- 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
- 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
- Pilgrim's (Greeley, CO)
- …solve. + Prior experience handling customer accounts ie; accounts receivables, claims and deductions preferred. + Self-driven to learn and adapt quickly and be ... **Description** Deductions Coordinator Purpose and Scope/General Summary: We are looking...Use critical thinking skills to investigate root causes of claims /deductions (transportation, plant, sales, customer error etc.) + Acquire… 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)
- …Motor Lines, Inc. 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
- 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
- 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
- Thrive Proactive Health (Virginia Beach, VA)
- …(RCM) team, supporting patients, providers, and our business by managing the full claims cycle (from clean submission to final payment). You'll work closely with our ... pre-authorizations, referrals, and verify patient eligibility for services. + Claims Management : Submit and follow up on ...HIPAA and payer regulations. What We're Looking For + Prior medical billing experience preferred (but we will train… 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
- 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
- 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
- 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
- Insight Global (Raleigh, NC)
- …before payments are remitted o Support Facility Managers and act as liaison with claim adjusters for claims submitted for branch damage as well as communicate ... their required coverage to perform work within our buildings. Prior Vendor Management experience preferred. o Provide expert knowledge...our clients internal insurance department for reporting on paid claims for branch damage o Act as SME for… more
- Perdue Farms, Inc. (Salisbury, MD)
- …be mailed within set guidelines. Ensures all payments/charge backs have proper approval prior to processing. Monitors promotion and claims approvals in the ... thrive. **That's Perdue.** **Summary** We are recruiting for a Trade Promotions Coordinator . This role reviews trade programs to determine proper systems(s) and… more
- JBS USA (Greeley, CO)
- **Description** Benefits Program Coordinator Purpose and Scope/General Summary: We are seeking a Benefits Program Coordinator based at our Corporate Office in ... Greeley, CO. The Coordinator works with company health partners and vendors to...plan vendors and third-party administrators. + Facilitate resolution for claims processing and administrative errors for our network and… more