- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and ... prior authorization guidelines. Communicates regularly with patients, families, clinical...Responsible for managing department referrals. Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists… 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
- Sutter Health (Fremont, CA)
- …programs. Ability to identify, understand and solve problems related to claims and referrals. Communication skills, including understanding of medical concepts, ... ability to organize thoughts, and communicate issues concisely and effectively. Proven ability to quickly adjust to changing projects and priorities and to multi-task. Organizational skills. **Job Shift** : Days **Schedule** : Full Time **Shift Hours:** 8… more
- Insight Global (Brea, CA)
- …as a UM coordinator -- specifically requesting or submitting prior authorization requests or healthcare experience within claims /appeals & grievances ... Job Description Insight Global is looking for a UM coordinator to work for a large health services company. This person will be responsible for processing medical… more
- Complete Specialty Solutions (Katy, TX)
- …offices) to help support the traveling and remote services team. The Treatment Coordinator enhances office workflow during and prior to production days. The ... Houston and surrounding cities. We are looking to add an onsite, traveling Treatment Coordinator to support the operations of our specialty team 3-4 days per week.… more
- University of Colorado (Aurora, CO)
- Prior Authorization and Payer Reimbursement Coordinator - 33254 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department: ... Pediatrics - Hemophilia & Thrombosis Center** **Job Title: Prior Authorization and Payer Reimbursement Coordinator ** **Position #: 00821459 - Requisition: #**… 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 County of Los Angeles (Los Angeles, CA)
- SUPERVISOR, VETERANS CLAIMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3989253) Apply SUPERVISOR, VETERANS CLAIMS Salary $95,735.52 - ... until the needs of the service are met and is subject to closure without prior notice. The LA County Board of Supervisors recently declared a local state of… 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 at Justworks (View all jobs) New York,...of 1 years of professional experience, preferably in unemployment claims , human resources, or other related fields. Prior… more
- University of Rochester (Rochester, NY)
- Responsibilities **Job Summary** : The Revenue Cycle Coordinator IV is responsible for monitoring, reviewing and resolving system billing edits/Stop bills for ... unbilled hospital accounts that require intervention from PFS prior to billing. Assures edits are resolved timely through...edits are resolved timely through an expediated review and claim submission to payers to prevent the loss of… more