• (Remote) Epic Application Coordinator

    Trinity Health (Livonia, MI)
    **Employment Type:** Full time **Shift:** **Description:** Hospital Billing Claims Certified Application Coordinator or Professional Billing Claims Certified ... for work remote opportunity** **Resolute Hospital Billing Certified Application Coordinator or Resolute Professional Billing Certified Application Coordinator more
    Trinity Health (01/10/25)
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  • Medical Necessity Compliance Coordinator

    HCA Healthcare (Richmond, VA)
    …want to join an organization that invests in you as a Medical Necessity Compliance Coordinator ? At Parallon, you come first. HCA Healthcare has committed up to ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...We are looking for a dedicated Medical Necessity Compliance Coordinator like you to be a part of our… more
    HCA Healthcare (01/17/25)
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  • Risk Management Coordinator

    HCA Healthcare (Webster, TX)
    …looking for a place to deliver excellent care patients deserve? At HCA Houston Healthcare Clear Lake we support our colleagues in their positions. Join our Team as ... a(an) Registered Nurse Risk Management Coordinator and access programs to assist with every stage...with every stage of your career. **Benefits** HCA Houston Healthcare Clear Lake, offers a total rewards package that… more
    HCA Healthcare (01/01/25)
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  • Risk Management Coordinator

    HCA Healthcare (Pasadena, TX)
    …**Introduction** Do you have the career opportunities as a Risk Management Coordinator you want with your current employer? We have an exciting opportunity ... for you to join HCA Houston Healthcare Southeast which is part of the nation's leading...Do you want to work as a Risk Managment Coordinator where your passion for creating positive patient interactions… more
    HCA Healthcare (12/28/24)
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  • Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …Pharmacy Coordinator I** . Associate Degree in Business Administration, Healthcare , or related field or equivalent combination of experience, training, and ... Pharmacy Coordinator II** . Associate Degree in Business Administration, Healthcare , or related field or equivalent combination of experience, training, and… more
    Medical Mutual of Ohio (12/20/24)
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  • Absence Management Coordinator

    Hartford HealthCare (Farmington, CT)
    …And this is your moment. **Job:** **Human Resources* **Organization:** **Hartford HealthCare Corp.* **Title:** *Absence Management Coordinator * **Location:** ... Every day, 30,000 Hartford HealthCare colleagues come to work with one thing...leaves and Non FMLA leave and short-term disability (STD) claims , as well as coordinating leave with paid time… more
    Hartford HealthCare (11/11/24)
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  • Administrative Healthcare

    Insight Global (New York, NY)
    Job Description Insight Global is seeking three fully remote Administrative Healthcare Coordinators to join a large telehealth client. These individuals will support ... come back incomplete or inaccurate and need manual auditing. The Administrative Coordinator will be manually verifying and updating this data, and ensuring accurate… more
    Insight Global (01/19/25)
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  • Specialty Pharmacy Business Coordinator

    Hackensack Meridian Health (Eatontown, NJ)
    …community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Specialty Pharmacy Business ... Coordinator oversees the specialty pharmacy business according to departmental...cycle operations and maintaining comprehensive knowledge of payer relations, claims adjudication, contractual claims processing, and general… more
    Hackensack Meridian Health (01/23/25)
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  • Claims & Customer Service Auditor I

    University of Utah Health (Murray, UT)
    …that are integral to our mission. EO/AA_ + This position is responsible for auditing claims and customer service calls for UUHP. + The Claims and Customer ... Overview: University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1...Performs routine and complex audits on phone calls and claims adjudication. + Researches claim processing problems and errors… more
    University of Utah Health (01/03/25)
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  • Risk Management RN Coordinator - Quality…

    Prime Healthcare (Weslaco, TX)
    …and Level II Newborn Nursery. Knapp has been providing quality and compassionate healthcare to Mid-Valley residents for 60 years. More than 300 physicians serve on ... in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events.… more
    Prime Healthcare (11/14/24)
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  • Training & Quality Coordinator - Sharp…

    Sharp HealthCare (San Diego, CA)
    …Enrollment, Customer Service, Referrals/Utilization Management, Premium Billing, and Claims ;All member handbooks and benefit matrices;DMHC and CMS regulations; ... liability;Cactus provider database and contracting status checklists;Pharmacy benefits manager enrollment/ claims database;Knowledgebase;Online fax and document storage applications;Operational policies and… more
    Sharp HealthCare (12/06/24)
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  • Disabled Buy-In Claims Test Analyst

    State of Colorado (CO)
    Disabled Buy-In Claims Test Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4792294) Apply  Disabled Buy-In Claims Test Analyst ... . https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs We are looking for a Disabled Buy-In Claims Test Analyst for the Testing Support Section of… more
    State of Colorado (01/18/25)
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  • Coordinator - Risk Mgmt

    Prime Healthcare (Chicago, IL)
    …in risk-related activities in this area. + Provides assistance with claims investigation, management and litigation. + Facilitates reporting of safety data/events. ... Qualifications EDUCATION, EXPERIENCE, TRAINING + Bachelor of Science in Nursing or healthcare related field preferred + Fellow or Diplomat of American Society of… more
    Prime Healthcare (01/08/25)
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  • Coordinator - Risk Mgmt

    Prime Healthcare (Joliet, IL)
    …in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. ... Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Bachelor of Science in Nursing or healthcare related field preferred 2. Fellow or Diplomat of American Society of… more
    Prime Healthcare (12/03/24)
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  • Provider Quality Coordinator

    Molina Healthcare (Kenosha, WI)
    …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
    Molina Healthcare (12/20/24)
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  • Supervisor, Managed Care Claims

    Kelsey-Seybold Clinic (Houston, TX)
    **Responsibilities** Responsible for the supervision of Commercial claims adjudication. Essential job functions include ensure that quality and productivity ... develop training and in-service initiatives. Oversee all quality improvement initiatives for Claims unit. Oversee the Provider Service Unit to ensure that service… more
    Kelsey-Seybold Clinic (01/09/25)
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  • CTSRMC Coordinator (Cancer Center)

    University of Pennsylvania (Philadelphia, PA)
    …correspondence to investigators of all CTSRMC actions and decisions. The CTSRMC Coordinator reviews claims of exemptions and expedited reviews as assigned ... The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees and their families, generous retirement… more
    University of Pennsylvania (01/23/25)
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  • Pharmacy Insurance Billing Coordinator

    CVS Health (Monroeville, PA)
    …outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the billing and ... claims processing. **Required Qualifications** + 1+ years of Healthcare Insurance related experience. + Experience using Microsoft Office products' specifically… more
    CVS Health (01/08/25)
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  • Medical Service Coordinator , CCS…

    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...the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. + ApplicantsMUST attach… more
    The County of Los Angeles (01/18/25)
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  • Employee Safety and Claim Coordinator

    Select Medical (Mechanicsburg, PA)
    …Corporate Office** **Mechanicsburg, PA 17055** **Employee Safety and Claim Coordinator ** **Onsite*/Flexible** **_(*Will consider remote for strong candidates who are ... individual who enjoys working on the business side of healthcare ? * Are you looking to contiinue your career...in Human Resources with a focus on Workers Compensation claims ? *Do you want to work for a company… more
    Select Medical (01/23/25)
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