- Highmark Health (Bethel Park, PA)
- …they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting ... and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to… more
- Centene Corporation (Sunrise, FL)
- …are in accordance with health plan requirements + Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited ... to outreach, community education, informal guidance and member support + Conduct non- clinical general health assessments in order to refer members to appropriate… more
- Highmark Health (Pittsburgh, PA)
- …services to patients, families, and other external customers upon arrival. Assume clinical and financial risk of the organization when collecting and documenting ... verification systems utilizing accurate plan code and COB order. Obtains limited clinical data based on service required. Collects and updates all necessary data… more
- Highmark Health (Pittsburgh, PA)
- …to expect and have an understanding of their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting ... and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to… more
- University of Pennsylvania (Philadelphia, PA)
- …for their Phase I-Phase II clinical research studies. Job Description Clinical Research Coordinator A Responsibilities include but are not limited to: + ... and wellness programs and resources, and much more. Posted Job Title Clinical Research Coordinator A/B Job Profile Title Clinical Research Coordinator … more
- University of Pennsylvania (Philadelphia, PA)
- …Coordinate non-therapeutic studies and complex Phase I, II , or III oncology clinical trials. + Assist the Regulatory Coordinator by preparing components of ... and wellness programs and resources, and much more. Posted Job Title Clinical Research Coordinator B/C (Abramson Cancer Center) Job Profile Title Clinical … more
- Centene Corporation (New York, NY)
- …the facilitation of a successful member/provider relationship + Documents and maintains non- clinical member records to ensure standards of practice and policies are ... in accordance with state and regulatory requirements and provide to providers as needed + Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs + Performs other duties as assigned +… more
- TEKsystems (Corpus Christi, TX)
- …in the facilitation of a successful member/provider relationship Documents and maintains non- clinical member records to ensure standards of practice and policies are ... in accordance with state and regulatory requirements and provide to providers as needed Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health SDOH needs Performs other duties as assigned Complies with… more
- Trinity Health (Chelsea, MI)
- …the age specific, development and cultural needs through competent clinical practice. Demonstrates unit/area competencies. Identifies and assists in resolution ... of problems related to safety, sanitation and maintenance of the environment. Promotes a positive work environment by demonstrating teamwork. Coordinates the daily activities and functions of the Surgical Services scheduling office, Surgery Prep, or Endo/Pain… more
- SSM Health (MO)
- …to off-site locations as necessary. + Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes ... according to insurance plan requirements. + Logs, tracks and reviews managed care approvals and denials. + Responds in a timely manner to last minute/emergency referrals or additional codes performed during a procedure, or procedural changes for… more