- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator - ( Prior Authorization) - Contingent Exemption Status Exempt ... + Develop and conduct retrospective drug use reviews. + Review medication prior authorization requests and appeals. + Develop and implement clinical educational… more
- Cedars-Sinai (Beverly Hills, CA)
- …Officer or designee. **Req ID** : 10288 **Working Title** : Pharmacy Program Coordinator - Clinical Prior Authorization - Hybrid **Department** : Pharmacy ... in a row on the "Best Hospitals" Honor Roll. The hybrid Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will work in collaboration… more
- Cardinal Health (Fresno, CA)
- …must be knowledgeable of a variety of Insurance Plans and Policies. Prior Authorization Coordinator **Responsibilities** + Receives chemotherapy orders and ... management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and _collections._ This position is responsible… more
- 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
- System One (Tulsa, OK)
- …with a client in the Tulsa area that is in search of a Patient Services Coordinator . If you have prior experience working in the medical field and doing ... waivers as necessary + Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and… 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
- University of Rochester (Rochester, NY)
- …reimbursement - Billing primary and secondary claims to insurance - Review paper claims prior to billing. Review include potential of high cost, and late ... conforms to federal and state regulations. The Revenue Cycle Coordinator IV will represent the department and the Hospital...for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a… more
- The Institute for Family Health (New Paltz, NY)
- …and facilitates resolution. + May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be ... REVENUE CYCLE COORDINATOR Job Details Job Location New Paltz Family...denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. Resolve claim and remittance file… more
- City of Jacksonville (Jacksonville, FL)
- …records and bills; analyzes city, state, and federal documents for liability claims and establishes claim value. + Makes decisions determining settlements, ... and federal statutes as they apply to a particular claim . + Attends and participates in depositions and mediations;... claims preferred. Licensing/Certification/Registration: + FLA All Lines Claims Adjuster License is required prior to… 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
- Independent Health (Buffalo, NY)
- …phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. The ... fosters growth, innovation and collaboration. **Overview** The Coordination of Benefits (COB) Coordinator shall be responsible for all duties listed under the COB… more
- University of Rochester (Rochester, NY)
- …special attention and follow up to obtain correct full reimbursement + Review paper claims prior to billing. Review include potential of high cost, and late ... to determine reason for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. + Research and calculate… more
- Billings Clinic (Billings, MT)
- … claims at the direction of the Risk Management Director and/or the Risk and Claims Coordinator and Risk and Claims Analyst. Works closely with Billings ... * Participating in the education of and assisting Risk Management Director, Risk and Claims Coordinator and Risk and Claims Analyst and affiliate site… more
- EAC Network (Hempstead, NY)
- Biller Coordinator /Office Manager - New Path Treatment Center Job Details Job Location 175 Fulton Ave 4th Floor, Hempstead, NY, 11550 - Hempstead, NY Position Type ... programs across Long Island and NYC, seeks a Billing Coordinator /Office Manager to work full time for its New...Center. This role will be responsible for inputting billing claims data, problem solving billing issues, supply ordering and… more
- Modivcare (NY)
- …accurate invoices submission, including generating monthly charges and transmission of EDI claims and invoices + Investigate and resolves claim rejections and ... be the right fit for you! Modivcare is looking for an experienced Billing Coordinator II to join our team! This position is responsible for billing effectively and… more
- Commonwealth of Pennsylvania (PA)
- Resident Initiatives Coordinator (Local Government) - York City Housing Authority Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5020577) Apply ... Resident Initiatives Coordinator (Local Government) - York City Housing Authority Salary...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Community Health Systems (Franklin, TN)
- …effectively, assist in issue resolution, and help identify trends that can improve claim outcomes. As a Denial Appeals Coordinator at Community Health Systems ... **Job Summary** The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving...years of experience in medical billing, revenue cycle, or claims denials and appeals processing required + Prior… 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)
- …The ideal candidate will have prior experience in a business setting or prior claims handling experience, a competitive spirit, and thrive in a fast-paced ... Claims Assistant Sedgwick Account Administrator Cottingham & Butler/ SISCO Claims Coordinator Cottingham & Butler/ SISCO Database Administrator/Data Engineer… more
- Access Dubuque (Dubuque, IA)
- …20250623 End Date 20250830 Featured Job TH Ad TH Comments **Similar Jobs** Claims Coordinator Cottingham & Butler/ SISCO Client Service Representative Cottingham ... 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