- 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
- 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
- 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
- CVS Health (Austin, TX)
- …accuracy of claim payment, member eligibility data, billing/payment status, and prior to initiation of the appeal process. + Coordinates efforts both internally ... and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state or federal...or COCs. + Experience in research and analysis of claim processing a plus. + Demonstrated ability to handle… more
- David Weekley Homes (Denver, CO)
- + Explore Opportunities + Administrative + Denver, CO + Project Coordinator /Starts Coordinator - Homebuilding Denver, CO Project Coordinator /Starts ... Description David Weekley Homes is seeking to add an enthusiastic Project Coordinator to our Denver team. Project Coordinators provide administrative support to the… more
- Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
- …current RAI manual. Participates in all resource utilization and/or triple check meetings prior to billing of claims associated with payment assessments. Assists ... MDS/SCHEDULER (NURSING)/IP COORDINATOR JOB DESCRIPTION Department: Nursing Reports to: Director...supervisory experience. Experience with MDS completion preferred. Resident Assessment Coordinator (RAC) training must be completed within six months… more
- Hackensack Meridian Health (Neptune City, NJ)
- …to physician offices. Assure all renewal prescription requests are returned accurately and complete prior to due date to reduce held claims for billing. + ... physicians' offices. Assure CMNs are returned accurately and complete prior to the due date. + Process requests for...in EMR system daily and process and work denied claims via appropriate method (appeal, corrected claim ,… 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
- East Boston Neighborhood Health Center (East Boston, MA)
- …Maverick Square - Cradock Building Position Summary: The Dental Insurance and Financial Coordinator plays a critical role in the financial health of a dental ... practice by managing patient insurance claims , verifying benefits, and ensuring timely reimbursement from insurance providers. This position requires a blend of… more