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Hmo Coordinator Jobs (NOW HIRING)

Wellbound

CHHA Intake Coordinator

Brooklyn, NY · On-site

$24 - $27/hr

Insurance & Eligibility Verification · Verify Medicare, Medicaid, HMO, and private insurance ... Case Coordination · Coordinate and schedule initial nursing and therapy assessments. · ...

University Health

Service Coordinator RN

Boerne, TX

$35.50 - $52/hr

POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the ... Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare ...

University Health

Service Coordinator RN

Seguin, TX · On-site

$34.50 - $51/hr

POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the ... Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare ...

University Health

Service Coordinator RN

Hondo, TX · On-site

$34.50 - $51/hr

POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the ... Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare ...

University Health

Service Coordinator RN

San Antonio, TX · On-site

$35.50 - $52/hr

POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the ... Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare ...

University Health

Service Coordinator RN

San Antonio, TX · On-site

$34.50 - $51/hr

POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the ... Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare ...

University Health

Service Coordinator RN

San Antonio, TX · On-site

$34.50 - $51/hr

POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the ... Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare ...

University Health

Service Coordinator RN

Boerne, TX · On-site

$34.50 - $51/hr

POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the ... Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare ...

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Hmo Coordinator information

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$27K

$57.9K

$101.5K

How much do hmo coordinator jobs pay per year?

As of Aug 27, 2026, the average yearly pay for hmo coordinator in the United States is $57,869.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,500.00 and $69,500.00 per year, depending on experience, location, and employer.

What is an HMO coordinator?

HMO Coordinators are professionals who manage and oversee the administrative aspects of Health Maintenance Organization (HMO) plans within healthcare facilities or insurance companies. Their primary responsibilities include processing enrollments, verifying patient eligibility, coordinating benefits, and serving as a liaison between providers, patients, and insurance companies. They ensure compliance with HMO policies and help resolve any issues related to coverage or claims. HMO Coordinators play a key role in streamlining healthcare services and facilitating efficient communication among all parties involved.

What skills and qualifications are needed to be an HMO coordinator?

To thrive as an HMO Coordinator, you need a solid understanding of healthcare administration, insurance policies, and medical terminology, often backed by a degree in healthcare or business administration. Familiarity with managed care systems, claims processing software, and regulatory compliance is typically required. Outstanding organizational skills, attention to detail, and effective communication are critical soft skills for managing provider and patient relationships. These competencies ensure accurate coordination of benefits, compliance with regulations, and efficient service delivery within healthcare networks.

What challenges does an HMO coordinator face when managing patient authorizations and referrals?

One of the main challenges HMO Coordinators encounter is balancing high volumes of patient authorization requests while ensuring accuracy and compliance with healthcare regulations. They must regularly liaise with physicians, insurance providers, and patients to gather necessary information, often working under tight deadlines. Navigating diverse insurance policies and resolving discrepancies quickly is essential, as delays can impact patient care. Strong organizational skills and clear communication are vital for success in this fast-paced environment.

What is the difference between Hmo Coordinator vs Medical Office Assistant?

AspectHmo CoordinatorMedical Office Assistant
CredentialsHigh school diploma, certifications in healthcare administration or insuranceHigh school diploma, medical assisting certification often preferred
Work EnvironmentHealthcare facilities, insurance companies, clinicsDoctor's offices, clinics, outpatient facilities
Job ResponsibilitiesManaging HMO plans, verifying insurance, coordinating patient coverageScheduling appointments, patient check-in, administrative support

The Hmo Coordinator primarily focuses on managing health maintenance organization plans and insurance coordination, while the Medical Office Assistant handles general administrative tasks in healthcare settings. Both roles require healthcare knowledge but differ in scope and responsibilities.

What cities are hiring for Hmo Coordinator jobs?

Cities with the most Hmo Coordinator job openings:

What states have the most Hmo Coordinator jobs?

States with the most job openings for Hmo Coordinator jobs include:

Hmo Coordinator jobs near you
Infographic showing various Hmo Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $57,869 per year, or $27.8 per hour.

HMO Coordinator

Larkin Community Hospital

South Miami, FL • On-site

Full-time

Re-posted 4 hours ago

Job description

About the Role:

The HMO Coordinator plays a critical role in managing and facilitating the operations of Health Maintenance Organization (HMO) plans to ensure seamless healthcare delivery to members. This position involves coordinating between healthcare providers, insurance companies, and members to optimize service quality and compliance with regulatory standards. The coordinator will oversee enrollment processes, claims management, and provider network maintenance to support efficient plan administration. By analyzing data and resolving issues promptly, the HMO Coordinator helps improve member satisfaction and operational effectiveness. Ultimately, this role ensures that all aspects of the HMO plan function cohesively to meet organizational goals and regulatory requirements.

Minimum Qualifications:

  • Strong knowledge of HMO structures, healthcare regulations, and insurance claims processes.
  • Proficiency in using healthcare management software and Microsoft Office Suite.
  • Excellent communication and organizational skills with the ability to manage multiple tasks simultaneously.

Preferred Qualifications:

  • Familiarity with HIPAA regulations and compliance standards.
  • Demonstrated ability to analyze healthcare data and generate actionable insights.
  • Experience working in a fast-paced healthcare or insurance environment.

Responsibilities:

  • Manage member enrollment and eligibility verification processes to ensure accurate and timely access to HMO services.
  • Coordinate communication between healthcare providers, insurance carriers, and members to resolve inquiries and issues related to coverage and claims.
  • Maintain and update provider network information, ensuring compliance with contractual agreements and regulatory standards.
  • Monitor claims processing and assist in resolving discrepancies or denials to facilitate prompt reimbursement.
  • Prepare reports and analyze data related to plan utilization, member satisfaction, and operational performance to support continuous improvement initiatives.

Skills:

The HMO Coordinator utilizes strong organizational and communication skills daily to liaise effectively between members, providers, and insurance entities, ensuring clear and accurate information exchange. Analytical skills are essential for reviewing claims data, identifying discrepancies, and supporting decision-making processes that enhance operational efficiency. Proficiency with healthcare management software and data reporting tools enables the coordinator to maintain accurate records and generate insightful reports. Problem-solving abilities are applied to resolve coverage issues and improve member satisfaction. Additionally, knowledge of healthcare regulations and compliance ensures that all activities adhere to legal and ethical standards, safeguarding both the organization and its members.

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About Larkin Community Hospital

Sourced by ZipRecruiter

At Larkin, we have been serving the health care needs of South Miami, Hialeah, and the surrounding communities for more than 40 years. We take pride in the continuing tradition of caring. We remain dedicated to providing excellent medical care with the personal touch and convenience that only a community hospital offers.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

South Miami, FL, US

Year founded

1969

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