Top 49 Claims coordinator Jobs in Austin Tx

LTSS Nursing Facility Service Coordinator, RN
Community Health Choice —Texas
- $37.24 - $44.85 an hour
- Full-time
- Remote
- Nursing
- Clean driving record
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
4d
Claims and Legal Operations Coordinator
Akumin —Austin, TX
- Full-time
- Remote
- Mid-level
- Administrative experience
- Experience equivalent to degree accepted
Quick Apply
Healthcare Coordinator
Served With Honor —Austin, TX
- $45,000 - $55,000 a year
- Full-time
- Remote
- Medical office experience
- Mid-level
- Continuous improvement
- Paid jury duty
- Paid parental leave
Patient Care Coordinator
Capital Plaza —Austin, TX
- Computer literacy
- High school diploma or GED
- Organizational skills
Quick Apply
Clinical Services Coordinator
CITY OF WACO, TEXAS —Austin, TX
- $62,500 a year
- Weekends as needed
- Clinic experience
- Mid-level
- 3 years
- Paid parental leave
- Disability insurance
Hospital Billing Coordinator
Deloitte —Austin, TX
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Front Desk Insurance Coordinator
Daybreak Dental —Austin, TX
- $23 - $26 an hour
- Full-time
- Bilingual
- Dental office
- 1 year
Quick Apply
Treatment Coordinator
Swish Dental —Austin, TX
- Overtime
- Private practice
- CPR Certification
- Dental office
- Paid holidays
- Disability insurance
Quick Apply
Office Coordinator
Charlie Health —Austin, TX
- $18 - $22 an hour
- Full-time
- Salesforce
- HIPAA
- English
- Health insurance
Quick Apply
Dental Insurance Coordinator
River Rock Dental —Austin, TX
- Full-time
- Dental office
- Mid-level
- 2 years
- Paid holidays
- Dental insurance
Quick Apply
HR/PAYROLL COORDINATORS
PMG OPCO - AUSTIN LLC —Austin, TX
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Disability insurance
- Health insurance
3d
Dental Administrator - Practice Coordinator
Circle C Dental —Austin, TX
- $26 - $30 an hour
- Full-time
- Dental office
- Mid-level
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
13d
Client Service Coordinator
BDA —Austin, TX
- $50,000 - $52,000 a year
- 18 years or older
- Oracle
- Microsoft Outlook
- AD&D insurance
- Paid holidays
Quick Apply
Senior Patient Services Coordinator
Covenant Management Systems, L.P. —Round Rock, TX
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Patient Services Coordinator (24 hours)
Covenant Management Systems, L.P. —Cedar Park, TX
- Part-time
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
6d
Patient Services Coordinator
Covenant Management Systems, L.P. —Cedar Park, TX
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Patient Services Coordinator (PRN Pool)
Covenant Management Systems, L.P. —Austin, TX
- Part-time
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Operations & Finance Coordinator
Austin Asian Community Health Initiative —Austin, TX
- $24 - $26 an hour
- Part-time
- Hybrid work
- Background check
- Google Workspace
- Mid-level
- 401(k)
- Paid time off
Quick Apply
13d
Personal Injury Coordinator
Advanced Pain Care —Austin, TX
- $20 - $25 an hour
- Full-time
- Bilingual
- Microsoft Outlook
- Writing skills
Quick Apply
Patient Registration Coordinator
Community Dental Partners —Austin, TX
- $18 an hour
- Full-time
- Dental office
- High school diploma or GED
- Pediatrics
- Paid training
- Health savings account
Quick Apply
11d

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LTSS Nursing Facility Service Coordinator, RN

Community Health Choice -
Texas

Quick Apply

Job Details

Full-time
$37.24 - $44.85 an hour
4 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
Flexible schedule
Life insurance

Qualifications

Nursing
Teamwork
Microsoft Excel
Long term care experience
Microsoft Outlook
Managed care
RN License
Star-CCM+
Case management
Productivity software
Certified Case Manager

Full Job Description

Built to Care. Driven to Improve. At Community Health Choice, we’re a nonprofit health plan dedicated to improving the health and well-being of Texans, especially underserved communities. Our employees bring purpose into practice every day through compassion, collaboration, and a commitment to better outcomes.

In this remote role, you’ll be responsible for conducting telephonic or face-to-face clinical assessments to identify, evaluate, coordinate, and manage members' needs across physical and behavioral health, social services, and long-term services and supports.

Duties include:

· Identify members at high risk for complications and coordinate care with members and the health care team.

· Manages members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits.

· Obtains a thorough and accurate member history to develop an individual care plan.

· Establishes short- and long-term goals in collaboration with the members, caregivers, family, natural support, and physicians; identifies members who would benefit from an alternative level of care or other waiver programs.

· The RN has overall responsibility for developing the care plan for services for the members and ensuring the members' access to those services.

· May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within the benefits structure or through extra-contractual arrangements, as permissible.

· Interfaces with Medical Directors, Physician Advisors, and/or Interdisciplinary Teams on the development of care management treatment plans.

· May also assist with problem-solving for providers, claims, or service issues.

· Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians' performance on a regular basis.

· Assists in meeting members’ needs by referring members to internal and external resources.

· Provide follow-up with internal and external resources, providers, and state programs.

· Coordinate with and participate in ICT meetings with Nursing Facility Staff, members, Responsible Party, treating physicians, therapists, and any other applicable parties.

· Coordinate and assist with the transition to the community through the Money Follows the Person (MFP) process for any member who indicates a desire to leave the nursing facility.

Qualifications:

· Current unrestricted RN license in Texas; graduate of an accredited school of nursing; bachelor’s degree in nursing preferred.

· CCM

· 3-4 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.

· 1 year of experience working with the population who receive waiver services, 1 year of experience working with people with disabilities/chronic conditions, and Long-Term Services & Supports.

· Microsoft Office, clinical documentation platforms, and the internet

· Local travel

· Reliable transportation with a valid driver's license and a good driving record

Community employees' benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and options to meet your specific needs.

Community is an Equal Opportunity Employer.

Harris Health's benefits program is designed to provide you with greater flexibility and more choices to meet your specific needs. Harris Health's benefits program allows you to protect your income in case of illness, death, and disability, and to help you save for retirement.

Pay: $37.24 - $44.85 per hour

Benefits:

401(k)
Dental insurance
Disability insurance
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Parental leave
Tuition reimbursement
Vision insurance

Application Question(s):

Do you have reliable transportation?

Experience:

Case management: 3 years (Preferred)
Managed care: 3 years (Preferred)
Long term care: 3 years (Preferred)

License/Certification:

RN License (Required)
Certified Case Manager (Required)

Willingness to travel:

50% (Required)

Work Location: Remote

Quick Apply

Refine Your Search

claims coordinator jobs in austin tx

LTSS Nursing Facility Service Coordinator, RN

Claims and Legal Operations Coordinator

Healthcare Coordinator

Patient Care Coordinator

Clinical Services Coordinator

Hospital Billing Coordinator

Front Desk Insurance Coordinator

Treatment Coordinator

Office Coordinator

Dental Insurance Coordinator

HR/PAYROLL COORDINATORS

Dental Administrator - Practice Coordinator

Client Service Coordinator

Senior Patient Services Coordinator

Patient Services Coordinator (24 hours)

Patient Services Coordinator

Patient Services Coordinator (PRN Pool)

Operations & Finance Coordinator

Personal Injury Coordinator

Patient Registration Coordinator

I want to receive the latest job alert for claims coordinator in austin tx

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