Claims & Projects Coordinator (Clinical)
ISLAND PEER REVIEW ORGANIZATION INC
IPRO in Jericho, NY is seeking a Claims Specialist to coordinate clinical review projects, monitor requests, and manage provider and contractor interactions. You will track deliverables and deadlines and develop project frameworks to support interagency communications. This in-office role requires collaboration, problem solving, and strong written and verbal communication. A Bachelor's or advanced degree with relevant experience is required for this position in a fast-paced, agile environment. #J-18808-Ljbffr ISLAND PEER REVIEW ORGANIZATION INC
$50 - $53 per hour
...Job Title: Clinical Review RN (IDR/Appeals) Experience: Open to various clinical backgrounds/experience. Appeals... .... 3. Training and mentoring new RNs as the project expands. 4. Claims assessment and adjudication. 5. Participate in collaborative...ClaimsLocal areaImmediate startRemote workFlexible hours- ...investigate, analyze, appeal and resolve any denied or unpaid insurance claims. 2+ years' experience performing Account Receivable follow-up... ...conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services....ClaimsFull timeTemporary workWork at officeFlexible hours
- ...A claims adjustment firm in Levittown, New York, is seeking Independent Insurance Claims Adjusters. This opportunity offers comprehensive training and a chance to thrive in a rewarding career where you help others recover from disasters. Ideal candidates are Licensed...Claims
- ...A leading insurance claims firm in Hicksville, NY is seeking Licensed Claims Adjusters to assist clients in navigating the claims process after disasters. This is an ideal opportunity for both experienced adjusters and newcomers, as comprehensive training programs are...ClaimsFlexible hours
- ...Services is looking for a Licensed Practical Nurse for our Methadone Clinic in our Clinical Department. In this role, you will be... ...# Responsible to comply with agency Compliance Plan and False Claims Policy by preventing, detecting and reporting any potential healthcare...ClaimsFull timeTemporary workPart timeLocal areaFlexible hours
- ...Clinical Pharmacist HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing... ...and quality improvement processes Experience with claims processes Experience with provider/member/staff education...ClaimsWork at officeLocal area
- ...Clinical Pharmacy Specialist The Clinical Pharmacy Specialist is responsible for the... ...guidelines, and overseeing pharmacy benefit claims adjudication to match formulary intent.... ...appraisals; collaboratively, coordinates/implements educational training and competency...ClaimsInternship
- Position Overview We are seeking a hands-on Clinic Manager with a strong clinical... ...verification, authorizations, patient financial coordination, and healthcare administration. The... ...authorizations, benefits investigation, claims support, and patient financial coordination...ClaimsFull timePart timeLocal areaShift work
- MileHigh Adjusters Houston is seeking an Independent Insurance Claims Adjuster in East Meadow, NY. This role offers flexibility, autonomy, and a competitive compensation package. As a claims adjuster, you will aid individuals in recovering from disasters, leveraging comprehensive...ClaimsFlexible hours
- Independent Insurance Claims Adjuster Join MileHigh Adjusters Houston as an Independent Insurance Claims Adjuster. This role offers flexibility, autonomy, and competitive compensation. Why This Opportunity Matters Demand for claims adjusters is growing due to increased...Claims
- MileHigh Adjusters Houston is seeking an Independent Insurance Claims Adjuster in Syosset, NY. This role offers flexibility, autonomy, and competitive compensation as you help individuals recover from disasters. Licensed Claims Adjusters with at least 100 claims completed...ClaimsFlexible hours
- ...management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled... ...the revenue cycle process, including pre-submission review, claim submission, and follow-up. Under the direction of the Billing Manager...ClaimsFlexible hours
$44.76k - $65.2k
...information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications: Strong organizational...ClaimsWork at officeFlexible hours$150k
INSURANCE - Senior Claims Specialist (Jericho, NY) INSURANCE - Senior Claims Specialist. Jericho, NY - This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims...Claims$65k - $70k
