- Cedars-Sinai (Beverly Hills, CA)
- …Officer or designee. **Req ID** : 10288 **Working Title** : Pharmacy Program Coordinator - Clinical Prior Authorization - Remote **Department** : Pharmacy ... Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will work in… 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
- BrightSpring Health Services (Louisville, KY)
- …top-quality care come join our team and apply today! Responsibilities + The Prior Authorization Coordinator is responsible for striving to complete either ... approval for pharmacy claims requiring prior authorization or by coordinating... approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed… 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
- 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
- Commonwealth of Pennsylvania (PA)
- Quality Assurance Risk Management Coordinator - Wernersville State Hospital Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4959264) Apply ... Quality Assurance Risk Management Coordinator - Wernersville State Hospital Salary $66,250.00 - $100,636.00...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- US Pacific Fleet (Bangor, ME)
- Summary You will serve as a Crane and Rigging Accident Prevention Coordinator in the Lifting and Handling Department of TRIDENT REFIT FACILITY, BANGOR. This ... obtain and maintain an interim and/or final security clearance prior to entrance on duty. Failure to obtain and...to provide documentation that supports the eligibility and qualification claims made in your resume and assessment questionnaire. You… more
- Commonwealth of Pennsylvania (PA)
- Roadway Programs Coordinator Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4956719) Apply Roadway Programs Coordinator Salary $58,035.00 ... seeking a driven individual to fill our Roadway Programs Coordinator role. Here, you will manage county maintenance activities...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- University of Utah Health (Salt Lake City, UT)
- …EO/AA_ This position is responsible for researching, identifying and adjusting medical claim errors. This position is not responsible for providing care to patients. ... medical advancement, and overall patient outcomes. **Responsibilities** + Reviews medical claim requests or electronic records to determine if adjustment is… 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
- Trinity Health (Boise, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RISK MANAGEMENT COORDINATOR ** **SUMMARY AND PURPOSE:** The Risk Management Coordinator is ... identifies improvement opportunities for near misses and adverse events. Supports claims management activities related to incidents and litigated cases. Responsible… 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
- 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 ... and employer business practices. **What You Will Do** The UM Care Coordinator , under the direct supervision of the Supervisor, Utilization Management Care… more
- Commonwealth of Pennsylvania (PA)
- Assistant Construction Project Coordinator , DGS (North Eastern Region) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4966325) Apply ... Assistant Construction Project Coordinator , DGS (North Eastern Region) Salary $59,384.00 - $88,235.00...Candidate must reside in or be willing to relocate prior to employment to Carbon, Lackawanna, Luzerne, Monroe, Pike,… 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
- US Bank (St. Paul, MN)
- …Effective verbal and written communication skills - For team lead or work coordinator roles, prior process oversight or supervisorial experience is preferred ... to detail, the ability to retain knowledge and learn new forms of claim processing to assist other areas as necessary. **Basic Qualifications** - High school… 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 ... Remote) Cottingham & Butler/ SISCO Account Administrator Cottingham & Butler/ SISCO Claims Coordinator Cottingham & Butler/ SISCO Workers Compensation Claims… more
- Montana State University (Bozeman, MT)
- …Training/Dev Coord Working Title Leadership Institute Training and Development Coordinator Brief Position Overview The Leadership Institute Training and Development ... Coordinator will support the administration and organization of a...Student Development, Higher Education, Counseling, or related field. + Prior experience in project management, including program design, budgeting,… more
- City of Bellingham (Bellingham, WA)
- Records and Public Disclosure Coordinator Print (https://www.governmentjobs.com/careers/cobwa/jobs/newprint/4952106) Apply Records and Public Disclosure ... Coordinator Salary $67,225.60 Annually Location City of Bellingham, WA...all City departments to locate responsive records; reviews records prior to disclosure for exempt information as needed; redacts… more
- The Institute for Family Health (New Paltz, NY)
- REVENUE CYCLE COORDINATOR Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full Time Education Level High School Salary Range ... Development Description SUMMARY: -Hybrid Position- The Revenue Cycle Operations Coordinator is cognizant of the philosophy, standards, objectives and policies… more