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Case Manager

Insurance Case Manager

We are in search of an Insurance Case Manager to join our ever growing team. This is an exciting and dynamic position with real opportunity for career growth!  We are looking for a dynamic candidate to coordinate HMO Insurances for Nursing Home Patients.

Job Description:
Maintain accurate case records for residents under Medicare and/ or Medicaid HMO coverage. Work closely with insurance companies and nursing homes to ​​continue ​rehab  and ​coordinate safe discharge plans ​.​​Responsible for obtaining timely authorizations & submitting updates.​ ​Comfortable to answer and make high volume calls from insurance companies.  

Essential Responsibilities:

  • Obtain and maintain authorizations 
  • Fax medical records to insurance compan​ies​
  • Answer​ insurances ​calls regarding ​questions about residents 
  • Follow up with insurance companies promptly and timely​
  • Write courteous and professional emails to clients
  • Writ​e​ letters to expedite appeals & authorization discrepancies
  • ​Track residences admissions & discharges 
  • ​Resolve aging cases
  • Train & shadow new hires 

Salary:

  • Negotiable

Case Management Solutions is an Equal Opportunity Employer

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