Top 30 Claims coordinator Jobs in Birmingham, Al

Care Coordinator
Behavioral Health Systems, Inc. —Birmingham, AL
- $66,000 - $70,000 a year
- Full-time
- Background check
- 5 years
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Claims Coordinator
Cahaba Restoration —Birmingham, AL
- $40,000 - $55,000 a year
- Full-time
- Customer service
- Mid-level
- Residential
- Health insurance
- Paid time off
Quick Apply
13d
Insurance Coordinator
Koslin & Kahn Oral and Facial Surgery - Hoover —Hoover, AL
- Full-time
- Dental office
- OSHA
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
6d
Provider Appeals Coordinator
VIVA HEALTH —Birmingham, AL
- Hybrid work
- Customer service
- Computer literacy
- Research
- Wellness program
- Paid parental leave
Quick Apply
Claims Training Coordinator
VIVA HEALTH —Birmingham, AL
- Classroom
- Microsoft Excel
- HIPAA
- Wellness program
- Paid parental leave
Quick Apply
Hospital Billing Coordinator
Deloitte —Birmingham, AL
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Project Coordinator - ADIP
AMERICAN Cast Iron Pipe Company —Birmingham, AL
- $64,000 - $100,000 a year
- Full-time
- Marketing
- 5 years
- Word processing
- Profit sharing
- Paid holidays
Quick Apply
Coordinator Provider Enrollment
Children's of Alabama —Birmingham, AL
- Full-time
- Bachelor of Science
- Mid-level
- Office
Insurance Coordinator
Fresenius Medical Care —Birmingham, AL
- Full-time
- Customer service
- Mid-level
- Clinic
6d
PATIENT ACCOUNTS COORDINATOR
University of Alabama at Birmingham —Birmingham, AL
- $15.00 - $24.40 an hour
- Day shift
- Customer service
- University
- Bachelor's degree
Leave Benefits Coordinator - Birmingham, AL
Lockton, Inc. —Birmingham, AL
- Extended hours
- Office
- High school diploma or GED
- Experience equivalent to degree accepted
- Paid training
- Wellness program
Patient Care Coordinator (Bessemer and Birmingham, AL)
Northland Hearing Centers, Inc. —Bessemer, AL
- $18.50 - $23.00 an hour
- Computer literacy
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Care Coordinator
Workplace Options —Birmingham, AL
- Full-time
- 5 years
- HIPAA
- Mid-level
Quick Apply
Treatment Coordinator
Spectra Dental Specialists —Hoover, AL
- Full-time
- Communication skills
- Entry level
- Time management
- Opportunities for advancement
Quick Apply
Patient Care Coordinator ( Pelham, AL)
Northland Hearing Centers, Inc. —Pelham, AL
- $15.00 - $21.20 an hour
- Computer literacy
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Treatment Plan Coordinator
CLARK HOLMES SMITH ORAL FACIAL SURGERY —Birmingham, AL
- $19 - $23 an hour
- Dental office
- Surgery
- Mid-level
DME CLINIC COORDINATOR
SELECT ORTHO —Pelham, AL
- Full-time
- Anatomy knowledge
- Word processing
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Clinical Quality Improvement Coordinator - Eye Exam Specialist
Guidehealth —Birmingham, AL
- $60,000 - $64,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- Driver's License
- Paid parental leave
- Disability insurance
12h
CAC Account Coordinator, Property & Casualty
The Baldwin Group —Birmingham, AL
- Full-time
- Microsoft Excel
- Bachelor's degree
- Leadership
8d
Sales Account Coordinator
POSCO AAPC, LLC —McCalla, AL
- From $50,000 a year
- Full-time
- Bilingual
- Marketing
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply

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Care Coordinator

Behavioral Health Systems, Inc. -
Birmingham, AL

Quick Apply

Job Details

Full-time
$66,000 - $70,000 a year

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance
Prescription drug insurance
Paid sick time

Qualifications

Utilization review
Intake
Employment & labor law
Master's degree
Mental health facility experience
Psychology
Data collection

Full Job Description

Behavioral Health Systems, Inc. seeks a Care Coordinator to join our Clinical Services Team. Under the direction of the Vice President, Clinical Services, and with the guidance of the BHS Medical Director, and the EVP & Chief Clinical Officer, this position is responsible for overseeing and coordinating all patient care activities within the Clinical Services Division. Specific responsibilities include referral and case management activities across all client locations, clinical administration of client benefits and participation in utilization review and quality assurance activities.

