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Home › Companies › 1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001 › Managed Care Coordinator

Managed Care Coordinator

1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001 · Chippewa Falls, WI, US, Chippewa Falls, WI · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
Company1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001
TitleManaged Care Coordinator
Normalized title-
Department / team-
LocationChippewa Falls, WI, United States
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-29 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from 1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Chippewa Falls.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company1c3b0140 D78f 4fbd A557 Eff5c30226e6 19000101 000001
Source19747cbe-01cb-40d7-b526-d1d4ccbab035
ATS providerADP Workforce Now Recruiting

Description

JOB SUMMARY The Managed Care Coordinator is responsible for completing insurance requirements and providing case management support for services delivered across various patient care settings. This individual obtains and communicates insurance benefit information to patients and internal departments, ensuring accurate and timely coordination of coverage. The Managed Care Coordinator supports both patients and providers by identifying alternative solutions for non-covered services, collaborating closely with providers, insurance carriers, and Patient Assistance Counselors. Additionally, this role contributes to the effectiveness of care delivery by facilitating access to resources, supporting financial navigation, and aligning activities with organizational policies and patient care goals. ESSENTIAL JOB FUNCTIONS Completes managed care insurance requirements for services ordered or provided by health system providers, ensuring adherence to policy and payer guidelines. Monitor services requiring case management by reviewing medical/dental records, patient appointments, and communicating with patients, providers, and insurance companies to verify coverage compliance. Contact patients to obtain insurance information, communicate cost estimates, and relay other care-related details necessary to fulfill managed care requirements. Reviews appointment schedules to verify and update patient insurance eligibility for each visit. Reviews patient accounts for Patient Responsibility balances and provides patient counseling regarding expected payments including pre-pay and non-covered services. Works with providers and patient care teams to obtain, submit, manage and verify prior authorizations. Documents all patient interactions and actions taken, maintaining accurate records for future reference. Communicates insurance coverage limitations and requirements to patients and care teams to ensure clear understanding and proper coordination of services across the health system. Assist patients, staff, and external providers with appeals, retrospective referrals, prior authorizations, and denied claims to maximize reimbursement and deliver high-quality customer service. Supports coordination, training, and education related to prior authorization and managed care requirements for patients, providers, and staff to optimize reimbursement processes. Refers underinsured or uninsured patients to Patient Assistance Counselors and coordinates point-of-service pre-payment processes when applicable to mitigate organizational bad debt. Maintains strict adherence to scheduled work hours with regular and reliable attendance. Performs other duties as assigned. EDUCATION AND EXPERIENCE High school diploma or equivalent. Minimum of two years’ experience in a medical/dental business office or healthcare setting; understanding of insurance eligibility and benefit verification. Graduation from a Medical Assistant, Health Unit Coordinator, or Health Care Business Services program preferred. CERTIFICATIONS / LICENSES Valid Wisconsin Driver’s License required with an acceptable motor vehicle record (MVR), per FHC guidelines. Equal Opportunity Employer

