Healthcare Claims & Risk Coordinator
Baptist Hospitals of Southeast Texas, Inc.
Baptist Hospitals of Southeast Texas is seeking an Insurance Claims Coordinator to support the Risk Management Department by handling claims, lawsuits, and insurance applications. The role requires coordinating with hospital staff and external brokers to ensure timely processing and compliance. Responsibilities include managing investigations, preparing case summaries, facilitating discovery, and maintaining loss runs and accruals. #J-18808-Ljbffr Baptist Hospitals of Southeast Texas, Inc.
- ...and revenue cycle management \n Claims management and administrative coordination \n \n Aurora participates with... ..., physicians, and other healthcare professionals \n Interventional... ...regarding diagnoses, medications, risks, benefits, and treatment options...RiskClaimsFull timePrivate practiceRemote work2 days per week
$65k - $84.75k
...forefront of job growth in the bioscience and healthcare sectors. As these sectors continue to... ...these dynamic fields.The Multimedia Coordinator creates and produces video storytelling... ...ensuring educational opportunities for at-risk students, including those in detention schools...RiskFull timeFor contractorsWork at office$70k - $90k
...JOB OBJECTIVE The Regulatory Affairs Coordinator supports the day-to-day Operational Regulatory... ...reviews for product packaging and claims, and maintains essential regulatory records... ...and checklists. Escalate regulatory risks, gaps, and urgent issues to the...RiskClaimsSummer workLocal areaFlexible hours$66.3k - $75.79k
...Coordinator, Patient Relations Administrative/Office Support Brooklyn, NY NYU Langone... ...as NYU Langone Health's anchor for healthcare access, growth, and delivery in the entire... ...reports that may become a potential quality/risk management or media problem and reports...RiskFull timeWork at officeMonday to FridayWeekend work$35.1k - $44.5k
...community The primary function of the Branch Coordinator is to provide clerical support for the... ...as appropriate. Complete End of Period claim workflow as part of Billing Specialist... ...to encourage personal wellness and smart healthcare decisions for you and your family while...ClaimsFull timeTemporary workApprenticeshipWork at office$26 - $28 per hour
...client, supporting medical coding validation, claims auditing, billing workflows, and revenue... ...discrepancies, and potential denial risks while supporting appropriate corrections.... ...health records, medical billing software, and healthcare claims systems is required. Skills &...RiskClaimsTemporary workWork at officeMonday to Friday- ...by identifying and mitigating health risks. Injury & Illness Management: Provide... ...aid, assess workplace injuries, and coordinate care with healthcare providers. Health Screenings & Assessments... ...work programs, workers' compensation claims, and accommodations. Health...RiskClaimsFull timeLocal area
- ...Our client, a leading healthcare organization committed to clinical excellence and operational... ...and integrity in charge entry, coding, claims processing, cash posting, denial management... ..., communicating progress and mitigating risks. Track metrics and ensure project goals are...RiskClaims
$29 - $52 per hour
...organizations reduce costs while improving risk management, quality and revenue growth.... ...Connecting. Growing together. The Clinical Claim Review RN will be responsible for... ...administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct...RiskClaimsHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaRemote workMonday to FridayShift work$150k - $250k
...improve the standard of care across the US healthcare system. We’ve built AI-powered... ...platform built to fix clinical and compliance risks before they impact patients. Each year,... ...We are aware of fraudulent job offers claiming to be from Brellium. All legitimate communication...RiskClaims- ...Undergraduate Degree in IT, business management or healthcare-related field 7+ years of demonstrated... ...Analyst 3+ years of healthcare data claim content experience. Must be familiar with... ...industry concepts (cost of care, health risk, quality of care, etc.) Familiarity with...RiskClaimsWorldwide
- ...adolescents, and patients with special healthcare needs. Utilizes behavior... ...requiring sedation and/or coordinates referrals for advanced... ...pediatric clinical guidelines and risk-based care models by... ...tribal affiliation. Applicants claiming Indian Preference may be asked...RiskClaimsPart timeLocal area
- ...technology platform that helps healthcare providers get paid fairly in... ...dispute underpaid claims, reduce administrative burden... ...needed. Manage expectations and risks: Set clear time-to-value timelines... ...clients for launch and handoff: Coordinate training and readiness checks...RiskClaimsRemote workFlexible hours
- ...Little About Us Zelis is modernizing the healthcare financial experience across payers,... ...clients Research and evaluate different risk factors regarding business decisions and... ...relating to advertising and product performance claims, and other global legal frameworks, as...RiskClaimsContract workWork at officeVisa sponsorshipFlexible hours
$36 - $43 per hour
