The Managed Care Coordinator is responsible for completing insurance requirements and providing case management support for services delivered across various patient care settings.
Responsibilities
Completes managed care insurance requirements for services ordered or provided by health system providers, ensuring adherence to policy and payer guidelines.
Monitor services requiring case management by reviewing medical/dental records, patient appointments, and communicating with patients, providers, and insurance companies to verify coverage compliance.
Contact patients to obtain insurance information, communicate cost estimates, and relay other care-related details necessary to fulfill managed care requirements.
Reviews appointment schedules to verify and update patient insurance eligibility for each visit.
Reviews patient accounts for Patient Responsibility balances and provides patient counseling regarding expected payments including pre-pay and non-covered services.
Requirements
High school diploma or equivalent
Medical Assistant, Health Unit Coordinator, or Health Care Business Services program
Responsible for front desk operations, supporting patient flow, schedule optimization, and seamless coordination across the care team to ensure a high-quality patient experience.
Responsibilities
Greet patients, customers, and vendors in a friendly, professional, and welcoming manner
Answer telephone calls, respond to inquiries, and manage email or digital communications
Schedule patient appointments while supporting provider schedule optimization
Execute appointment confirmation and reminder processes to reduce no-show rates
Verify insurance eligibility and patient demographics prior to appointments
Requirements
Relevant certification or degree in healthcare administration or related field (implied by role)
The ideal Front Desk Coordinator views themselves as a “Director of First Impressions”. The successful candidate is friendly, professional, and has a natural talent for putting our patients first in delivering unparalleled customer service in a thriving fast-paced clinic.
Responsibilities
Accurately and professionally handling front desk operations including answering phones, greeting patients, scheduling all appointments, addressing routine inquiries, and forwarding non-routine requests to appropriate personnel
Prepares necessary patient paperwork before the patient’s appointment
Review EMA for information that needs to be updated
Updates patients' information and accurately enters it in EMA
Identifies payer sources, verifies insurance eligibility, and verifies prior authorization
The Referral Specialist manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures at designated locations.
Compensation
Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
Responsibilities
Manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures
Verifies insurance eligibility and obtains prior authorizations
Enters necessary demographic and insurance information into clinic and hospital systems
Handles phone communications and supports referral management operations
The Referral Specialist manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures at designated locations.
Compensation
Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
Responsibilities
Manages and facilitates patient referrals, authorizations, and scheduling appointments, tests, and procedures
Verifies insurance eligibility and obtains prior authorizations
Enters necessary demographic and insurance information into clinic and hospital systems
Handles phone communications and supports referral management operations
Responsible for providing organizational, front office support for the Summit Healthcare. Registers, pre-registers, schedule appointments, attains demographic and insurance information; and provide financial services for all patients.
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