Top 73 Coord workers compensation Jobs

Payer Enrollment Coord II
University of Rochester —Rochester, NY
- $19.04 - $26.63 an hour
- Full-time
- Remote
- Mid-level
- Office
- EMR systems
Inventory Planning Coord III
University of Rochester —Rochester, NY
- $23.27 - $32.60 an hour
- Full-time
- Hospital
- Mid-level
- 1 year
Self-Pay Fin Assist Coord IV
University of Rochester —Rochester, NY
- $19.72 - $26.62 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- Associate's degree
Mgr Work Planning & Process Control
CPS Energy —San Antonio, TX
- Clean driving record
- Mid-level
- High school diploma or GED
1d
Mgr Work Planning & Process Control
CPS Energy —San Antonio, TX
- Clean driving record
- Mid-level
- High school diploma or GED
1d
Clin Coord, Mental Hlth Prvdr
Columbia University —New York, NY
- $75,432 - $85,781 a year
- Full-time
- Spanish
- HIPAA
- English
4d
Logistics Coord IV, Clin Labs
University of Rochester —Rochester, NY
- $24.00 - $33.60 an hour
- Full-time
- Computer literacy
- Driver's License
- Recruiting
Ops Coord Patient Acctg
Northwestern Memorial Healthcare —Warrenville, IL
- $30.54 - $42.75 an hour
- Full-time
- Background check
- Microsoft Excel
- 5 years
- Tuition reimbursement
- 401(k) matching
Quick Apply
Sr Coord: IT Support
Stowe Mountain Resort —Stowe, VT
- $22.09 - $25.99 an hour
- Weekends as needed
- 18 years or older
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
10d
Health Home Care Coord
University of Rochester —W Henrietta, NY
- $23.51 - $31.74 an hour
- Full-time
- Background check
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Payroll Processing Coord III
University of Rochester —Brighton, NY
- $21.78 - $30.53 an hour
- Full-time
- Office
- Databases
- High school diploma or GED
Pre-Authorization Scheduling Coord
PVH Potomac Valley Hospital —Keyser, WV
- Full-time
- Hospital
- Medical office experience
- High school diploma or GED
13d
Health Insur & Auth Coord IV
University of Rochester —Rochester, NY
- $21.97 - $29.66 an hour
- Weekends as needed
- Data analysis skills
- Mid-level
- 3 years
- Health insurance
- Prescription drug insurance
Membership Coord III, MAG
University of Rochester —Rochester, NY
- $19.04 - $26.63 an hour
- Weekends as needed
- Databases
- University
- Bachelor's degree
Patient Transfer Coord IV
University of Rochester —Rochester, NY
- $21.97 - $29.66 an hour
- Full-time
- Hospital
- Mid-level
- 3 years
Department Coord IV
University of Louisville —Louisville, KY
- Online Application
- Customer service
- Mid-level
- University
Sr. Facilities Mgt Coord
Par Health —Webster Groves, MO
- Overtime
- Microsoft Excel
- 6 years
- Microsoft Outlook
Administrative Coord III
University of Rochester —Rochester, NY
- $19.04 - $26.63 an hour
- Full-time
- Hybrid work
- Microsoft Outlook
- Psychiatry
- Customer service
Clinical Nurse Coord (Advanced Team - GI)
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Nursing
- RN License
- Hospital
Dental Treatment Coord III
University of Rochester —Rochester, NY
- $20.30 - $27.41 an hour
- Full-time
- Medical office experience
- Administrative experience
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Payer Enrollment Coord II

University of Rochester -
Rochester, NY

Apply Now

Job Details

Full-time
$19.04 - $26.63 an hour

Qualifications

Medical billing inquiries
Committee work
Medicare
Provider database maintenance for medical credentialing
Provider enrollment for medical credentialing
E-filing platforms
Mid-level
Taxonomy
Data management
Medicare regulations
EMR systems
Healthcare provider information
Interviewing
Medicaid
Insurance provider collaboration
Handling patient inquiries
1 year
Associate's degree

