- 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
- General Motors (Warren, MI)
- **Job Description** The Finished Vehicle Quality and Claims Coordinator is accountable for minimizing the occurrence of damage to finished vehicles throughout ... the coordinator will provide essential support to the third-party claims administrator, ensuring the prompt and efficient recovery of transportation-related … 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
- Justworks (New York, NY)
- …If so, we'd love to hear from you! As the Operations and Verifications Coordinator , you will assist the Unemployment Insurance Claims Team with resolving state ... Unemployment Operations & Verifications Coordinator New York, New York Apply Who We...of 1 year of professional experience, preferably in unemployment claims , human resources, or other related fields. Prior… 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
- Access Dubuque (Dubuque, IA)
- …Community Credit Union 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