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Medical Claims Coordinator Jobs

Medical Claims Associate ( Remote)
By Others At United States
This is a fully remote position.
·Accurately code explanation of benefits
·1 – 2 years claims processing experience.
·A working knowledge of ICD10, CPT codes and HIPAA guidelines
Duties include but are not limited to:
·Receive pending claims for evaluation and processing
Medical Coordinator Jobs
By Southwest Key Programs .INC At United States
6 months to one year of experience working in a medical setting (can include clinical hours worked in a certification program)
Comply with annual training requirements/licensure/certifications if applicable.
Advance typing and computer skills required along with ability to transcribed and understand medical information.
Minimum of 1 year employment experience working with children and/or adolescents
Advance typing and computer skills.
Maintain SWK’s electronic health record and ORR’s UAC portal by transcribing and updating regularly.
Medical Management Coordinator Jobs
By Doctors HealthCare Plans, Inc. At Coral Gables, FL, United States
Follow protocols to task requests appropriately by checking procedure codes against notification requirements and benefit coverage to determine next steps.
Point of contact for providers regarding medical/behavioral/clinical services or benefits. Including (e-g notification, authorization).
Receive calls requesting medical/clinical services or benefits information, respond to and transfer calls to appropriate individuals, warm transfer if applicable.
2 years + experience preferred
Extract and review fax requests for medical or clinical services requests.
Gather information to understand requests based on urgency.
Claims Coordinator Jobs
By Mercy At , Oklahoma City, 73120
Preferred Experience: Experience with healthcare/medical malpractice claims management.
Education: Associates degree or Paralegal degree/certificate.
Experience: One year legal and/or claims administration experience.
Basic knowledge of legal, medical, and technical terminology.
Strong written and verbal communication skills. Proficient with Microsoft Office suite, including Excel, Word, and PowerPoint.
Well developed interpersonal, organizational, and critical thinking skills.
Remote Medical Claims Analyst
By Aspirion Health Resources LLC At , Remote $16.11 - $20.00 an hour
Cross train in multiple areas and perform all other duties as assigned by management.
Time management and reliable attendance
Bachelor's degree preferred, or equivalent combination of education, training, and experience
Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
Review and understand eligibility of benefits.
Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
Claims Coordinator Jobs
By Constellation At , Remote $61,200 - $73,000 a year
Experience as paralegal or with claims management.
Support Litigation team with discovery, scheduling, basic factual research and special project coordination (20%)
Provide high level support to include conducting research, preparing statistical reports and handling information requests.
Track cases, create summary reports and coordinate with outside counsel and insurance.
Coordinate and schedule interviews and meetings.
Compose and prepare correspondence and reports.
Clinical Claims Specialist Medical
By Wellpath At United States
5 years in a correctional healthcare setting, hospital management, risk management, insurance, claims management, or similar experience required.
Experience with data management, statistics, analytics, process improvement methodology, and PC applications preferred.
Patient care, legal or claims management experience is preferred.
Take on special projects involving data gathering, report preparation, trend management, and escalation related to risk management.
Bachelor's degree is preferred. Health administration, management, business administration, claims management, insurance, or related field preferred.
Previously demonstrated ability and experience in providing leadership for self-directed work teams.
Claims Systems Configuration Coordinator - Evicore - Remote
By The Cigna Group At United States
You'll coordinate, define, and review claims system configuration to meet change requirements as approved.
2+ years of claims and health care experience required
1+ years of experience in Claims Systems Configuration required
1+ years of Microsoft Access experience is required
Strong technical competence, proven critical thinking, and impeccable communication skills are required
Intermediate skills in MS Office Excel is required
Medical Claims Analyst - Atrix Ally
By Cardinal Health At , $24.70 - $36.90 an hour
Extensive patient education/counseling to determine eligibility for Advocacy.
Manage the drug recovery application process
Demonstrates extensive knowledge and understanding of relevant clinical operations, products and services
Develops, plans and manages customer training programs in multi-site and/or complex environments
0 - 2 years of experience in related field preferred (open to fresh graduates!)
Strong Microsoft Office skills (Excel, Word, Outlook)
Underwriting And Claims Coordinator, Dgs
By Commonwealth of PA At , $70,651 - $107,306 a year
You will have to report to the office as required by management.
Minimum Experience and Training Requirements:
Any equivalent combination of experience and training.
Failure to comply with the above application requirements will eliminate you from consideration for this position.
711 (hearing and speech disabilities or other individuals).
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
Medical Coordinator Jobs
By Cayuga Centers At New York, NY, United States
Knowledge and experience of working with current electronic medical record system (Medent)
Strong knowledge and experience working with Microsoft Office and Google Suite
Working knowledge of and updating pertinent spreadsheets
Knowledge of medical office environment, workflow, and terminology
Experience working with at-risk youth - strongly preferred
Strong communication, human relation, and organizational skills - required
Claims Coordinator Jobs
By City of Lakeland, FL At , Lakeland, Fl
QUALIFICATIONS (EDUCATION, TRAINING AND EXPERIENCE) AND SPECIAL REQUIREMENTS
KNOWLEDGE, SKILLS, ABILITIES AND WORKING ENVIRONMENT/PHYSICAL REQUIREMENTS
Three (3) years of management and/or supervisory experience.
Principles and practices of organizational analysis and management.
Principles and practices of supervision, training, and personnel management.
Manages response and preparation of legal defense materials and documentation produced for litigation.
Medical Claims Representative Jobs
By Morgan Stephens At Irving, TX, United States

