The Villages Rehab is looking to fill an Admission Coordinator - Managed Care Specialist position.

This role involves coordinating all aspects of resident admissions and managed care processes at a skilled nursing facility. You will be the primary liaison between hospitals, referral sources, families, insurance providers, and facility departments, ensuring timely admissions, insurance verifications, authorization management, and regulatory compliance.

You will coordinate incoming referrals, review hospital referrals, verify insurance benefits including Medicare, Medicaid, and Managed Care organizations, obtain prior authorizations, complete admission paperwork, conduct facility tours, collaborate with interdisciplinary teams, and maintain census goals.

Managed care responsibilities include managing Medicare Advantage and Managed Care authorizations and denials, monitoring insurance updates and authorization expirations, communicating with insurance case managers, tracking managed care days, and working with billing and finance teams to minimize denials and maximize reimbursement.

Knowledge of Florida Medicaid and Medicare regulations, HIPAA, CMS, AHCA, and facility policies is required.

Requirements & Qualifications

High school diploma or GED required; Associate's or Bachelor's degree in Healthcare Administration, Business, Marketing, or related field preferred.
1-2 years of admissions, managed care, or healthcare coordination experience preferred.
Skilled nursing facility, rehabilitation, or long-term care experience strongly preferred.
Experience with Medicare, Medicaid, and Managed Care authorizations required.
Familiarity with Florida long-term care experience preferred.
Knowledge of Medicare Part A, Medicare Advantage, Medicaid, commercial insurance, AHCA, CMS regulations.
Strong customer service, communication, organizational, and problem-solving skills.
Proficiency with EMR systems (PointClickCare preferred) and Microsoft Office.

Benefits & Perks

Health, Dental, and Vision Insurance
Paid Time Off (PTO)
401(k) Retirement Plan
Life Insurance