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12 Business Office Coordinator jobs match your search criteria.

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Job Description: Patient Financial Coordinator Patient Financial Coordinator Location: Westchester County, NY Salary: $40,000-$55,000 Experience: 2. year(s) Job Type: Full-Time Job ID: J136825       About the Opportunity A healthcare organization in New York is actively seeking a new Patient Financial Coordinator for a promising role with their growing staff. This is a great opportunity for a highly motivated and diligent Patient Financial Coordinator to gain valuable work experience and further their career at one of the organization's facilities in Westchester County. Apply today! Company Description Healthcare Organization Job Description The Patient Financial Coordinator will be responsible for ensuring that all  processes related to insurance eligibility, verification and cost estimates are performed/obtained to be able to have individual patient financial meetings to discuss recommended procedural cost estimates, patient financial responsibilities, and collection of outstanding balances and the establishment of patient payment plans in accordance with company policies. Required Skills 2+ years of experience in Medical Insurance Verification, Billing and other Healthcare Finance areas High School Diploma / GED Knowledge of verification and authorization requirements for Medicare, Medicaid, commercial insurance, managed care plans, workers compensation and other third party payers Strong knowledge of Medical Terminology Computer savvy Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Associate's Degree in Business or a closely related field Bilingual (English and Spanish) Experience in patient advocacy

Job Description: Managed Care Coordinator Managed Care Coordinator Location: Ewing, NJ Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1005418       About the Opportunity A widely recognized healthcare organization located in Ewing, NJ is actively seeking a self-motivated and dynamic professional for a promising opportunity on their staff as a Managed Care Coordinator. In this role, the Managed Care Coordinator supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Company Description Healthcare Organization Job Description The Managed Care Coordinator: Performs review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients Handles initial screening for pre-certification requests from physicians/members Prepare, document and route cases in appropriate system for clinical review Initiates call backs and correspondence to members and providers to coordinate and clarify benefits Upon completion of inquiries initiate call back or correspondence to Physicians/Members to coordinate/clarify case completion Reviews professional medical/claim policy related issues or claims in pending status Upon collection of clinical and non-clinical information, authorize services based upon scripts or algorithms used for pre-review screening Perform other relevant tasks as assigned by Management Required Skills High School Diploma Strong medical skills and knowledge Proficient in Microsoft Office Excellent written and verbal communication skills Ability to make sound decisions under the direction of Supervisor Strong analytical skills Demonstrated interpersonal skills Team-oriented Desired Skills 1-2 years of experience in a customer service or medical support-related position Knowledge of contracts, enrollment, billing and claims coding/processing Knowledge of Managed Care principles Ability to analyze and resolve problems with minimal supervision Ability to use a personal computer and applicable software and systems

Job Description: Managed Care Coordinator Managed Care Coordinator Location: Trenton, NJ Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1005564       About the Opportunity A widely recognized healthcare organization in Trenton, NJ is actively seeking a driven and patient-oriented healthcare professional for a promising opportunity on their staff as a Managed Care Coordinator. In this role, the Managed Care Coordinator supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Company Description Healthcare Organization Job Description The Managed Care Coordinator: Performs review of service requests Handles initial screening for pre-certification requests from physicians/members  Prepares, documents and routes cases in appropriate system for clinical review Initiates call backs and correspondence to members and providers to coordinate and clarify benefits Initiates call back or correspondence to Physicians/Members  Reviews professional medical/claim policy related issues or claims in pending status Required Skills High School Diploma Polished and professional demeanor Ability to multitask Proficient in Microsoft Office Knowledge of medical terminology Strong verbal and written communication skills Demonstrated analytical skills Highly organized Desired Skills Bachelor's Degree 1-2 years of customer service or medical support-related experience Knowledge of contracts, enrollment, billing and claims coding/processing Knowledge of Managed Care principles Ability to analyze and resolve problems with minimal supervision Ability to use a personal computer and applicable software and systems