Full Job Description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

135 Corporate Woods, Rochester, New York, United States of America, 14623

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

Department:

910397 URMC Medical Staff Services

Work Shift:

UR - Day (United States of America)

Range:

UR URG 104 H

Compensation Range:

$19.04 - $26.63

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

Minimizes reimbursement barriers for patients and providers by assisting with determining coverage and access options available for a specific product. May assist healthcare providers with questions related to payer policies, patient assistance, and reimbursement support services. Resolves coverage and reimbursement issues that may create barriers to access for patients. Remains knowledgeable of private payer, Medicare, and Medicaid structure systems and reimbursement processes. Respond to all patient, nursing, and provider account inquiries.

ESSENTIAL FUNCTIONS

Determines practitioner eligibility for enrollment. Completes and processes all paper and/or electronic applications for the government payers and non-delegated commercial payers. Completes applications to revalidate individual providers, as well as University of Rochester groups, with Medicare and Medicaid as required each cycle. Completes new enrollments of APP’s and performs updates regarding changes for enrolled APPs for the commercial delegated payers such as change in locations, tax IDs, etc. Ensures applications and files are securely submitted to the respective entities upon completion and in accordance with the specific requirements. Communicates status of files or other payer enrollment/credentialing information directly to providers, various department representatives, and/or outside organizations, clients or affiliates. Coordinates activities related to the electronic submission of applications through the online Medicare system as well as paper applications. Analyzes application and supporting documents for accurateness and completeness, including all required verifications and documentation. Sets up new University groups with new Tax IDs with the appropriate government payers as needed. Works with team leaders and staff to ensure files and/or applications and revalidations are completed accurately and within the required timeframes.
Documents and tracks the status of provider enrollment applications for Medicaid, Medicare, and some Commercial Payers that are not part of Delegation. Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission. Completes the Electronic Provider Assisted Claim Entry System enrollment for electronic Medicaid billing for new provider after they are approved by Medicaid, when applicable. Sets up the Electronic Transmitter Identification Number (ETIN) for electronic Medicaid billing for individual and group enrollments, when applicable. Coordinates the transfer of data and electronic information with key leaders, including the hospital electronic medical record team and the delegated commercial payer with contracts.
Collaborates directly with providers and various department representatives, including billing, to obtain information related to practice addresses, taxonomy codes, and to secure provider and authorized official signatures. Communicates the status of the applicants credentialing and payer enrollment files directly to providers and various department representatives and coordinates efforts to obtain necessary information and/or documentation to ensure deadlines are met. Notifies providers and various department representatives when approval and enrollment confirmation is received from the payers. Assists APPs as requested with the CAQH (Committee for Affordable Quality Healthcare) profiles. Collaborates with other University departments to ensure compliance with all standards and policies.
Responds to inquiries from other healthcare organizations and interfaces with internal and external customers on day-to-day payer enrollment issues as they arise. Represents the department for various initiatives and/or committee meetings as needed. Serves as the primary back up to all payer enrollment staff and management. Serves as a Team Peer Interviewer as needed.

MINIMUM EDUCATION & EXPERIENCE

Associate's degree and 1 year of relevant experience required
Or equivalent combination of education and experience

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

Apply Now

Refine Your Search

coord workers compensation jobs

Payer Enrollment Coord II

Inventory Planning Coord III

Self-Pay Fin Assist Coord IV

Mgr Work Planning & Process Control

Mgr Work Planning & Process Control

Clin Coord, Mental Hlth Prvdr

Logistics Coord IV, Clin Labs

Ops Coord Patient Acctg

Sr Coord: IT Support

Health Home Care Coord

Payroll Processing Coord III

Pre-Authorization Scheduling Coord

Health Insur & Auth Coord IV

Membership Coord III, MAG

Patient Transfer Coord IV

Department Coord IV

Sr. Facilities Mgt Coord

Administrative Coord III

Clinical Nurse Coord (Advanced Team - GI)

Dental Treatment Coord III

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