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Managed Care Coordinator Jobs in Rhinelander, WI

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Managed Care Coordinator information

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$15

$27

$53

How much do managed care coordinator jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for managed care coordinator in Rhinelander, WI is $27.68, according to ZipRecruiter salary data. Most workers in this role earn between $19.52 and $30.29 per hour, depending on experience, location, and employer.

What is a managed care coordinator?

A Managed Care Coordinator is a healthcare professional responsible for overseeing and coordinating patient care within managed care plans. They work to ensure patients receive appropriate, cost-effective healthcare services while navigating insurance requirements and provider networks. Their duties often include managing authorizations, referrals, and communication between patients, healthcare providers, and insurance companies. Managed Care Coordinators help to optimize patient care outcomes while controlling healthcare expenses for both patients and providers.

What are the key skills and qualifications needed to thrive as a managed care coordinator?

To thrive as a Managed Care Coordinator, you need a solid understanding of healthcare administration, insurance processes, and case management, often supported by a relevant degree or certification such as Certified Case Manager (CCM). Experience with healthcare management software, electronic health records (EHRs), and utilization review tools is typically required. Strong organizational skills, negotiation abilities, and effective communication are crucial soft skills for coordinating care and liaising between patients, providers, and payers. These competencies ensure efficient care delivery, cost management, and positive patient outcomes within complex healthcare systems.

How does a managed care coordinator typically collaborate with healthcare providers and insurance companies to ensure patient care is both effective and cost-efficient?

Managed Care Coordinators act as a crucial liaison between healthcare providers, insurance companies, and patients. They regularly communicate with physicians and clinical staff to verify treatment plans align with insurance policies, negotiate authorizations, and ensure necessary documentation is complete. By reviewing cases and coordinating with insurers, they help streamline approvals and reduce delays in patient care. This collaboration not only supports optimal patient outcomes but also helps control healthcare costs and ensure compliance with managed care guidelines.

What is the difference between Managed Care Coordinator vs Insurance Claims Specialist?

AspectManaged Care CoordinatorInsurance Claims Specialist
CredentialsTypically requires a healthcare-related certification or associate degreeUsually requires a high school diploma or associate degree, with some certifications
Work EnvironmentHealthcare facilities, insurance companies, or managed care organizationsInsurance companies, healthcare providers, or claims processing centers
Employer & IndustryHealthcare and insurance industries, focusing on patient care coordinationInsurance industry, focusing on claims processing and reimbursement

Managed Care Coordinators and Insurance Claims Specialists both work within healthcare and insurance sectors, but their roles differ. Managed Care Coordinators focus on coordinating patient care and managing insurance plans, while Insurance Claims Specialists handle processing claims and reimbursements. Understanding these differences helps job seekers find the right role aligned with their skills and career goals.

What job categories do people searching Managed Care Coordinator jobs in Rhinelander, WI look for?

The top searched job categories for Managed Care Coordinator jobs in Rhinelander, WI are:

What cities near Rhinelander, WI are hiring for Managed Care Coordinator jobs?

Cities near Rhinelander, WI with the most Managed Care Coordinator job openings:

Managed Care Coordinator jobs near you
Infographic showing various Managed Care Coordinator job openings in Rhinelander, WI as of August 2026, with employment types broken down into 2% As Needed, 73% Full Time, 19% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $57,572 per year, or $27.7 per hour.

Managed Care Coordinator

Family Health Center

Rhinelander, WI • On-site

Other

Re-posted 4 days ago

Job description

Managed Care Coordinator

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

  1. Completes managed care insurance requirements for services ordered or provided by health system providers, ensuring adherence to policy and payer guidelines.
  2. Monitor services requiring case management by reviewing medical/dental records, patient appointments, and communicating with patients, providers, and insurance companies to verify coverage compliance.
  3. Contact patients to obtain insurance information, communicate cost estimates, and relay other care-related details necessary to fulfill managed care requirements.
  4. Reviews appointment schedules to verify and update patient insurance eligibility for each visit.
  5. Reviews patient accounts for Patient Responsibility balances and provides patient counseling regarding expected payments including pre-pay and non-covered services.
  6. Works with providers and patient care teams to obtain, submit, manage and verify prior authorizations.
  7. Documents all patient interactions and actions taken, maintaining accurate records for future reference.
  8. Communicates insurance coverage limitations and requirements to patients and care teams to ensure clear understanding and proper coordination of services across the health system.
  9. Assist patients, staff, and external providers with appeals, retrospective referrals, prior authorizations, and denied claims to maximize reimbursement and deliver high-quality customer service.
  10. Supports coordination, training, and education related to prior authorization and managed care requirements for patients, providers, and staff to optimize reimbursement processes.
  11. Refers underinsured or uninsured patients to Patient Assistance Counselors and coordinates point-of-service pre-payment processes when applicable to mitigate organizational bad debt.
  12. Maintains strict adherence to scheduled work hours with regular and reliable attendance.
  13. Performs other duties as assigned.

Education and Experience

  1. High school diploma or equivalent.
  2. Minimum of two years' experience in a medical/dental business office or healthcare setting; understanding of insurance eligibility and benefit verification.
  3. 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

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