Managed Care Referrals Specialist

Aperion Care, Inc.; Lincolnwood (IL); On-site; USD 55,000 - 75,000; Full time

Job summary

Aperion Care, Inc. in Lincolnwood, Illinois is looking for a Managed Care Case Management professional. The role involves reviewing referral requests and verifying insurance benefits for skilled care stays. Candidates should have experience in skilled nursing facilities and understanding of Medicare and insurance processes.

This position requires strong organizational and problem-solving skills, with a preference for candidates who have worked with MCO insurance systems. A college degree is preferred.

Qualifications

• Experience working in a skilled nursing facility.
• Understanding of claims under Commercial and Medicare Advantage plans.
• 2 years of MCO insurance experience preferred.

Responsibilities

• Liaison between marketing, admissions, and MCO case management.
• Verification of referrals before handing off to case managers.
• Maintain and close out Managed Care Referral Log.

Skills

Organizational skills

Problem-solving skills

MCO insurance experience

Education

College Degree

Job description

Aperion Care, Inc. in Lincolnwood, Illinois is looking for a Managed Care Case Management professional. The role involves reviewing referral requests and verifying insurance benefits for skilled care stays. Candidates should have experience in skilled nursing facilities and understanding of Medicare and insurance processes.

This position requires strong organizational and problem-solving skills, with a preference for candidates who have worked with MCO insurance systems. A college degree is preferred.