- Northeast Georgia Health System, Inc (Demorest, GA)
- …of payment prior to referring to outside collections. Assists admissions coordinator in completing and following up on necessary paperwork related to payment to ... level of Accounts Receivable. Reviews delinquent accounts for system or staff errors prior to collection contacts. Adheres to NGHS credit and collection policies in… more
- Nesco Resource (Washington Court House, OH)
- …to meet challenges in the market. They are seeking for a talented Purchasing Coordinator to join their team on a full time basis!DESCRIPTION OF DUTIES: Act as ... for products or substitute materials. Support to resolve supplier grievances and claims against the company Support in the creation and control purchasing department… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and ... prior authorization guidelines. Communicates regularly with patients, families, clinical...Responsible for managing department referrals. Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists… 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
- UCLA Health (Los Angeles, CA)
- …use of various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. You will use ... urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness. This will involve the… more
- Sutter Health (Fremont, CA)
- …programs. Ability to identify, understand and solve problems related to claims and referrals. Communication skills, including understanding of medical concepts, ... ability to organize thoughts, and communicate issues concisely and effectively. Proven ability to quickly adjust to changing projects and priorities and to multi-task. Organizational skills. **Job Shift** : Days **Schedule** : Full Time **Shift Hours:** 8… more
- Complete Specialty Solutions (Katy, TX)
- …offices) to help support the traveling and remote services team. The Treatment Coordinator enhances office workflow during and prior to production days. The ... Houston and surrounding cities. We are looking to add an onsite, traveling Treatment Coordinator to support the operations of our specialty team 3-4 days per week.… 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
- University of Colorado (Aurora, CO)
- Prior Authorization and Payer Reimbursement Coordinator - 33254 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department: ... Pediatrics - Hemophilia & Thrombosis Center** **Job Title: Prior Authorization and Payer Reimbursement Coordinator ** **Position #: 00821459 - Requisition: #**… 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
- Veterans Benefits Administration (Honolulu, HI)
- …for the decisions using extensive knowledge of VA benefits and services, claim and appeal processing procedures and benefit determination information and all ... their application to specific cases. May serve as or with the Outreach Coordinator (such as the Women's Veterans Coordinator , Minority Veterans Coordinator… more
- Commonwealth of Pennsylvania (PA)
- Quality Assurance/Risk Management Coordinator - Norristown State Hospital Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4405279) Apply ... Quality Assurance/Risk Management Coordinator - Norristown State Hospital Salary $64,959.00 - $98,661.00...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Corrections Employment and Vocational Coordinator - SCI Frackville Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4504957) Apply Corrections ... Employment and Vocational Coordinator - SCI Frackville Salary $56,900.00 - $86,514.00 Annually...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- University of Rochester (Rochester, NY)
- Responsibilities **Job Summary** : The Revenue Cycle Coordinator IV is responsible for monitoring, reviewing and resolving system billing edits/Stop bills for ... unbilled hospital accounts that require intervention from PFS prior to billing. Assures edits are resolved timely through...edits are resolved timely through an expediated review and claim submission to payers to prevent the loss of… more
- 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...service are met and is subject to closure without prior notice. DEFINITION: Determines medical eligibility of children referred… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Institutional Equity Officer and Title IX Coordinator will be the leader of the Office of Institutional Equity and will supervise all investigators ... Upstate Medical University, the Institutional Equity Officer and Title IX Coordinator has primary responsibility for the prompt, impartial and thorough investigation… more
- Fresenius Medical Center (Chicago, 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
- SOS International LLC (Reston, VA)
- …the community provider to initiate enrollment as well as assist with billing and claims resolution as applicable. **The Referral Coordinator will work out of the ... is contingent upon contract award _** SOSi is seeking a Referrals Coordinator (RC) to process government customer medical referrals for off-site medical… more
- TEKsystems (Wilmington, DE)
- …Requests: Initiate and manage authorization requests for services in line with the prior authorization list. + Claims Research: Investigate and address claims ... Job Title: Program Coordinator Location: Remote (Delaware residents only) Position Purpose:...the healthcare industry? We are seeking a dedicated Program Coordinator to assist in the medical and psychosocial aspects… more
- Hawthorne CAT (Waipahu, HI)
- …by interpreting service reports and ensuring appropriate entries are mad on completed jobs prior to billing. The Service Coordinator performs a wide variety of ... We are currently seeking talented individuals for our Service Coordinator position! Here is some of what you'll do...repair jobs, files documents in appropriate job jackets, and prior to closing all completed jobs, and checks for… more
