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Mcare Jobs (NOW HIRING)

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Mcare information

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How much do mcare jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for mcare in the United States is $19.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $20.91 per hour, depending on experience, location, and employer.

What is the difference between Mcare vs Medical Assistant?

AspectMcareMedical Assistant
CertificationsOften requires specific state or employer certifications, but not always mandatoryTypically requires Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) certification
Work EnvironmentPrimarily in clinics, hospitals, or healthcare facilities, performing administrative and clinical tasksSimilar settings, focusing on clinical tasks like taking vital signs and assisting with exams, plus administrative duties
Employer & Industry UsageUsed in healthcare settings, especially in clinics and hospitalsCommonly employed in outpatient clinics, physician offices, and hospitals

Both Mcare and Medical Assistants work in healthcare environments, performing clinical and administrative duties. However, Medical Assistants typically hold specific certifications like CMA or RMA, and their roles are more standardized across healthcare facilities. Mcare roles may vary depending on employer requirements but generally involve similar clinical tasks. Understanding these differences helps in choosing the right career path or job search focus.

What are some common challenges faced by professionals working in Medicare (Mcare) roles, and how can they be addressed?

Professionals in Medicare (Mcare) roles often encounter challenges such as staying up-to-date with frequent regulatory changes, managing large volumes of sensitive patient data, and ensuring compliance with complex billing and documentation requirements. Navigating these challenges requires strong attention to detail, proactive communication with team members, and regular training on updates from the Centers for Medicare & Medicaid Services (CMS). Collaborating closely with compliance officers and utilizing advanced healthcare software can also help manage workloads efficiently and reduce the risk of errors.

What are Mcare jobs?

Mcare jobs typically refer to positions related to the Pennsylvania Medical Care Availability and Reduction of Error (Mcare) Fund. This state-run fund is designed to provide excess medical malpractice insurance coverage for healthcare providers in Pennsylvania. Jobs in this field may include administrative roles, claims processing, risk management, and legal analysis. These positions are crucial in ensuring healthcare providers comply with state regulations and that malpractice claims are managed effectively. Working in Mcare often requires knowledge of insurance, healthcare law, and strong organizational skills.

What are the key skills and qualifications needed to thrive as a Medicare Specialist, and why are they important?

To thrive as a Medicare Specialist, you need comprehensive knowledge of Medicare regulations, healthcare insurance policies, and claims processing, usually supported by relevant certifications or healthcare administration experience. Familiarity with CMS systems, billing software, and electronic health records is typically required. Strong attention to detail, problem-solving skills, and clear communication are crucial soft skills for ensuring accurate claims and assisting clients. These competencies ensure compliance, minimize errors, and enhance client satisfaction in a highly regulated healthcare environment.
More about Mcare jobs

Utilization Review Assistant - FT Days

Torrance Memorial Medical Center

Torrance, CA

$25.13 - $37.96/hr

Full-time

Posted 20 days ago


Torrance Memorial Medical Center rating

8.5

Company rating: 8.5 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

48th of 995 rated hospitals


Job description

Under the supervision of the Utilization Review Manager, the Utilization Review Assistant provides support to ensure that all utilization management documentation and information requirements, including electronic communication, are met. Work areas include payer notification, authorization management, denial management, escalations, and communication and coordination between the payer, Business Office, and UR Team.Core Competencies
  • Acts as a liaison for the department, fostering clear communication and collaboration with other hospital departments, physicians, office staff, and other relevant stakeholders.
  • Composes list of resources for Case Managers and Social Workers as needed.
  • Confers with assigned nurse regarding need for any additional hospital services or referrals and assists with referral process, if needed.
  • Coordinates department statistics and forwards information to budget department and director.
  • Delivers daily the QI0 2nd letter to MCARE patients 48 hours prior to DC for compliance with the CMS.
  • Ensures payer communication with reference #s and authorizations for benefits coverage for any outside services including MCARE.
  • Reports errors, knowing that Torrance Memorial engages in a positive environment for the correction of errors (Non-punitive)
  • Works collaboratively with other departments and teams (i.e. Physician Advisor, Case Management, Business Office, Patient Access, Physician Offices, etc.) to mitigate potential denials.
  • Ensures completion of timely and accurate payer and repatriation documentation, retrospective review requests, WQM management, and post-stabilization documentation.
  • Responds to audit requests timely and escalates to the appropriate team for review and response (HIM, Risk Management, Physician Advisors, Leadership, etc.)

ExperienceNumber of Years ExperienceType of Experience2UM, Case Management, Business Office, Revenue Cycle, or other applicable healthcare experience.

Compensation Range

$25.13 - $37.96 / Hour

Employment Type: Full-Time

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