Job Description: Payor Enrollment Coordinator Payor Enrollment Coordinator Location: Ridgewood, NJ Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1002544       About the Opportunity A recognized healthcare organization located in New York City is actively seeking a driven and dynamic individual for a promising opportunity on their staff as a Payor Enrollment Coordinator. As a Payor Enrollment Coordinator, the qualified candidate coordinates and monitors the payor enrollment activities for the organization, including the initial enrollment and re-credentialing of all providers into governmental and managed care plans. Company Description Healthcare Organization Job Description The Payor Enrollment Coordinator: Monitors the re-credentialing process, producing any necessary documentation needed to complete applications Manages access to payor online portals and serve as security officer for those portals Communicate any demographic changes to payers, including but not limited to address changes, TIN add/term, etc. Reviews and corrects any errors in payor directories to ensure all provider information remains up-to-date Creates and maintains insurance grids for all practices and communicate any changes in participation status to providers/office staff in a timely fashion Manages group/provider/locations in practice management systems to support scheduling, charge capture, billing and EHR Assists in Managed Care negotiations through compiling data for financial analysis, rate reviews and other duties as defined by the Manager Conducts regular reporting to identify any shortfalls in reimbursement so as to maximize revenue/profitability Networks and coordinates the sharing, receipt, and/or update of information among various internal departments and the insurance plan Required Skills 2-5 years of credentialing/payor enrollment in a health care provider or health care insurer environment Polished and professional demeanor Ability to multitask Exceptional interpersonal skills Highly organized Strong attention to detail Excellent communication skills Proficiency with computer platforms and applications Desired Skills Bachelor's degree in Business Administration or related field Knowledge of credentialing software and cloud based practice management software

Job Description: Field Service Coordinator (RN) Field Service Coordinator (RN) Location: Newark, NJ Salary: $30-$37 per hour Experience: 2. year(s) Job Type: Temporary to Full-Time Job ID: U1012189       About the Opportunity A New Jersey-based healthcare organization in New Jersey is currently seeking a licensed Registered Nurse (RN) to join their growing staff as a Field Service Coordinator.  In this role, the Field Service Coordinator (RN) will be responsible for working with Care Coordination team members to asses, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the member. This is a great job for a diligent and dedicated Field Service Coordinator (RN) to gain valuable work experience and further their career at one of the organization's facilities. Apply today! Company Description Healthcare Organization Job Description The Field Service Coordinator (RN) will: Evaluate members for case management services and determine appropriate level of care coordination / management services for member Complete a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate the members need for alternative services Act as a Primary Case Manager for members identified as Complex as defined by Case Management Program Description Develop and monitor members plan of care to include progress toward meeting established goals and self-management activities Interact continuously with member, family, Physician(s), and other providers utilizing clinical knowledge and expertise to determine medical history and current status Supervise and/or acting as a resource for non-clinical staff Act as liaison and member advocate between the member/family, Physician and facilities/agencies. Maintain accurate records of case management activities Coordinate community resources with emphasis on medical, behavioral, and social services Meet with clients in their homes, work-sites, Physicians or hospital to provide management of services Required Skills 2+ years of Clinical Acute Care experience Bachelor's Degree in Health Services or Nursing NYS Registered Nurse (RN) license Understanding the Business and Financial aspect of Case Management in a Managed Care setting Knowledge of Healthcare delivery Knowledge of Community. State and Federal laws and resources Microsoft Office/Suite proficient (Excel. Word. PowerPoint. Access and Outlook) Knowledge of or the ability to learn company approved software, such as CRMS, Peradigm, and/or InterQual Customer service oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills 1+ year of current Case Management experience Certified Case Manager (CCM) Bilingual Managed Care experience Prior Utilization Management experience Experience working with the Elderly population Previous experience in a Home Health, Physician's Office, or Public Health setting

Job Description: Administrative Assistant Administrative Assistant Location: New York, NY Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1004930       About the Opportunity The Human Resources Administration Department of a recognized healthcare facility is looking to fill an immediate need with the addition of a new Administrative Assistant to their staff. In this role, the Administrative Assistant will be responsible for providing high quality office support to a HR Business Partner Team. Company Description Healthcare Facility Job Description The Administrative Assistant: Manages calendars for HR Business Partner team ensuring accuracy and the practicality and efficiency of each person's schedule Manages all logistics of scheduling meetings that may involve many people throughout the organization and ensures that the set-up (room, materials, and refreshments) is appropriate for the size and type of meeting Completes and submits travel documents, check requests, and purchase requisitions; follows up for timely processing Prepares and/or edits meeting minutes, presentations, and spreadsheets Answers director's extension and extension telephone lines of HR Business Partner Coordinators within established guidelines Completes timesheets and timekeeping for Business Partners Works collaboratively with and provides coverage for HR Business Partner Coordinators, as needed Required Skills 2+ years of Administrative experience Computer savvy Microsoft Office/Suite proficient (Word, Excel, PowerPoint, etc.) Solid creative thinking and problem solving skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Director of Coding Director of Coding Location: Hartford County, CT Salary:  Experience: 5.0 year(s) Job Type: Temporary to Full-Time Job ID: U994100       About the Opportunity A leading healthcare organization in the Greater Hartford area is looking for a Director of Coding to join their growing team.  This is a newly-created position due to the substantial growth this organization has seen. This organization, with over a decade of experience, is one of the leading providers of medical management services throughout Connecticut and is looking to add an experienced  manager to complement their talented team. Company Description Healthcare Organization Job Description The Director of Coding will: Provide direction, mentoring and support of the Professional Coder's daily functions Coordinate efforts with the Operations Leaders of each business/site Maintain expertise through hands on practice of all coding services provided to customers Conduct necessary research to address complex coding related challenges Assist in the education of providers and staff on proper documentation practices Develop, implement and maintain coding policies and procedures Assist in the facilitation of the transition from ICD-9 to ICD-10 and the training of internal staff Support coding staff in the resolution of vendor coding escalations Lead team meetings to enhance functional excellence  Required Skills Current Certified Professional Coding Certificate College Degree 5 years' experience of high-volume, multi-specialty coding within a Physician Office and/or Outpatient Clinic, 3 years in a management capacity Thorough knowledge of ICD-9-CM, CPT, and HCPCS coding Academic knowledge of ICD-10 PCS coding Functional knowledge of medical terminology, anatomy and physiology, medical procedures, medical conditions and illnesses, and treatment practices Knowledge of Medicare and other insurance carrier's coding and compliance guidelines Proficient in PC and MS Office skills