Full job record

Job ID7002b7721d2a9afd2f1c86a885ecdfb99f20b49c
Org IDe0dd2d29-af8b-49b9-83bc-bceb0689205f
Source ID19747cbe-01cb-40d7-b526-d1d4ccbab035
Board ID19747cbe-01cb-40d7-b526-d1d4ccbab035
Provideradp_workforcenow
Provider Job Key550713
TitleManaged Care Coordinator
Normalized Title—
Statusactive
Activeyes
Location TextChippewa Falls, WI, US, Chippewa Falls, WI
Department—
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionWI
CityChippewa Falls
Salary Raw—
Salary Min—
Salary Max—
Salary Currency—
Salary Period—
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1c3b0140-d78f-4fbd-a557-eff5c30226e6&ccId=19000101_000001&lang=en_US&type=JS&jobId=550713&jwId=9200956604419_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1c3b0140-d78f-4fbd-a557-eff5c30226e6&ccId=19000101_000001&lang=en_US&type=JS&jobId=550713&jwId=9200956604419_1
First Seen At2026-05-31 18:21:23Z
Last Seen At2026-06-06 12:11:34Z
Last Checked At2026-06-06 12:11:34Z
Last Changed At2026-06-06 12:11:34Z
Inactive At—
Source Posted At2026-05-29 14:04:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=1c3b0140-d78f-4fbd-a557-eff5c30226e6|19000101_000001/date=2026-06-06/2026-06-06T12-11-28-285Z-ec938c5ce6916e6f4040143c052575a11699d884fd7fc5e192091ea42b20b93a.json
Event Fields
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  "active_status": "active"
}
Parsed Structured
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  "remote_policy": null,
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  "workplace_type": null,
  "salary_currency": null
}
Extensions
{}
Native Structured
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    "requisitionDescription": "<div><div><div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:#BFBFBF;' data-pasted=\"true\"><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>JOB SUMMARY</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;'><span style='font-size:15px;font-family:\"Calibri\",sans-serif;'>The Managed Care Coordinator is responsible for completing insurance requirements and providing case management support for services delivered across various patient care settings. &nbsp;This individual obtains and communicates insurance benefit information to patients and internal departments, ensuring accurate and timely coordination of coverage. &nbsp;The Managed Care Coordinator supports both patients and providers by identifying alternative solutions for non-covered services, collaborating closely with providers, insurance carriers, and Patient Assistance Counselors. &nbsp;Additionally, this role contributes to the effectiveness of care delivery by facilitating access to resources, supporting financial navigation, and aligning activities with organizational policies and patient care goals.</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;'><span style='font-size:15px;font-family:\"Calibri\",sans-serif;'>&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:#BFBFBF;'><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>ESSENTIAL JOB FUNCTIONS</span></strong></p><div style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;'><ol style=\"margin-bottom:0in;list-style-type: decimal;margin-left: -0.25in;\"><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Completes managed care insurance requirements for services ordered or provided by health system providers, ensuring adherence to policy and payer guidelines.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Monitor services requiring case management by reviewing medical/dental records, patient appointments, and communicating with patients, providers, and insurance companies to verify coverage compliance.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Contact patients to obtain insurance information, communicate cost estimates, and relay other care-related details necessary to fulfill managed care requirements.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Reviews appointment schedules to verify and update patient insurance eligibility for each visit.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Reviews patient accounts for Patient Responsibility balances and provides patient counseling regarding expected payments including pre-pay and non-covered services.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Works with providers and patient care teams to obtain, submit, manage and verify prior authorizations.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Documents all patient interactions and actions taken, maintaining accurate records for future reference.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Communicates insurance coverage limitations and requirements to patients and care teams to ensure clear understanding and proper coordination of services across the health system.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Assist patients, staff, and external providers with appeals, retrospective referrals, prior authorizations, and denied claims to maximize reimbursement and deliver high-quality customer service.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Supports coordination, training, and education related to prior authorization and managed care requirements for patients, providers, and staff to optimize reimbursement processes.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Refers underinsured or uninsured patients to Patient Assistance Counselors and coordinates point-of-service pre-payment processes when applicable to mitigate organizational bad debt.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Maintains strict adherence to scheduled work hours with regular and reliable attendance.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Performs other duties as assigned.</span></li></ol></div><p style='margin-right:0in;margin-left:.25in;font-size:16px;font-family:\"Calibri\",sans-serif;margin:0in;color:black;margin-top:0in;margin-bottom:1.1pt;text-align:justify;'><span style=\"font-size:15px;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:#BFBFBF;'><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>EDUCATION AND EXPERIENCE</span></strong></p><div style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;'><ol style=\"margin-bottom:0in;list-style-type: decimal;margin-left: -0.25in;\"><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>High school diploma or equivalent.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Minimum of two years&rsquo; experience in a medical/dental business office or healthcare setting; understanding of insurance eligibility and benefit verification.</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;'>Graduation from a Medical Assistant, Health Unit Coordinator, or Health Care Business Services program preferred.&nbsp;</span></li></ol></div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;'><span style='font-size:15px;font-family:\"Calibri\",sans-serif;'>&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:#BFBFBF;'><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>CERTIFICATIONS / LICENSES</span></strong></p><p><span style='font-size:15px;font-family:\"Calibri\",sans-serif;'>Valid&nbsp;<span style='font-size:15px;font-family:\"Calibri\",sans-serif;' data-pasted=\"true\">Wisconsin Driver&rsquo;s License required with an acceptable motor vehicle record (MVR), per FHC guidelines.</span></span></p><p><span style='font-size:16px;font-family:\"Calibri\",sans-serif;' id=\"isPasted\">Equal Opportunity Employer</span></p><p><br></p><p><br></p><p><br></p></div></div></div>\n",
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