Impact-Driven Insurance Case Manager (Medicaid)

Medford Multicare Center; New York (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

Waterview Nursing Care Center in New York state seeks an Insurance Case Manager to oversee insurance aspects of resident care within our nursing home. You will coordinate with insurers, residents, and families to secure authorizations and ensure coverage.

Responsibilities include submitting claims and appeals, maintaining compliant records, and supporting residents and families with benefits and coverage inquiries, while staying updated on policy changes and regulatory requirements.

Qualifications

• Bachelor’s degree in healthcare administration, business, or related field preferred.
• Experience in insurance case management or similar role in healthcare.
• Strong knowledge of insurance policies, billing procedures, and regulatory requirements.

Responsibilities

• Insurance coordination with providers, residents, and families.
• Prepare and submit insurance claims and appeals.
• Maintain accurate records of insurance communications and transactions.
• Ensure compliance with policies and state/federal guidelines.
• Support residents and families on benefits and coverage and assist with appeals when needed.

Skills

Insurance policies

Communication

Organization

Software proficiency

Education

Bachelor’s degree in healthcare administration, business, or related field

Tools

Insurance software

Job description

Waterview Nursing Care Center in New York state seeks an Insurance Case Manager to oversee insurance aspects of resident care within our nursing home. You will coordinate with insurers, residents, and families to secure authorizations and ensure coverage.

Responsibilities include submitting claims and appeals, maintaining compliant records, and supporting residents and families with benefits and coverage inquiries, while staying updated on policy changes and regulatory requirements.