...submitted codes for DRG validation. • Apply national coding standards and regulations to the claims and clinical data. • Provide subject matter input and support agency-wide projects. • Other duties as assigned. This position requires working on-site at the Jericho,...ClaimsHourly payWork at office- The role of the Project Coordinator (“PC”) is multi-faceted, providing direct support to both the Project Management and Operations Teams handling several projects. The PC provides the knowledge, skills and experience required to strongly assist these teams. The PC is responsible...Local area
$42.5k - $55k
...s Mental Health Services Division. This position assists with claims management, insurance verification, provider credentialing, authorization tracking, payment follow-up, and coordination related to clinic billing workflows. The role also provides administrative and front...ClaimsFull timeSummer workWork at office- ...A leading insurance training company in New York seeks Independent Insurance Claims Adjusters ready to make a difference in people's lives. With a focus on flexibility and competitive compensation, the role involves assisting in disaster recovery and requires an active...Claims
- ...A leading training organization in Melville, New York, is seeking Licensed Claims Adjusters to join their team amid growing demand for insurance claims professionals. This role offers comprehensive training to equip both seasoned and new adjusters with the skills needed...ClaimsFlexible hours
- ...A leading insurance training provider in New York is seeking Independent Insurance Claims Adjusters to join their team. This role involves aiding clients in recovery from unforeseen disasters while enjoying competitive compensation and flexibility. Whether seasoned or...ClaimsFlexible hours
$66.3k - $70k
...Claims Specialist As the Claims Specialist, you will coordinate activities critical to the successful completion of clinical reviews projects. You will support programs by monitoring requests, liaising with clinical partners, managing provider and contractor interactions...ClaimsHourly payFor contractorsWork at officeFlexible hours- A leading claims adjusting firm is seeking Licensed Claims Adjusters in Port Washington, New York. This position offers flexibility and the chance to play a vital role in helping individuals and businesses recover from unforeseen disasters. Candidates can expect comprehensive...Claims
- ...A prominent claims adjusting firm in Deer Park is seeking Independent Insurance Claims Adjusters to join their team. This role offers the opportunity to help individuals and businesses recover from disasters. Candidates will receive comprehensive training to enhance their...ClaimsFlexible hours
- ...A leading claims adjusting firm in Wantagh, NY, is seeking Independent Insurance Claims Adjusters to join their team. This role offers a rewarding career path that allows you to help others recover from unforeseen disasters. Candidates should be Licensed Claims Adjusters...ClaimsFlexible hours
- ...A leading insurance claims adjusting firm in Oceanside is seeking Independent Insurance Claims Adjusters to meet urgent demand due to rising storm-related events. Candidates should be actively working as Licensed Claims Adjusters or willing to receive training. This role...ClaimsFlexible hours
- ...A leading insurance training company in New York seeks Independent Insurance Claims Adjusters. This role offers the chance to make a significant impact on people's lives while enjoying flexibility, autonomy, and competitive compensation. Applicants should be licensed...ClaimsFlexible hours
- ...A leading insurance claims adjusting firm in Elmont, New York, is seeking Independent Insurance Claims Adjusters. This role offers a rewarding career with comprehensive training programs to help adjusters excel. Be part of a growing industry, responding to the increasing...ClaimsFlexible hours
- ...A leading claims adjusting company is seeking Independent Insurance Claims Adjusters in West Hempstead, NY. This position offers the opportunity for meaningful work in helping individuals and businesses during crisis recovery. The company provides comprehensive training...ClaimsFlexible hours
- ...verification, authorizations, billing, collections, denial management, and claims processing. This role ensures compliance with regulatory... ...for all payer submissions.Partner with management and clinic leadership to review receivables, maximize revenue, and establish...ClaimsHourly pay
$41.47k
...explanation of their financial responsibilities and expectations. Assume clinical and financial risk of the organization when collecting and... ...and financial services. Perform financial clearance for claim processing during registration by interviewing patients,...ClaimsFull timeWork at officeAfternoon shift
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