Specific Duties:

Under the direction of the Director, Clinical Services:

1. Perform care management coordination activities for managed care, employee assistance, and workers’ compensation beneficiaries system-wide to include: scheduling and direct case management reviews, communication with hospitals, attending physicians, outpatient providers, etc., effectiveness review and monitoring functions, quality assurance.

2. Receive calls from patients, providers, and facilities; arrange for appropriate intake assessments; schedule and refer to appropriate case manager in local area. Perform appropriate monitoring activities on a regular basis. Provide coverage to the Clinical Services Division as deemed necessary.

3. Explain benefits to employees, patients and treatment providers. Verify benefit eligibility and maintain appropriate communication with Client company contacts. Maintain positive interactions with patients, providers and Clients.

4. Participate in utilization review and quality assurance activities, as directed. Coordinate U.R. activities with the BHS physician review panel as appropriate, to include ensuring on-going and timely peer/clinical review of active inpatient and outpatient cases.

5. Adhere to established BHS clinical policies, procedures and utilization review guidelines, HIPAA standards, ERISA regulations, URAC standards.

6. Review incoming claims for completeness of data and appropriate approval, in cooperation with data processing and the Accounting Division. Cooperate in data analysis process by other divisions.

7. Serve as clinical liaison for EAP accounts to include communication with clients, assisting with quarterly and annual reports.

8. Provide after hours coverage for emergencies on a shared basis, collecting data based on structured intake questionnaire and arranging for peer review.

9. Assist in the clinical coordination of patient activities and cases as requested.

10. In cooperation with the Provider Relations Division facilitate emergency case-specific facility hook-ups or transfers as deemed appropriate. Maintain contact with members as needed regarding the status of provider requests.

11. Interact with the BHS physician review panel and coordinate case reviews for medical necessity purposes. Maintain strong liaison with physician reviewers and the Medical Director.

12. Maintain patient and departmental files, policies, procedures, budgets. Assist in achievement of annual goals, objectives and divisional action plans.

13. Perform other related duties as directed or deemed appropriate. Attend meetings as directed. Maintain professional competency through continuing education, conferences, and internal training.

Qualifications:

- Masters degree in Psychology or related field required

- Active, professional licensure or certification to practice in the behavioral health field in a state or territory of the United States required

- QA/UR experience in psychiatric setting

- Minimum five years experience in mental health field

- Prefer experience in services to business and industry

- Exposure to computerized applications

- Strong organizational and communication skills

Job Type: Full-time

Pay: $66,000.00 - $70,000.00 per year

Benefits:

401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Health insurance
Life insurance
Opportunities for advancement
Paid sick time
Paid time off
Prescription drug insurance
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

claims coordinator jobs in birmingham, al

Care Coordinator

Claims Coordinator

Insurance Coordinator

Provider Appeals Coordinator

Claims Training Coordinator

Hospital Billing Coordinator

Project Coordinator - ADIP

Coordinator Provider Enrollment

Insurance Coordinator

PATIENT ACCOUNTS COORDINATOR

Leave Benefits Coordinator - Birmingham, AL

Patient Care Coordinator (Bessemer and Birmingham, AL)

Care Coordinator

Treatment Coordinator

Patient Care Coordinator ( Pelham, AL)

Treatment Plan Coordinator

DME CLINIC COORDINATOR

Clinical Quality Improvement Coordinator - Eye Exam Specialist

CAC Account Coordinator, Property & Casualty

Sales Account Coordinator

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