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Hmo Coordinator Jobs in Fulton, NY (NOW HIRING)

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Hmo Coordinator information

See Fulton, NY salary details

$23.7K

$50.9K

$89.2K

How much do hmo coordinator jobs pay per year?

As of Aug 28, 2026, the average yearly pay for hmo coordinator in Fulton, NY is $50,881.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,600.00 and $61,100.00 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 near Fulton, NY are hiring for Hmo Coordinator jobs?

Cities near Fulton, NY with the most Hmo Coordinator job openings:

Hmo Coordinator jobs near you

Financial Coordinator

Sodus Rehabilitation and Nursing Center

Sodus, NY • On-site

$24 - $26/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

Job description

Job Type: Full-time

Benefits:

  • 401(k)

  • Dental insurance

  • Health insurance

  • Paid time off

  • Vision insurance

Schedule:

  • Day shift

  • Monday to Friday

Full Job Description

Overview:

The Finance Coordinator will be responsible for all matters pertaining to Medicaid recertifications from beginning to end.  If a patient falls off the roster due to recertification drop off the Finance Coordinator is responsible to make sure the patient gets back on Medicaid.  The Finance Coordinator is also responsible for 3559-LDSS conversions to secure Nursing Home coverage.  This position also covers banking when the Resident Accounts Coordinator is not in the building.  This position works closely with HMO case management, Medicaid Coordinators, as well as the social work department.

QUALIFICATIONS:

EDUCATION / EXPERIENCE:

  • Entry Level - with On-the-Job Training Provided!

  • 1 year of experience in finance

  • Mathematical, logical, and analytical skills; financial management abilities

Responsibilities:

  • Contact and assist residents/family members with the processing of Medicaid recertifications/3559-LDSS conversions. 

  • Enters and updates tracking tool for Medicaid recertifications on a weekly basis and as needed. 

  • Process and prepare financial forms for the purpose of submission, follow-up, and correct cases as needed 

  • Solid communication skills; both written and verbal with clients, co-workers, and management always. 

  • Perform routine calculations and reports. 

  • Review and adhere to department budgets. 

  • Collect and enter data for various financial spreadsheets. 

  • Review and audit financial statements and other documents pertaining to Medicaid. 

  • Reconcile any discrepancies or errors identified by conversing with employees and/or clients for cases that fall under the category of Medicaid recertification.

  • Assist the financial director in creating financial reports on a regular basis or when needed

  • Adhere to the company's or organization's financial policies and procedures 

  • Attend finance department and company-wide meetings, sometimes assisting with financial reporting to managers and senior executives. 

Requirements: Must possess the following skill sets to qualify for this position!

  • Ability to multi-task

  • Strong decision-making skills

  • Proficient knowledge of Excel, Outlook, and Word, a plus

  • Strong communicator

  • Excellent organizational skills

  • Should have a good personality & be able to work well with others

We offer the Following:

  • Premium Compensation

  • Great Benefits Package

  • Fun, Family-Like Team, and Atmosphere!

  • Professional Growth & Stability

Work Location: One location

We are an Equal Opportunity Employer –M/F/D/V

ACKNOWLEDGEMENT

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. All pay rates and bonuses are paid and/ or awarded to employees based on the facilities policy and/ or the CBA, depending on the position.


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