• Utilization Management Intensive Case Management…

    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
    UCLA Health (12/01/24)
    - Save Job - Related Jobs - Block Source
  • Senior Claim Coordinator - FEDS…

    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
    CRC Insurance Services, Inc. (11/07/24)
    - Save Job - Related Jobs - Block Source
  • Patient Access Coordinator I - ED - Full…

    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
    Highmark Health (11/23/24)
    - Save Job - Related Jobs - Block Source
  • Senior Workers' Compensation Claims

    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
    The City of Houston (12/13/24)
    - Save Job - Related Jobs - Block Source
  • Revenue Cycle Coordinator IV

    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
    University of Rochester (12/17/24)
    - Save Job - Related Jobs - Block Source
  • Specialty Pharmacy Business Coordinator

    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
    Hackensack Meridian Health (10/24/24)
    - Save Job - Related Jobs - Block Source
  • Claims Management Program Administrator…

    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
    Immigration and Customs Enforcement (12/12/24)
    - Save Job - Related Jobs - Block Source
  • Highway Maintenance Coordinator

    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
    Commonwealth of Pennsylvania (12/21/24)
    - Save Job - Related Jobs - Block Source
  • Revenue Cycle Coordinator IV…

    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
    University of Rochester (12/17/24)
    - Save Job - Related Jobs - Block Source
  • Warranty Coordinator

    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
    Hirschbach Motor Lines (11/22/24)
    - Save Job - Related Jobs - Block Source
  • Claims and Denial Coding Analyst

    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
    St. Luke's University Health Network (10/16/24)
    - Save Job - Related Jobs - Block Source
  • Virtual APC HIM Coding Coordinator

    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
    AdventHealth (12/14/24)
    - Save Job - Related Jobs - Block Source
  • Revenue Cycle Coordinator IV

    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
    University of Rochester (12/17/24)
    - Save Job - Related Jobs - Block Source
  • Remote Housing Coordinator

    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
    Sedgwick (12/20/24)
    - Save Job - Related Jobs - Block Source
  • Accounts Receivable Coordinator

    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
    St. Luke's University Health Network (12/13/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Risk Management Coordinator RN

    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
    AdventHealth (11/21/24)
    - Save Job - Related Jobs - Block Source
  • Coordinator Integrated Disability…

    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
    Catholic Health (12/18/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Care Coordinator

    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
    Sharp HealthCare (12/13/24)
    - Save Job - Related Jobs - Block Source
  • Leave of Absence Coordinator

    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
    Sedgwick (11/14/24)
    - Save Job - Related Jobs - Block Source
  • HR Coordinator

    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
    Performance Food Group (12/08/24)
    - Save Job - Related Jobs - Block Source