6 results for Insurance Referral Coordinator

Referral Coordinator We are offering a role in the healthcare industry, based in Oakland, California. The position is an Insurance Referral Coordinator, with a primary focus on coordinating patient referrals within a healthcare setting. This is a contract employment opportunity, which will be carried out in a dynamic and fast-paced work environment. Responsibilities:• Coordinate patient referrals to specialists and follow up on the progress.• Process insurance referrals and authorizations accurately and in a timely manner.• Liaise with healthcare providers and insurance companies to ensure smooth referral processes.• Utilize Electronic Medical Records (EMR) system to update patient records and referral information.• Apply basic medical terminology knowledge to understand and manage patient cases.• Communicate effectively with patients to inform them about their referral status and any associated procedures.• Ensure compliance with healthcare regulations and confidentiality guidelines while handling patient data.• Resolve any issues related to referrals and insurance authorizations.• Work closely with medical front office staff to ensure seamless patient service.• Continuously learn and stay updated with changes in insurance policies and healthcare regulations. If you are interested in this role apply today and call us at (510) 470-7450

Patient Care Coordinator The ECM Case Manager is responsible for outreach, engagement, and providing support and linkage to wellness/recovery resources, both in person and virtually to assist clients in reaching the optimal level of wellness and functional capability. The ECM Case manager works with highest risk Medi-Cal members with the most complex medical and social needs, connecting with all their providers to coordinate areas of care and support. Duties and Responsibilities: Engages and enrolls community members eligible for Enhanced Care Management support• Assesses client need areas• Develops an individualized care plan with each client that is updated as needed• Coordinates care for clients with a multidisciplinary clinical team and outside agencies.• Facilitates referral linkages to community resources and performs case management services.• Assist clients with the development of social and community support systems.• Develops effective working relationships with agencies, organizations and providers to advocate for clients.• Documents and maintains clinical records per appropriate standards and regulations.• Conducts outreach in diverse community settings.• Participate in clinical supervision, consultations, and trainings.• Provide translation services as needed.• Complete other duties and related projects as assigned.

Dispatcher/Billing Coordinator We are offering a position for a Dispatcher/Billing Coordinator the logistics and distribution industry, based in Brighton, Colorado. The role involves managing online and telephone orders, processing payments, tracking assets, and coordinating logistics. The workplace is a dynamic environment that requires proficiency in using dispatch software for real-time order assignment and communication with drivers. Responsibilities: • Efficiently handle and prioritize online and telephone orders based on urgency and customer requirements.• Process customer payments and handle invoicing with accuracy.• Track the availability and location of assets, including dumpsters, and allocate them considering order specifications and geographic factors.• Optimize asset utilization to minimize downtime and maximize efficiency.• Use dispatch software to assign orders to drivers in real-time and communicate order details, locations, and special instructions effectively.• Monitor driver progress and address any issues or delays promptly.• Respond to customer inquiries promptly and professionally while maintaining accurate customer records and information.• Address customer concerns or complaints empathetically and efficiently.• Set up new clients in various systems accurately and update client information as needed, ensuring data integrity.• Coordinate with other departments to ensure smooth onboarding and ongoing support for clients.• Generate reports and analyze data to identify trends and opportunities for improvement.• Collaborate with the IT department to troubleshoot any software issues or enhancements.

Claims Admin Support Spec Int <ul><li>Position: Customer Claims and Office Administration Support (6 weeks CONTRACT ROLE ONLY)</li><li>Location: Greengate#210 B92B Covington Louisiana 70433</li><li>Type: 100% ONSITE </li><li>Hourly Pay Range: $20-21/Hourly</li><li>Experience: REQUIRED face to face customer service experience, office administration, and HSD or GED or equivalent </li></ul> JOB DESCRIPTION:Performs routine but varied clerical duties in accordance with standard procedures under direct supervision. Duties and tasks are standardized. Resolves routine questions and problems and refers more complex issues to higher levels. ESSENTIAL DUTIES RESPONSIBILITIES:The essential duties and responsibilities listed below are representative of those required on the job. Incumbents may perform other duties and responsibilities as assigned. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties and responsibilities. - Interacts by phone and mail with multiple internal and external contacts such as customers vendors medical providers attorneys plaintiff and defendant law enforcement agencies etc.- Screens and directs telephone calls- Maintains and updates office supplies- Operates and maintains office equipment such as fax printing and copying machines- Coordinates office shredding with Progressive vendor.- Conducts document maintenance - creates retrieves and delivers files and copies documents.- May compose routine correspondence.- Receives and directs visitors and may resolve routine inquiries.- Opens sorts and distributes mail including USPS Fedex and other delivery companies.- Other various support duties may set up meetings may coordinate record retention etc.- May be asked to other duties as needed not represented on this list including additional searches researching and reporting as requested by leadership- Occasional travel Day-to-day responsibilities:<ul><li>Liaison between customer and Progressive filer</li><li>Total loss of paperwork titles</li><li>Give payment checks to customers</li><li>Order Police reports</li><li>Draft letters to be sent out to the customers</li><li>Send and accept Fed Ex</li><li>Call claim carriers - verify insurance to make sure the policy is active</li><li>Order supplies in the office</li><li>Scan total loss paperwork into files</li><li>Maintain Office Needs- order supplies coffee, etc.</li></ul>Who is this worker's main interaction going to be with?<ul><li>The customer</li><li>The Progressive team mostly online</li><li>Leaders will be in the office</li></ul>

Medical Claims Specialist We are seeking a Medical Billing Specialist to join a healthcare organization in Glen Allen, Virginia. The role involves managing medical collections and billing, comprehending medical claims, and maintaining an understanding of the collections process. This role offers a contract employment opportunity. Responsibilities: • Understand the medical collections process and assist the collections team when needed• Familiarize yourself with medical billing and claims• Process and manage medical billing tasks• Maintain accurate records of customer credit and payments• Resolve customer credit inquiries in a timely and efficient manner• Monitor customer credit accounts and take necessary actions for delinquent payments• Stay updated with the latest industry practices and regulations related to medical billing and collections• Ensure compliance with healthcare industry regulations and standards in all tasks• Collaborate with the team to achieve set targets and goals• Handle sensitive information in a confidential manner.

Medical Billing Specialist We are offering a contract to permanent employment opportunity for a Medical Billing Accounts Receivable Specialist in Wilmington, DE, United States. This role is crucial to maintaining the financial health of our orthopedic practice. The successful candidate will be responsible for processing and managing medical billing claims and accounts receivable to ensure revenue maximization and minimize denials. Responsibilities:• Review and analyze medical claims for accuracy and completeness.• Prepare and submit electronic and paper claims to insurance companies.• Follow up on outstanding claims and denials in a timely manner.• Investigate and resolve billing discrepancies and unpaid claims.• Verify insurance coverage and eligibility for patients.• Process patient payments and reconcile accounts receivable.• Communicate effectively with patients, insurance companies, and internal staff regarding billing and payment inquiries.• Stay current with insurance regulations and billing guidelines.• Use skills in Medical Billing, Accounts Receivable (AR), Insurance Claims, and Claim Denials to perform job duties efficiently.P