Morgan Stephens ofrecemos reclutadores que hablan Espanol

Medical Claims Analyst Jobs
By Alaffia Health At New York, NY, United States
FACILITY INPATIENT CODING/AUDITING EXPERIENCE REQUIRED
Knowledge of PHI/HIPAA compliance and standards
Minimum of 1 year of auditing experience
At least one of the following certifications is mandatory (CPC/COC/CIC/CRC/CPMA/RHIT/RHIA)
Combing through UB-04/IB's for any potential coding/billing violations
Auditing revenue codes against clinical documentation
Claims Coordinator Jobs
By City of Lakeland At Florida, United States
Three (3) years of management and/or supervisory experience.
Principles and practices of organizational analysis and management.
Principles and practices of supervision, training, and personnel management.
Manages response and preparation of legal defense materials and documentation produced for litigation.
Tracks and reports claim trends to the Director, Risk Manager, and department.
Five (5) years of progressively responsible claims experience in workers' compensation insurance and/or auto/property casualty insurance.
Remote Medical Claims Processing
By Insight Global At Jacksonville, FL, United States
FULLY REMOTE BUT MUST SIT IN JACKSONVILLE, FL
Responsible for the denial queue and the no-response queue (could shift) in addition to a correspondence queue used to submit records
Work through their denials based on priority and allocation
Working to meet production standards
Reviewing correspondence and making an appeal or reaching out to gather more information
Report trends within claim denials or billing errors
Medical Operations Coordinator Jobs
By Exact Sciences At United States
Strong oral and written communication skills with the ability to maintain open communication with internal employees and managers as needed.
Support and comply with the company’s Quality Management System policies and procedures.
Detail-oriented and able to manage multiple tasks concurrently, including reprioritizing tasks as new urgent requests arise.
Bachelor’s degree; or Associate’s degree and 2 years of relevant experience in lieu of Bachelor’s degree.
3+ years of experience providing administrative support.
Basic computer skills including Internet navigation, e-mail usage, and word processing.
Medical Claims Specialist Jobs
By Privia Health At United States
Self-starter with great time management skills
Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives
Education: High School diploma preferred
Experience: 3+ years medical claims experience in a physician medical billing office; Medicaid experience preferred.
Must understand Explanation of Benefit (EOB) statements
Preference for experience working with athenaHealth’s suite of tools
Medical Coordinator - Phoenix
By Jewish Family & Children's Service of Arizona At Phoenix, AZ, United States
Previous work experience in a position requiring significant public contact, preferably in a medical office.
JFCS Healthcare Clinics are now HEALTHY VERIFIED **
Verifiable High School Diploma / GED
Bi-lingual in Spanish a plus.
Computer proficiency with ability to type 45 wpm
AZ DPS Fingerprint Clearance Card without any restriction(s)
Medical Claims Specialist-Unpostables Jobs
By Privia Health At United States
Experience in a people management function preferred
Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
High School Graduate, Medical Office training certificate or relevant experience preferred.
3+ years experience in a medical billing office.
Strong preference for experience working with athenaHealth’s suite of tools
Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.

Are you looking for a challenging and rewarding career in the medical field? We are seeking an experienced Medical Claims Coordinator to join our team! As a Medical Claims Coordinator, you will be responsible for processing and managing medical claims, ensuring accuracy and timeliness of payments, and providing excellent customer service. If you have a passion for helping others and are looking for an opportunity to make a difference, this is the job for you!

Overview A Medical Claims Coordinator is responsible for processing medical claims for patients and ensuring that all claims are accurate and submitted in a timely manner. They are also responsible for verifying patient information, resolving discrepancies, and providing customer service to patients and healthcare providers. Detailed Job Description A Medical Claims Coordinator is responsible for processing medical claims for patients and ensuring that all claims are accurate and submitted in a timely manner. They are also responsible for verifying patient information, resolving discrepancies, and providing customer service to patients and healthcare providers. The Medical Claims Coordinator will review and process claims, verify patient information, and ensure that all claims are accurate and submitted in a timely manner. They will also be responsible for resolving discrepancies, providing customer service to patients and healthcare providers, and ensuring that all claims are paid in a timely manner. Job Skills Required
• Knowledge of medical terminology and coding
• Knowledge of medical insurance policies and procedures
• Excellent customer service skills
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks
• Ability to work in a fast-paced environment
• Proficiency in Microsoft Office Suite
Job Qualifications
• High school diploma or equivalent
• Previous experience in medical claims processing
• Certification in medical coding and billing
• Knowledge of medical insurance policies and procedures
• Knowledge of medical terminology and coding
Job Knowledge
• Knowledge of medical terminology and coding
• Knowledge of medical insurance policies and procedures
• Knowledge of medical billing and coding systems
• Knowledge of HIPAA regulations
• Knowledge of medical office procedures
Job Experience
• Previous experience in medical claims processing
• Previous experience in customer service
• Previous experience in medical billing and coding
Job Responsibilities
• Review and process medical claims
• Verify patient information
• Resolve discrepancies
• Provide customer service to patients and healthcare providers
• Ensure that all claims are accurate and submitted in a timely manner
• Ensure that all claims are paid in a timely manner
• Maintain accurate records of all claims processed