Weekend Managed Care Coordinator

Concierge Home Care

. Complete daily insurance eligibility and benefit verification for new and existing patients .

Posted 9/17/2026part-timeRemote • Florida • United StatesJuniorMid-Level💰 $18 - $20 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in insurance eligibility verification, authorization processes, and maintaining compliance with HIPAA regulations. Proficient in managing multiple authorization requests while ensuring accurate documentation within electronic medical records (EMR).

Highest-signal resume keywords

Medical Insurance AuthorizationInsurance Eligibility VerificationEMR DocumentationHIPAA ComplianceCommunication with Insurance Companies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Authorization ProcessesBenefit VerificationPayer Portal NavigationAuthorization Status MonitoringDocumentation Submission

Soft Skills

Attention to DetailOrganizational SkillsFollow-ThroughCollaborative WorkVerbal Communication

Tools & Technologies

EMR SystemsElectronic Authorization SystemsInsurance Portals

Certifications & Qualifications

AHCA Level 2 Background Screening

Industry Keywords

Home HealthManaged CareMedicare AdvantageMedicaidCommercial Insurance

About the role

Key responsibilities & impact

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 to support continued patient care
Follow up with insurance companies and managed care organizations regarding pending authorizations
Document authorization information accurately within the EMR
Maintain processes to prevent authorization gaps
Navigate payer portals and electronic authorization systems
Submit required documentation supporting authorization requests
Follow up on outstanding requests and resolve authorization-related issues
Maintain professional relationships with payer representatives
Maintain complete records of eligibility, benefits, authorizations, and reauthorizations
Protect confidential patient and insurance information in accordance with HIPAA regulations
Follow company policies and established managed care processes
Collaborate with Intake 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 affect patient acceptance
Escalate authorization concerns or potential coverage issues appropriately

Requirements

What you’ll need

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
Preferred: experience in home health, hospice, healthcare, or another post-acute setting
Preferred: knowledge of home health insurance authorization and reauthorization processes
Preferred: familiarity with medical terminology
Preferred: experience working with multiple EMR platforms
Preferred: experience with Medicare Advantage, managed care, Medicaid, commercial insurance, or other healthcare payors
Preferred: experience working in a high-volume Intake or Managed Care environment
Successful completion of an AHCA Level 2 background screening may be required

Benefits

Comp & perks

Structured onboarding and training
Opportunities for professional growth within Intake and Operations
Supportive leadership and collaborative team environment
Meaningful work helping patients access home health services
Exposure to multiple insurance plans and managed care processes