- CVS Health (Hartford, CT)
- …the purpose of protecting the employees, assets and resources of the Company. + Review pre-specified claims for potentially fraudulent activity and return those ... for proper adjudication. + Responsible for initial intake of medical records and coordination of the record review...state timelines requirements **Required Qualifications** + 2+ years of claims processing or prior medical claim analyst… more
- Medical Mutual of Ohio (OH)
- …on member experience. . Administers daily oversight processes including daily reject review , paid claims , transition supply oversight, Part D coverage ... D experience is highly sought after._** **Responsibilities** **Medicare Pharmacy Coordinator I** Working under general supervision, administers standardized to… more
- Randstad US (Austin, TX)
- …compliance with regulations. The Claims Coordinator will track claims , communicate with claimants, and collaborate with medical professionals and ... + referenceAB_4657712 job details We are seeking a detail-oriented and proactive Claims Coordinator to manage our Return-to-Work program and workers'… more
- Access Dubuque (Dubuque, IA)
- …& Butler/ SISCO Member Services Coordinator Cottingham & Butler/ SISCO Claims Coordinator Cottingham & Butler/ SISCO **Share this Job** Sedgwick **About ... review ; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** * Informs claimants of...claims status either by phone, written correspondence and/or claims system. * Reviews medical information to… more
- University of Rochester (Rochester, NY)
- …attention and follow up to obtain correct full reimbursement + Billing primary and secondary claims to insurance + Review paper claims prior to billing. ... independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues that affect… more
- Fresenius Medical Center (Gurnee, IL)
- …(IC's) providing direction, support and guidance as appropriate. Assists the Insurance Coordinator Manager with the execution of the strategies and initiatives of ... DUTIES AND RESPONSIBILITIES: + Facilitates the execution of the Insurance Coordinator program providing for insurance preservation of dialysis patients by… more
- Select Medical (Mechanicsburg, PA)
- …& more** Select Medical is seeking an Employee Safety and Claim Coordinator to join our team of Human Resources Safety Professionals at our corporate office ... in Mechanicsburg, Pennsylvania. **Responsibilities** + Claim coordinator and reserve monitoring: continually monitor and ...of Select Medical Corporation and the Select Medical Way. + Review , respond and work… more
- University of Pennsylvania (Philadelphia, PA)
- …Summary Reporting directly to the CTSRMC Manager, the Clinical Trials Scientific Review and Monitoring (CTSRMC) Coordinator is responsible for coordination of ... correspondence to investigators of all CTSRMC actions and decisions. The CTSRMC Coordinator reviews claims of exemptions and expedited reviews as assigned… more
- State of Colorado (Denver, CO)
- Complaint Intake Coordinator - (Technician III, Call Center) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4724101) Apply Complaint Intake ... Coordinator - (Technician III, Call Center) Salary $49,848.00 -...the DOL + Determine whether a call warrants further review or investigation and escalates those issues to the… more
- Sedgwick (New Albany, OH)
- …eligibility review ; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** * Informs claimants of documentation required to ... time frames, and claims status either by phone, written correspondence and/or claims system. * Reviews medical information to determine if the claimant meets… more
- Mount Sinai Health System (New York, NY)
- …+ HS/GED; Associates Degree or higher is preferred. + 5+ years experience in medical billing or health claims , with experience in current electronic billing ... **Job Description** **Senior Billing Coordinator -Analyst MSH Adolescent Health Center FT Days** The...basis. + May perform specialty coding for services and medical office visits and review physician coding… more
- Crossroads Hospice & Palliative Care (Akron, OH)
- …procedures + Knowledge of medical terminology likely to be encountered in medical claims + Customer service skills for interacting with patients regarding ... serve. Together, we can create lasting impacts that transcend medical treatment. Billing Coordinator Responsibilities: + Obtain...medical claims and payments, including communicating with… more
- Savers | Value Village (Bellevue, WA)
- …Manager, Claims & Insurance. **Essential Job Functions:** + Supports the claims analysts in their review and management of workers' compensation, liability, ... **J** **ob Title:** Enterprise Risk Coordinator **Pay Range:** **$19.27-$26.20** **Savers Benefits** Geographic & job eligibility rules may apply **Healthcare… more
- Sedgwick (Dublin, OH)
- …eligibility review ; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs claimants of documentation required to ... time frames, and claims status either by phone, written correspondence and/or claims system. + Reviews medical information to determine if the claimant meets… more
- Sharp HealthCare (San Diego, CA)
- …for approval at the UM Care Coordinator level of review .Appropriately identify claims for review by the Medical Director to include obtaining the ... business practices. **What You Will Do** The UM Care Coordinator , under the direct supervision of the Supervisor, Utilization...position is responsible for conducting retrospective claims review for services to determine the medical … more
- Apex Health Solutions (Houston, TX)
- …incoming complaints, process medical necessity, utilization management and claims appeals, initiate Independent Review Organization external reviews as ... Summary: The Appeals and Grievances coordinator position is focused on the processing of...Responsibilities: Interact with internal departments, such as Customer Service, Medical Management, medical directors, Claims … more
- Christian Center of Park City (Park City, UT)
- …the primary liaison with billing service providers and software to manage the preparation, review , and transmission of claims (both electronic and paper) in a ... traditions to benefit from our programs and resources. Job Title: Billing Coordinator Department : Counseling and Wellness Center Reports to: Counseling Programs… more
- Houston Methodist (Houston, TX)
- …regulations, payor medical policies, case specific medical documentation, and claims information into claims review for timely and compliant billing. ... revenue cycle partners as necessary. **SERVICE ESSENTIAL FUNCTIONS** + Reviews charges and medical records to ensure that claims are billed compliantly and are… more
- Office of the Illinois State Treasurer (Springfield, IL)
- …time to both claims processing and to the mailroom. In addition to claims review the employee oversees all mailroom functions. Attendance is an essential ... Pursuant to AFSCME Collective Bargaining Agreement Overview: The Office Coordinator position in the Claims Section is...age, marital or veteran status, or the presence of a non-job related medical condition or disability. Powered by… more
- Carnival Cruise Line (Miami, FL)
- …in fuel orders, including quantity, quality, and pricing variances. + Generate basic claims reports for review by the Fuel procurement team, highlighting key ... **Job Description** The Fuel Pricing Coordinator will play a key role in supporting...for fuel purchases based on validated prices. Efficiently handle claims related data to Bunker fuel invoice price discrepancies,… more