Weekend Managed Care Coordinator

Concierge Home Care | Remote-Florida Residence

PRN | EVERY Saturdays & Sundays | 8:30 AM to 5:00 PM

Managed Care & Authorization Focus

Help Patients Access the Care They Need

At Concierge Home Care, we believe in the power of home health care to change lives—for patients and team members alike. Our mission, “Caring for people who care for people,” drives everything we do.

As a Managed Care Coordinator
, you will play a critical role in helping patients receive the home health services they need by ensuring insurance benefits are verified, authorizations are obtained, and required payer processes are completed accurately and on time.

This position is part of our Intake Department and works closely with Operations, Sales, referral sources, and insurance payors.

• Help ensure patients have timely access to home health services
• Play an important role in the coordination of patient care
• Work collaboratively with Operations, Sales, Intake, providers, and payors
• Be part of a growing healthcare organization focused on quality patient care

• 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

The Managed Care Coordinator is responsible for managing the insurance verification and authorization process for new and existing home health patients.

Success in this role requires strong attention to detail, excellent follow-through, and a thorough understanding of insurance authorization processes
. You will help ensure that authorization requirements are identified, completed, documented, and maintained throughout the patient's episode of care.

• 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…