...position. This role will provide healthcare support at our onsite... ...in workers* compensation case coordination, worker injury and illness management... ...' Compensation cases through claim capture and follow-up... ...analyses, including task analyses, risk factor identification and...RiskClaimsFull timeTemporary workLocal areaImmediate startRelocation packageShift work$84k - $126k
...Medtronic is a global leader in healthcare technology with a Mission to... ...stakeholders across CMAH to coordinate and improve business... ...identify, communicate, and escalate risks, issues, and dependencies to... ...receive a suspicious message claiming to be from Medtronic, do not...RiskClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours- ...our community. Job Summary Credentialing Coordinator’s primary objective to coordinate and... ...resolve Medicaid enrollment issues impacting claims and reimbursement. Work directly with... ...Health-Related Discipline: Public Health, Healthcare Administrative, Health Service,...ClaimsFull timeWork experience placementMonday to Friday
$10k
...Summary: The Accountant- II will serve as the CTL/Grant Fiscal Coordinator working closely with the Fiscal Coordinator. Job Duties and... ...record expenditures. -Review expenditure reports revenue claiming reports financial status reports (FSR) and other financial...ClaimsPermanent employmentFull timeContract workWork at officeRemote workWork from home2 days per week- ...communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch... ...improvements. Leads audits of complex cases and high-risk claims. Reviews escalated audit findings and provides expert guidance...RiskClaimsLocal areaRemote work
$198.4k - $297.6k
...start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate... ...to reduce quality and compliance risk in manufacturing while ensuring the organization... ...If you receive a suspicious message claiming to be from Medtronic do not respond click...RiskClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$66.58k - $142.58k
...planning, implementing, and coordinating all case management activities... ...strategies designed to reduce risk factors and barriers and... ...from various sources, such as claims, to address all conditions including... ...stakeholders in the member's healthcare in overcoming barriers in...RiskClaimsHourly payFull timeTemporary workMonday to FridayFlexible hours$96.99k - $189.82k
...Training management of safety, risk, and training activities and... ...and workplace injury claims, safety inspections, and required... ...claims, and return-to-work. Coordinate claims reporting to external... ...Life Supplemental Insurance, Healthcare and Dependent Care Flexible Spending...RiskClaimsFlexible hours- ...includes high‑dollar and complex service claims, ensuring that responsible payers are billed... ...Associate escalates unresolved or high‑risk issues as appropriate and contributes... ...or equivalent. Must have 3+ years prior healthcare billing experience and knowledge of medical...RiskClaimsFull timeSummer workShift workDay shift
$50 per hour
...is a veteran-owned New Jersey healthcare service company dedicated to... ...activities of daily living, fall risk, safety concerns, and... ...person assessment is necessary, coordinate appropriate clinical follow-up... ...payer contracting, billing, claims submission, payment collection...RiskClaimsHourly payFull timeTemporary workPart timeWork at officeImmediate startRelocationFlexible hoursNight shift- ...client, a $200M+ food salvage non-profit, is seeking a Director of Risk & Safety Management to own all aspects of EHS, commercial... ...leading annual renewals, optimizing budgets, and overseeing complex claims from investigation through resolution. Develop and continuously...RiskClaimsFull timeWork at office
- ...’re on a mission to revolutionize mental healthcare by removing every barrier that prevents people... ...where a client might present with higher risks. You are committed to quality clinical... ..., collecting fees, or submitting claims---we take care of the administrative work...RiskClaimsTemporary workFor contractors
- ...reporting, and optimization. Coordinate campaign timelines, creative... ...businesses, chambers, employers, healthcare organizations, schools,... ...applicable. Ensure marketing claims and patient communications are... ...potential occupational exposure risks. Apex Skin complies with...RiskClaimsSeasonal workWork at officeLocal areaAfternoon shift
- ...this role, you will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate the home care needs of... ...patients resulting in positive clinical outcomes and minimized risks of rehospitalization Supports agency established financial...RiskRelocation package
- ...and completes Crime Victim's Board (CVB) claim forms. Endores clinically relevant examination... ...Transmitted Infection (STI) exposure risk, strangulation, etc. Identifies the... ...Sexual Assault Forensic Examiner Borough Coordinator. Performs other program-related work,...RiskClaimsFull timeWork at office
- ...actuarial staff. This role partners with Finance, Healthcare Economics, Clinical, and Network teams to help evaluate performance, support risk analysis, and build CINQCARE’s analytics... .... Work with large datasets, including claims, encounters, and enrollment data, and...RiskClaimsContract workInternshipWork at officeRemote work
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