Job Description: Biller / Customer Services Representative Biller / Customer Services Representative Location: Brooklyn, NY Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1016581       About the Opportunity A widely recognized healthcare facility located in Brooklyn is actively seeking a compassionate and diligent individual for a promising opportunity on their staff as a Biller / Customer Service Representative. In this role, the Biller / Customer Service Representative will be responsible for fulfilling the company's commitment to high quality patient relations and provides a mechanism for patient, guarantor, physicians, and/or other third party communication for billing and reimbursement questions or concerns. Apply today! Company Description Healthcare Facility Job Description The Biller / Customer Services Representative: Promptly responds to telephone calls, telephone messages, mail and in-person inquiries, concerns, and complaints from patients, guarantors, and third parties concerning billing matters Resolves issues quickly, courteously, and effectively Brings unresolved issues to the attention of the supervisor Forwards request for information/issue resolution to the appropriate department or individual, as required Documents activity via PCS workfile Greets patients and visitors Updates patient demographics as needed Handles correspondence generated by patients Prepares/establishes budget plans for patients Accepts payments from patients; complete credit card transactions Coordinates payments received with cashier function in Payments Department Required Skills 2 years of college-level course work 1-3 years' experience in a healthcare business office in a similar position Strong medical billing knowledge Excellent communication skills Proficiency with computer platforms and applications Strong interpersonal skills Desired Skills Associate's Degree IDX experience

Job Description: Corporate Director - Case Management Corporate Director - Case Management Location: Newton, MA Salary: $125,000-$140,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137490       About the Opportunity An established healthcare provider in Massachusetts is actively seeking a self-motivated and compassionate healthcare professional for a promising opportunity as their new Corporate Director of Case Management. In this role, the Corporate Director of Case Management provides oversight for resident care delivery processes (clinical and rehab) in our Post-Acute (HC/SNF) settings. Apply today! Company Description Healthcare Provider Job Description The Corporate Director of Case Management will: Manage systems related to Medicare A, Managed Care, Medicaid, and ACO processes Evaluate current system workflows Identify gaps and create solution plan Deliver a strategic, proactive approach to an effective staff orientation and training program Engage inter-professional team members at all levels of the organization to participate in system design (practice/competency/documentation) Coordinate relevant clinical policy/procedure revisions Identify and manage key quality outcome data measures and methodology Create/implement a regularly scheduled communication plan   Required Skills Bachelor's Degree Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist license 3-5 years of divisional or corporate experience in post-acute care settings Expert knowledge of current state and federal government post-acute care regulations Expert Leadership skills In-depth knowledge of case management and resource utilization review practices Demonstrate ability to work effectively with all levels of the organization Demonstrate expertise in critical thinking and analytical skills Expert clinical skills and ability to provide educational programs to all levels of the organization Strong expertise in Medicare, Managed Care and ACO development Proficient to expert in the use of software systems conducive to developing and presenting system deliverables including, but not limited to Microsoft Office Suite Desired Skills Master's Degree Vendor management / business partnership experience Electronic Health Record experience Proficiency in  QAPI systems

