- 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
- 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
- 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