Managed Care Authorization & Appeals Coordinator

Ditmas Park Nursing & Rehab; New York (NY); On-site; USD 65,000 - 80,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

Ditmas Park Nursing & Rehab in New York is seeking a Managed Care Authorization & Appeals Coordinator. The role focuses on managing insurance authorizations, submitting clinical documentation, handling Medicare non-coverage notices, and pursuing insurance appeals for residents in a skilled nursing facility.

The coordinator collaborates closely with nursing, rehabilitation, social services, and billing teams to ensure appropriate coverage while maximizing reimbursement and maintaining regulatory

Qualifications

• Oversee insurance authorizations and clinical documentation submissions for residents.
• Handle Medicare non-coverage notices and insurance appeals.

Responsibilities

• Manage insurance authorizations for resident services.
• Submit accurate clinical documentation to payers.
• Process Medicare non-coverage notices.
• Submit and pursue insurance appeals to maximize reimbursement.

Job description

The Managed Care Authorization & Appeals Coordinator is responsible for managing insurance authorizations, clinical documentation submissions, Medicare non-coverage notices, and insurance appeals for residents in a skilled nursing facility. This position works closely with nursing, rehabilitation, social services, and billing departments to ensure appropriate insurance coverage and maximize reimbursement while maintaining regulatory compliance

Benefits:

• 401(k)

• Dental insurance

• Health insurance

• Paid time off

• Vision insurance