- Robert Half Accountemps (Los Angeles, CA)
- Description We are offering a contract to permanent employment opportunity for a Medical Claims Review Coordinator in Los Angeles, California. The ... examiners to use in evaluating whether certain types of claims may require review . * Work collaboratively...Provide guidance to Participant Services Representatives on calls regarding medical claims issues. * Recommend changes to… more
- The City of Houston (Houston, TX)
- SENIOR WORKERS' COMPENSATION CLAIMS COORDINATOR Print (https://www.governmentjobs.com/careers/houston/jobs/newprint/4653695) Apply SENIOR WORKERS' COMPENSATION ... CLAIMS COORDINATOR Salary $54,323.88 - $63,184.42 Annually Location 611 Walker...SELECTION/SKILLS TEST REQUIRED The selection process will involve application review and/or interview. SAFETY IMPACT POSITION - NO If… more
- Montana State University (Bozeman, MT)
- …### Classification Title Occup Safety/Health Spec II Working Title Claims Coordinator /Insurance Specialist Brief Position Overview The Occupational ... risk exposure reporting. Duties include managing certificates of insurance, contract review , and OSHA injury reporting. Position Number 4M1363 Department Safety &… 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 ... **_Eastern & Central Time Zones preferred._** **Responsibilities** **Medicare Pharmacy Coordinator I** Working under general supervision, administers standardized to… more
- Insight Global (Los Angeles, CA)
- Job Description The Claims Review Coordinator is...whether certain types of claims may require review and other medical claims ... in compliance with State/Federal law, rules, and guidelines. The Claims Review Coordinator will perform...taken. * Assist with research to advise management on medical claims issues and assist with developing… 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
- Randstad US (Santa Ana, CA)
- medical referrals coordinator . + santa ana ,...not required), along with 2+ years of experience in medical billing, claims processing, or medical ... + Review requests and process external referrals for outside medical care. + Support External Referral Department workflows. + Verify eligibility, coverage,… 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
- 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
- Carle (Urbana, IL)
- …skills. The position requires significant depth and breadth of knowledge in medical claims billing and processing, provider contracts and insurance benefits. ... Provider Service Coordinator - HYBRID + Department: HA - Prov...various payment issues including the following: billing, reimbursement, code review , timely filing, denied claims , EDI for… more
- State of Massachusetts (Boston, MA)
- …The Program Coordinator III oversees all aspects of the Family and Medical Leave Program relating to claims application processing. This includes managing ... *Program Coordinator III - Benefit Operations Coordinator *...functions of the claimant application process by ensuring timely review and delivery of application outcomes, develop tracking and… more
- Crossroads Hospice & Palliative Care (Memphis, TN)
- … processing. + 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. Medical Billing Coordinator ...medical claims and payments, including communicating with… more
- ManpowerGroup (Columbia, SC)
- …Minimum 3-5 years of clinical experience in case management, healthcare coordination, or medical review , with a focus on chronic illness, high-risk pregnancies, ... Review Specialist is responsible for reviewing and evaluating medical or behavioral eligibility for benefits and applying clinical expertise, administrative… more
- Houston Methodist (Dallas, 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
- Acacia Network (Bronx, NY)
- …for coordination of referrals. + . Circulate current medical reports for Medical Director to review and approve for admissions. + . Ensure signatures ... Casa Promesa Nursing Home Admissions Coordinator Bronx, Ne : 9/17/2024 Job Description Job...review . + . Coordinate with Social Services and Medical Department to obtain clinical notes & social work… more
- TEKsystems (Anaheim, CA)
- …-Reliable and comfortable working in a fast paced environment. Daily responsibilities: - Review requests for outside medical care -Verify eligibility, coverage, ... Outside Referral Coordinator Pay: $23.00 - $26.00 HR M-F Day...benefits, confirm provider status, maintain compliance timeframes Preferred experience: - Medical office background - Claims processing or other… more
- Houston Methodist (Houston, TX)
- …and initiate calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing. + Consistently ... Houston, TX 77030 (Scurlock Tower)** At Houston Methodist, the International Finance Coordinator (IFC) position is responsible for performing the daily tasks of the… more
- State of Nevada (NV)
- HEALTH CARE COORDINATOR 2 - NURSE APPROXIMATE ANNUAL SALARY - $67,296.24 to $100,098.72 PAY GRADE: 36 For more information on benefit and retirement programs, please ... case management services using assessment tools to identify social service and/or medical needs; participate in periodic reviews of facilities providing care to… more
- Mount Sinai Health System (Richmond, NY)
- …high school diploma/GED plus 2 years of relevant experience + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a ... **Job Description** **Billing Coordinator - Central Administration - Staten Island -...methodologies. + May perform specialty coding for services and medical office visits and review physician coding… more
- Elderwood (North Creek, NY)
- …Insurance, Medical , Dental, and Vision insurance Responsibilities Human Resources Coordinator Essential Job Functions : Recruitment: + Responsible for the timely ... to join our team as a HRC (Human Resource Coordinator ). This position provides incredible insight and exposure to...w/ match + Full Suite of Health Benefits - Medical , Dental, Vision, Life, Accident + Paid Time Off… more
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