizations.
• Ensure authorization information is accurately documented within the EMR.
• Maintain a consistent process to prevent authorization gaps.
• Communicate directly with insurance companies, managed care organizations, and payer representatives.
• Navigate payer portals and electronic authorization systems.
• Submit required documentation and information to support authorization requests.
• Follow up on outstanding requests and resolve authorization-related issues.
• Maintain professional relationships with payer representatives.
• Maintain accurate and complete records of eligibility, benefits, authorizations, and reauthorizations.
• Ensure payer requirements and authorization information are documented appropriately.
• Protect confidential patient and insurance information in accordance with HIPAA regulations.
• Follow company policies and established managed care processes.
• Collaborate with the Intake team to support timely referral processing.
• Partner with Operations regarding authorization requirements and patient status.
• Communicate with Sales and referral sources when payer information or authorization requirements impact patient acceptance.
• Escalate authorization concerns or potential coverage issues appropriately.

Benefits

• Structured onboarding and training
• Exposure to multiple insurance plans and managed care processes
• Opportunities to develop expertise in healthcare authorizations and payer relations
• Opportunities for professional growth within Intake and Operations
• Supportive leadership and collaborative team environment

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Associate degree