- UCLA Health (Los Angeles, CA)
- …Management + Work directly with a nurse team lead + Review pending claims for approval or denial Salary Range: $34.37- $47.31/hourlyQualifications We're seeking a ... detail-oriented and organized professional with: + High school diploma, GED, or equivalent + Experience working in a Managed Care environment, highly desired + Experience processing ambulatory managed care referrals, preferred + Proficient computer skills with… more
- CRC Insurance Services, Inc. (Bethesda, MD)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with...computer and office skills 12. Ability to work extended hours when necessary Preferred Qualifications: 1. JD degree The… more
- Highmark Health (Wexford, PA)
- …timely, accurate bill submission to include workers compensation and motor vehicle claims . Provides or obtains signatures on regulatory paperwork as required. + ... Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay accounts and documents for follow up by self-pay… more
- The City of Houston (Houston, TX)
- SENIOR WORKERS' COMPENSATION CLAIMS COORDINATOR Print (https://www.governmentjobs.com/careers/houston/jobs/newprint/4738524) Apply SENIOR WORKERS' COMPENSATION ... CLAIMS COORDINATOR Salary $54,323.88 - $63,357.06 Annually Location 611 Walker...a remote position* * Subject to Change Workdays & Hours : M-F, 8 am - 5 pm *Subject to… more
- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. - - ... Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours : 40 Department: 500011 Patient Financial Services Work Shift:...- Research and calculate underpaid or overpaid claims ; determine final resolution.- - - Re-calculate … more
- Hackensack Meridian Health (Eatontown, NJ)
- …and overall business management. Furthermore, the Specialty Pharmacy Business coordinator ensures network ambulatory pharmacy claim remittances from ... a leader of positive change. The Specialty Pharmacy Business Coordinator oversees the specialty pharmacy business according to departmental...& Accounting. + Serves as primary contact for all claim reconciliation for both PBM and Medical Claims… more
- Immigration and Customs Enforcement (IN)
- …process workflows to decrease claim denials and increase the number of paid claims . In Fiscal Year (FY) 2024, IHSC provided direct care to more than 138,000 ... as Acting HPMU Chief or Deputy when necessary. The Claims Management Program Administrator (CMPA) has direct oversight of...PA), Provider Relations Liaisons (PRL) and a CMP Referral Coordinator (RC) that supports the CMP. Plans, schedules, and… more
- Commonwealth of Pennsylvania (PA)
- Highway Maintenance Coordinator Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4756570) Apply Highway Maintenance Coordinator Salary ... Transportation is on the lookout for a Highway Maintenance Coordinator to join their team. This role acts as...Schedule and Additional Information: + Full-time employment + Work hours are 7:00 AM to 3:00 PM, Monday -… more
- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. - - ... Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours : 40 Department: 500011 Patient Financial Services Work Shift:...- Research and calculate underpaid or overpaid claims ; determine final resolution.- - - Re-calculate … more
- Hirschbach Motor Lines (Dubuque, IA)
- …Warranty Coordinator is responsible for managing the end-to-end warranty claim process for Hirschbach's fleet, which will involve submitting, reviewing, and ... documenting warranty claims while adhering to manufacturer guidelines. They will partner...accurate records. Duties & Responsibilities + Manage end-to-end warranty claim process for heavy trucks and trailers, including … more
- St. Luke's University Health Network (Allentown, PA)
- … coordinator + Maintain meticulous documentation, spreadsheets, account, and claim examples of root cause issues. Performs searches of governmental, ... a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified...NSORY REQUIRE M ENTS: Sitting for up to 8 hours per day, 3 hours at a… more
- AdventHealth (Maitland, FL)
- …of accounts discharged but not final billed and ensure we are billing clean claims . The APC Coordinator will assist in overseeing the outpatient coding queues, ... and managed care contracts. 5. Responsible for receiving and addressing accounts within 72 hours of being routed to the claims edit work queue and coding… more
- University of Rochester (Rochester, NY)
- …14642 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours : 40 Department: 500011 Patient Financial Services Work Shift: UR - Day ... individual, and internal equity considerations._ **Responsibilities:** The Revenue Cycle Coordinator IV is responsible for monitoring, reviewing and resolving system… more
- Sedgwick (Atlanta, GA)
- …and/or the claims system regarding documentation required to process a claim , required time frames and claim status. + Communicates clearly and ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Remote Housing Coordinator Monday-Friday 10am-7pm EST **PRIMARY PURPOSE** **:** To expedite the… more
- St. Luke's University Health Network (Allentown, PA)
- …and coordination of the activities related to third party claim form formats, claim "scrubbing," claim submission and claims editing to ensure optimal ... ESSENTIAL FUNCTIONS: + Provides guidance and/or assists AR specialists in third party claims submission process. + Assists in the prioritization of work for the… more
- AdventHealth (Shawnee, KS)
- **Clinical Risk Management Coordinator - AdventHealth Shawnee Mission** **All the benefits and perks you need for you and your family:** + Vision, Medical & Dental ... understanding that **together** we are even better. **Schedule:** FT Days-40 hours /week **Shift** : Monday-Friday, Exempt This position is supporting our Surgery… more
- Catholic Health (Buffalo, NY)
- …Bargaining Unit: ACE Associates Exempt from Overtime: Exempt: Yes Work Schedule: Days Hours : 8am - 4pm M-F Summary: The Coordinator , Integrated Disability ... (IDM) position is responsible for monitoring and aggressively managing claims leaves, and absences associated with occupational and non-occupational injury… more
- Sharp HealthCare (San Diego, CA)
- …as the SCMG operation documents as appropriate for approval at the UM Care Coordinator level of review.Appropriately identify claims for review by the Medical ... 1 **Shift Start Time** **Shift End Time** Other; Other ** Hours ** **:** **Shift Start Time:** **Shift End Time:** **AWS...business practices. **What You Will Do** The UM Care Coordinator , under the direct supervision of the Supervisor, Utilization… more
- Sedgwick (Southfield, MI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Leave of Absence Coordinator **Leave of Absence Coordinator ** **Our teams connect! We ... payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices.… more
- Performance Food Group (Carroll, IA)
- **111539BR** **Job Title:** HR Coordinator **Location:** CM Carroll, Iowa (2587) **Job Description:** We Deliver the Goods: Competitive pay and benefits, including ... recognition, and respect. **Position Purpose:** As the Human Resource Coordinator , you will be supporting all areas of the...processes employee leave of absences. + Files work comp claim and complete all required paperwork necessary for the… more