- Robert Half Accountemps (Los Angeles, CA)
- Description A Medical IPA Group in Los Angeles is in the immediate need of a Medical Claims Review Coordinator . The Medical Claims Review ... denied claims , complying with State/Federal laws, rules, and guidelines. The Medical Claims Review Coordinator will be expected to perform research… more
- Stantec (Bakersfield, CA)
- …with external partners, including claims adjusters, case managers, and early medical intervention (telehealth). + Monitor, track, and review risk, in order ... Workers Compensation Claims Coordinator - US - (...is a plus!). + Guide injured employees through the claims process, including monitoring medical management. +… more
- LTCG (MN)
- …with unique risk management insight built upon our proprietary databases. * Review internal databases, client guidelines and policy contract language to evaluate ... routine home and facility-based claims , in accordance with department processes and standards. *...databases. * Create plans of care and refers for review and Chronic Illness Certification as appropriate. * Always… more
- HCA Healthcare (Manchester, NH)
- …growth, we encourage you to apply for our Medical Staff Services Coordinator opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic...7. Risk Management Coordinate with the risk manager to review and evaluate an applicant's claims history… 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
- State of Colorado (CO)
- …Working as a Systems Business Analyst + Documenting business requirements for large scale medical claims processing system or medical information system + ... Fee-for-Service Claims & Payment Models Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4902755) Apply Fee-for-Service … more
- The Institute for Family Health (New Paltz, NY)
- …years of medical billing experience required + Proficiency in EPIC claims processing workflows preferred + Ability to run and interpret/analyze Crystal and EPIC ... REVENUE CYCLE COORDINATOR Job Details Job Location New Paltz Family...of denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. Resolve claim and remittance file issues… more
- HCA Healthcare (Portsmouth, NH)
- …Do you want to join an organization that invests in you as a Medical Necessity Compliance Coordinator ? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Medical Necessity Compliance Coordinator like you to...you will do in this role:** + Coordinate NCD/LCD/LCA review process at the Division level + Determine whether… more
- RWJBarnabas Health (Livingston, NJ)
- …Job Overview: Under the supervision of the department Manager, the Billing Coordinator will manage claims processing specifically for pre-transplant procedures ... finance, or a related field + Proven experience in medical billing and claims processing, preferably in...+ Time: 800am 4:00pm + Status: Full-Time Essential Functions: Claims Processing: + + Review and validate… more
- ManpowerGroup (Linthicum Heights, MD)
- …As a Health Benefits Coordinator , you will be part of the medical claims processing department supporting the efficient management of healthcare claims ... align successfully in the organization. **Job Title:** Health Benefits Coordinator **Location:** Linthicum, MD **Pay Range:** $23.00 per hour...**What's the Job?** + Review and evaluate claims for all medical benefits. + Utilize… more