- SUNY Upstate Medical University (Syracuse, NY)
- …Experience with medication reimbursement, medications, physician orders and insurance claim submission preferred. Experience with healthcare insurance prior ... medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies,… more
- Adecco US, Inc. (San Antonio, TX)
- …as needed. . Performs other duties as assigned. **Qualifications for the Pharmacy Care Coordinator :** . HS Diploma or GED . Prior experience in healthcare . ... Healthcare & Life Sciences is hiring a Pharmacy Care Coordinator in San Antonio, Texas! This role is on...inquiries from all communication venues: eg phone queue, portal, claim queue, department e-mail box or fax. . Coordinates… more
- Fallon Health (Worcester, MA)
- …of purpose** : Under the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted facilities/agencies/providers to collect ... pertinent prior authorization request data and disseminates information to the...to facilitate the member's medical services or the providers' claims . Interprets and triages information to ensure appropriate action… more
- Access Dubuque (Dubuque, IA)
- Claims Coordinator **Cottingham & Butler/ SISCO**...+ Provide administrative support to the team + Input claim data into the software system + Answer phone ... adding Claims Coordinators within CBCS. As a Claims Coordinator , you will be responsible for...success in the role** The ideal candidate will have prior experience in an office or customer service setting,… more
- General Motors (Warren, MI)
- **Job Description** The Finished Vehicle Quality and Claims Coordinator is accountable for minimizing the occurrence of damage to finished vehicles throughout ... the coordinator will provide essential support to the third-party claims administrator, ensuring the prompt and efficient recovery of transportation-related … more
- Panasonic North America (De Soto, KS)
- …facility. This position serves as a bridge between the administrative functions of the Claims Coordinator and the strategic oversight of the Claims Manager. ... with policy and regulatory standards + Maintain and update claim files in the Claims Management System...(CMS) with documentation, notes, and supporting evidence + Review claims for completeness, accuracy, and compliance prior … more
- Justworks (New York, NY)
- …If so, we'd love to hear from you! As the Operations and Verifications Coordinator , you will assist the Unemployment Insurance Claims Team with resolving state ... Unemployment Operations & Verifications Coordinator New York, New York Apply Who We...of 1 year of professional experience, preferably in unemployment claims , human resources, or other related fields. Prior… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …prior authorizations, admission notifications, concurrent and post-service (pended claim ) review requests, program referrals, work queue management, and ... information and/or pended claims history and prepare medical record information and/or claim to be processed, if appropriate, or set up and assign to clinical… more
- The County of Los Angeles (Los Angeles, CA)
- EMERGENCY PATIENT TRANSFER COORDINATOR (NON-MEGAFLEX) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4447475) Apply EMERGENCY PATIENT ... TRANSFER COORDINATOR (NON-MEGAFLEX) Salary $66,731.04 - $89,930.16 Annually Location Los...services are met and is subject to closure without prior notice NO WITHHOLDS WILL NOT BE ACCEPTED FOR… more
- Access Dubuque (Dubuque, IA)
- …Community Credit Union Service Representative - Licensed Cottingham & Butler/ SISCO Claims Coordinator Cottingham & Butler/ SISCO Client Service Representative ... Claims Representative **Cottingham & Butler/ SISCO** 1 Positions...The ideal candidate will have a Bachelor's degree and prior experience in an office or customer service setting,… more
- St. Luke's University Health Network (Nazareth, PA)
- …be named a Top Workplace for the third year in a row. Our Front Desk Coordinator role allows you to become familiar in a healthcare setting while giving you the ... with opportunity for incentives. JOB DUTIES AND RESPONSIBILITIES: The Float Front Desk Coordinator is the individual who will perform all functions of a Front Desk… more
- City and County of San Francisco (San Francisco, CA)
- …the Safety & Health Manager, the Workers' Compensation and Injury Coordinator is responsible for investigating workplace incidents and injuries, maintaining ... documentation, and serving as the primary liaison for workers' compensation claims . The role supports injury prevention efforts through data analysis, trend… more
- State of Colorado (Denver, CO)
- Assistant Attorney General - Construction Claims & Contract Dispute Litigation Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5162398) Apply ... Assistant Attorney General - Construction Claims & Contract Dispute Litigation Salary $88,197.00 - $136,558.00...offer may be extended, their employment will not commence prior to that date. Find a rewarding career making… more
- Access Dubuque (Dubuque, IA)
- …& Butler/ SISCO Event Coordinator Cottingham & Butler/ SISCO Claims Coordinator Cottingham & Butler/ SISCO Client Service Representative Cottingham ... Client Coordinator **Cottingham & Butler/ SISCO** 1 Positions ID:...assigned SAM and AM. **What We're Looking For:** + Prior office setting and insurance experience is preferred. +… more
- South Middlesex Opportunity Council (Framingham, MA)
- …the electronic health record. + Reconcile and resolve issues related to claims submissions, research and resolve eligibility issues, including contact with clients ... to inform of eligibility loss. + Ensure all new and ongoing prior authorizations are entered for the Outpatient Clinic programs, Residential Recovery Programs. +… more
- State of Colorado (Pueblo, CO)
- DWR - Decreed Augmentation Coordinator (PSRS II) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5151246) Apply DWR - Decreed Augmentation ... Coordinator (PSRS II) Salary $76,104.00 - $112,404.00 Annually Location...on the application and provide an explanation why the prior termination or resignation should not disqualify their application… more
- Integra Partners (Troy, MI)
- …requests in UM platform using ICD-10 and HCPCS codes + Verify eligibility and claim history in proprietary claims platform + Verify all necessary documentation ... The UM Coordinator assists and supports the clinical team (UM...administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES + Monitor incoming… more
- The County of Los Angeles (Los Angeles, CA)
- MEDICAL SERVICE COORDINATOR , CCS (Registered Nurse, Pediatrics - Case Management) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4145908) Apply ... MEDICAL SERVICE COORDINATOR , CCS (Registered Nurse, Pediatrics - Case Management) Salary...service are met and is subject to closure without prior notice. DEFINITION: Determines medical eligibility of children referred… more
- Montana State University-Northern (Havre, MT)
- Coordinator of Accessibility Resources Below you will find the details for the position including any supplementary documentation and questions you should review ... Fax ### Position Details Position Information NBAPOSN Title Working Title Coordinator of Accessibility Resources Brief Position Overview Position Number 7C0074… more
- CVS Health (Austin, TX)
- …accuracy of claim payment, member eligibility data, billing/payment status, and prior to initiation of the appeal process. + Coordinates efforts both internally ... and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state or federal...or COCs. + Experience in research and analysis of claim processing a plus. + Demonstrated ability to handle… more