Claims Coordinator

Summary Statement A class incumbent is responsible for reviewing Unemployment Insurance claimants' eligibility for continuing benefits and offering job search assistance. Essential Functions Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job...

Under the general direction of the Compliance Audit Supervisor, this position is primarily responsible for review of system claim edits prior to billing to ensure appropriate CPT codes and modifiers are applied to the services provided. Responsibilit Compliance Coordinator, Compliance, Coordinator, Billing, Technology, Healthcare

Job Overview:The Pharmacy Services Coordinator plays a crucial role in managing verbal and written requests for prior authorization from healthcare professionals and patients. This position is integral to the coordination of Pharmacy Services, which includes analyzing claim utilization, designing prescription plans, generating ad-hoc reports, and managing...

Description:Job Summary: This position supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators.Responsibilities: Performs review of service requests for completeness of information, collection and transfer of non-clinical data,...

The selected individual will primarily function in a high-level administrative support role. The ideal candidate should possess prior experience as an executive assistant or secretary, along with proficiency in Microsoft PowerPoint, Excel, and Word.Key ResponsibilitiesEvaluates unemployment claims to ensure compliance with program eligibility standards by...

LMHS COMPLIANCE COORDINATOR Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community.With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility...

Job Overview: The Manager will be responsible for working closely with assigned areas and team members to facilitate incident review, promote patient safety and support regulatory and risk compliance. The Manager will report program metrics to key stakeholders on a regular basis. The Manager will perform audits to ensure compliance with mandatory...

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the...

At Sedgwick, we prioritize the well-being of our team members, ensuring that you, our esteemed colleague, are well taken care of. A career with us embodies a culture of compassion, offering you the flexibility to balance your professional and personal life. It is an opportunity to engage in meaningful work daily, supported in all aspects of your mental,...

Job Overview:The Manager will be responsible for working closely with assigned areas and team members to facilitate incident review, promote patient safety and support regulatory and risk compliance. The Manager will report program metrics to key stakeholders on a regular basis. The Manager will perform audits to ensure compliance with mandatory...

Job Overview: The Manager will be responsible for working closely with assigned areas and team members to facilitate incident review, promote patient safety and support regulatory and risk compliance. The Manager will report program metrics to key stakeholders on a regular basis. The Manager will perform audits to ensure compliance with mandatory...

The Manager will be responsible for working closely with assigned areas and team members to facilitate incident review, promote patient safety and support regulatory and risk compliance. The Manager will perform audits to ensure compliance with mandatory requirements. The Manager will work with specific assigned areas to understand and promote performance...

Position Overview:The Corporate Risk Management Specialist at Panasonic North America is tasked with overseeing the daily operations and service execution of the Corporate Insurance Program for Panasonic Energy Company. This role also encompasses the management of the Owner Controlled Insurance Program and insurance programs related to construction...

Job Classification: Operations - Insurance Operations At Prudential, we believe talent is key to achieving our vision. When you join Prudential, youll unlock a motivating and impactful career all while growing your skills and advancing your profession at one of the worlds leading financial services institutions! Are you a problem solver who can use critical...

Job SummaryThe CDL Shuttle Driver - Transportation Specialist is responsible for safely transporting employees to and from assigned locations. This role requires a valid CDL A or B with Passenger Endorsement and excellent customer service skills.Key ResponsibilitiesOperate an assigned shuttle bus on a designated transportation routeEnsure the safe loading...

Electronic Restoration Services (ERS) is a disaster electronics restoration company specializing in the restoration of consumer and commercial electronics. We are locally owned and operated and are looking for that special candidate who has a strong work ethic, excellent customer service, is detailed oriented and looking for a unique opportunity to grow...

Electronic Restoration Services (ERS) is a disaster electronics restoration company specializing in the restoration of consumer and commercial electronics. We are locally owned and operated and are looking for that special candidate who has a strong work ethic, excellent customer service, is detailed oriented and looking for a unique opportunity to grow...

Job SummaryThe CDL Shuttle Driver - Transportation Specialist is responsible for safely transporting employees to and from assigned locations. This role requires a valid CDL A or B with Passenger Endorsement and excellent communication skills.Key ResponsibilitiesOperate an assigned shuttle bus on a designated transportation route, ensuring the safe...

Job DescriptionThis role reports directly to the General Manager/Owner and is responsible for the organization and coordination of office operations, procedures, and resources to facilitate organizational effectiveness and efficiency.Key Responsibilities:Customer Service: Provide high-quality customer service, respond to client inquiries, and ensure timely...

Position Summary: The CDL Shuttle Driver drives employees to and from assigned locations. Depending on the contractual need this could be around airport grounds, or it could be from a nearby parking facility to the airport terminal or terminals. This position requires CDL A or B with Passenger Endorsement. Pay: 20.00/Weekly Shifts Available: * FT Nights,...