Job Description: Network Management Representative Network Management Representative Location: Tampa, FL Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1008101       About the Opportunity A Florida-based healthcare company is actively seeking a personable professional to join their staff as a Network Management Representative.  In this role, the Network Management Representative will be responsible for providing quality, accessible and comprehensive services to the company's provider community. Company Description Healthcare Company Job Description The Network Management Representative will: Coordinates communications process on such issues as administrative and medical policy, reimbursement and provider utilization patterns Develops, maintains, and enhances relations with providers to foster cooperative business relationships Coordinates prompt claims resolution through direct contact with providers and claims department Provides assistance with policy interpretation Researches, analyzes and recommends resolution for provider disputes as well as issues with billing and other practices Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery Tracks customer service patterns/trends and identifies training when appropriate Drafts training documents and conduct provider refresher training at onsite provider locations or by telephone Researches issues that may impact future provider negotiations or jeopardize network retention Required Skills 1+ year of Customer Service experience High School Diploma Computer savvy Microsoft Office/Suite proficient Solid time management and problem solving skills Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Proposal Writer Proposal Writer Location: Westchester County, NY Salary: $60,000-$75,000 Experience: 3. year(s) Job Type: Full-Time Job ID: J132462       About the Opportunity A healthcare organization in Westchester County is looking to fill an immediate need with the addition of a new Proposal Writer to their growing staff. Reporting to the Senior Vice President Sales and Marketing, the Proposal Writer will be responsible for managing the analysis, development, coordination, writing, and completion of Requests for Information (RFIs), Requests for Quotations (RFQs), Sales Proposals, Questionnaires, Presentations, and related requests. Company Description Healthcare Organization Job Description The Proposal Writer will: Work with many departments across the organization to ensure appropriate presentations and sales/marketing collateral including sales, clinical services, analytics, marketing, and senior leadership Read and analyze proposal request and formulate project plan with clear expectations of proposal objectives and team member responsibilities Conduct first pass of each proposal using content database and past proposals Provide comprehensive writing and editing expertise to ensure accuracy and quality of response with input from internal subject matter experts, such as writing executive summaries and responses to specific questions and editing final document Track issues/resolutions, analyze and incorporate proposal inputs from team Manage and conduct final printing/production and delivery of proposal response Manage proposal development schedule to ensure 100% on time delivery of all requests Serve as the focal point for the sales team throughout the duration of assigned proposals Formulate and communicate project plan with clear expectations of team member responsibilities, including responsibilities of others in the business unit Facilitate all proposal - and project-related communications, ensuring all deadlines and quality controls are met Track and incorporate all input provided by subject matter experts and other reviewers throughout the proposal process, following up as needed to ensure all proposal questions have a thorough, accurate, and compelling response Respond promptly to all inquiries and input from business unit team members related to proposals and projects Work with management l writers to manage development of content as product strategy evolves Required Skills 3+ years of Proposal Writing experience Bachelor's Degree in a related field Previous Marketing experience Managed Care knowledge Computer savvy Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized   Desired Skills Strong understanding of APMP guidelines APMP certification Strong proficiency in Content Management software

Job Description: Case Management Nurse Manager (RN) Case Management Nurse Manager (RN) Location: New York, NY Salary: $81,000-$86,000 Experience: 0.0 year(s) Job Type: Full-Time Job ID: J130854       About the Opportunity A New York City healthcare organization is currently seeking a licensed Registered Nurse (RN), with a strong Case Management background, for a promising Managerial position with their growing staff. In this role, the Case Management Nurse Manager (RN) will be responsible for effectively managing the daily operations / workflow and supervising clinical and non-clinical staff to provide support for the organization's Care Management programs. Company Description Healthcare Organization Job Description The Case Management Nurse Manager (RN) will be responsible for: Assisting in developing strategic plan by partnering with Assistant Director and Fund management to identify opportunities that have direct impact on clinical and financial outcomes Accessing and analyzing all processes on an ongoing basis to determine their effectiveness, eliminate inefficiencies and make recommendations to senior management to improve workflow, operations, and staff performance Coordinating activities between clinical programs, communication, and report requirements to maintain operational efficiencies and to be in compliance with the Department of Labor (DOL), Summary Plan Description (SPD) departmental protocols and clinical policies and procedures Interacting and collaborating with other departments (e.g. Claims and Provider Relations) in troubleshooting, problem solving, and exchanging information in conjunction with maintaining effective communication with providers and members Staff development, clinical orientation, ongoing education, and training programs to meet the changing needs of the Department Continually assessing clinical staff performance against internal and external departmental and industry standards Required Skills 5+ years of Advanced or Specialized work experience in Care Management programs (Utilization / Case Management / Appeals Programs) within a Managed Care organization; 2+ years of progressive Leadership and Management experience Bachelor’s Degree in Nursing, Business or Health Care Administration or equivalent years of work experience required; plus Current NYS Registered Nurse (RN) license Working knowledge of Milliman / InterQual guidelines or other regulatory protocols (i.e. Medicare), claims processing, medical coding (ICD-9, HCPCS, CPT) and interpreting provider contracts Strong Medical / Clinical background Microsoft Office/Suite proficient Solid critical thinking and analytical skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized $ Desired Skills Previous management experience and CCM certification

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