**This is OUR story... and YOUR next chapter** At HCA Healthcare, our Digital Transformation and Innovation (DT&I) team is redefining what's possible inpatient care. By leveraging the power of artificial intelligence, automation, and digital technologies, DT&I is helping drive meaningful improvements in clinical outcomes, reduce manual workload, and expand the reach of our care teams. If you're passionate about using technology to improve human life, this is where your work truly matters
**What you will accomplish in this role**
The Expanse Program Coordinator reports directly to the AVP of Expanse Implementation, and is responsible to administratively support the Expanse Training and Go Live support team. This position is responsible for staffing, scheduling, and other administrative support tasks (ex: expense report approval), along with the planning, training and coordination associated with the Education and Go Live support team. This position will administratively support staff with the coordination of training and go live readiness. In addition, this position will have special project assignments.
**Major Responsibilities:**
+ Assists with the department expense management, budget process, travel and meeting coordination
+ Coordinates or completes eSAF requirements for new team members, supports team equipment procurement and other onboarding needs
+ Participates in the program management of the field sourced support program, including communications, scheduling, travel coordination, and training / competency coordination
+ Perform administrative duties including Education and Support team schedule coordination, review and processing of expense reports, documentation / records management, meeting scheduling and organization, communication with internal departments and partners, onboarding new team members, and preparing meetings and taking/distributing notes
+ Coordinate, problem-solve, and manage expectations within all levels of organization
+ Coordinate and work with divisions, facilities, multi-disciplinary teams, including clinical and non-clinical staff in order to develop and implement procedures and programs
**Education & Experience:**
+ Bachelor's degree preferred
+ 4 years of experience in an administrative coordination role required
+ Experience in a staffing coordination role preferred
+ Competence in Microsoft word, excel, PowerPoint, OneNote and other administrative software systems (competence at time of hire)
+ Professional ability to develop and design presentations related to subject matter provided to individual (competence and ability at time of hire)
+ Competence to management schedules, book travel and coordinate meetings
+ Ability to travel up to 10% required
+ Position is a work from home role with preference for Nashville based candidates
At HCA Healthcare, we are committed to fostering a culture of growth that allows you to build the career of a lifetime. We encourage you to apply for our Expanse Program Coordinator today. We review all applications promptly, and qualified candidates will be contacted to continue the process. Join us!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$56k-73k yearly est. 7d ago
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Central Authorization Coordinator PRN
HCA 4.5
Coordinator job at HCA Healthcare
Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Central Authorization Coordinator PRN today with Work from Home.
Benefits
Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Come join our team as a(an) Central Authorization Coordinator PRN. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications
Under general supervision of the RVP/AVP for HCA Post-Acute Services Division, The Central Authorization Coordinator is responsible for managing/coordinating all day to day managed care admissions with the Post Acute Transition Specialists and/or admissions staff with all managed care payers. This includes utilizing a interdisciplinary approach to coordinate the insurance approval of care of all necessary types of post acute disposition patients to assure smooth, efficient functioning Post Acute Service Units and delivery of quality health care services. Post acute disposition can include but is not limited to: Inpatient Rehabilitation, Home Health, Hospice, LTACH, SNF, etc. The Central Authorization Coordinator acts as the business and clinical resource for the department. Utilizes quality improvement activities and audits as necessary, development of new programs and clinical procedures, and collaboration with Division Post Acute Service Units to promote efficiency and customer service and assists Market Managers and Program Directors as necessary. Assist AVP with coordination and management of central authorization program. Assumes additional supervisory/administrative responsibilities as assigned by AVP.
Majority of the responsibilities involves central insurance authorization for the post acute service lines as needed. For the effective and efficient admissions process in the delivery of these services: Continuously evaluates, develops a plan and conducts business with insurance payers for the appropriate approval/authorization for post acute patients to meet the individual needs of medically referred patients in an efficient, productive manner and within the established guidelines for HCA and Nursing Professional Standards for Practice and Code of Ethics. To maintain accurate, current records on all patients according to policy and procedures. To assist with educational programs for departmental and hospital ASSOCIATES and to uphold the standards of the department and hospital by dealing with patients, visitors, ASSOCIATES and other medical professionals in a respectful, courteous manner.
What qualifications you will need:
* Associate Degree
* Registered Nurse, or Licensed Practical / Vocational Nurse (LPN / LVN), or Licensed Physical Therapy, or Advance Practice Registered Nurse (APRN)
* Minimum 1 years experience working with Managed Care insurance plans with working first hand knowledge/experience in approval/authorization process in post acute care services.
* Must possess good interpersonal and program development skills.
Nashville-based HCA Healthcare is one of the nations leading providers of healthcare services. Founded in 1968, HCA Healthcare created a new model for hospital care in the United States. In this model, we use combined resources to improve hospitals, deliver patient-focused care, and improve the practice of medicine. We have conducted several clinical studies. One of those studies includes a demonstration that full-term delivery is healthier than early elective delivery of babies. Another study identified a clinical protocol that can reduce bloodstream infections in ICU patients by 44 percent. We are a learning health system that uses its more than 31 million annual patient encounters to advance science, improve patient care and save lives. HCA affiliated facilities in the North Florida Division are a part of a quality healthcare network in North Florida. This network includes 15 affiliated hospitals, 5 surgery centers, and two consolidated service centers. Together, our network has over 3,100 beds, employs more than 14,000 team members, and has over 4,200 physicians on staff.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Central Authorization Coordinator PRN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$48k-61k yearly est. 21d ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Columbus, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 14d ago
Processor, Coordination of Benefits
Molina Healthcare Inc. 4.4
Columbus, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
Job Duties
* Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
* Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
* Updates the other insurance table on the claims transactional system and COB tracking database.
* Review of claims identified for overpayment recovery.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
* Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
* Strong verbal and written communication skills.
* Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
* Microsoft Office suite proficiency.
PREFERRED QUALIFICATIONS:
* Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-31.7 hourly 15d ago
Inpatient Corporate Coding Coordinator - Remote based in US
Tenet Healthcare Corporation 4.5
Dallas, TX jobs
Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
Under general supervision and with aid of Official Coding Guidelines, the Corporate Coding Coordinator codes diagnoses and procedures of inpatient accounts according to ICD-10-CM/PCS. The Corporate Coding Coordinator is responsible for assisting the Corporate Coding Manager with second level coding reviews and educates coders on correct coding. Assists the coding department with coding questions, reviews, or inquiries.
* Performs second level coder reviews on accounts that are sent back from Revint, Iodine, coding audits, and coding/billing editor.
* Provides coders with education and guidance on correct coding based on second level reviews.
* Assists coding manager and coding department with coder questions, coding reviews, and coding inquiries. Codes inpatient accounts when coverage is needed.
* Monitors and assists coding manager with DNFC management to goals.
* Attends Tenet coding educations and maintains coding credentials.
Required:
* Associates Degree in Health Information Management
* RHIT or CCS
* 3-5 years acute hospital coding experience
* Skilled and working knowledge of MS Office suite
* Ability to analyze coding related reports and take action
Preferred:
* Bachelor's Degree in Health Information Management
* RHIA and CCS
* 5 plus years' experience in a large, complex, multi-system acute care hospital organization
A pre-employment coding proficiency assessment will be administered.
Compensation
* Pay: $30.00-$45.00 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Benefits
The following benefits are available, subject to employment status:
* Medical, dental, vision, disability, AD&D, and life insurance
* Paid time off (vacation & sick leave)
* Discretionary 401k match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
* For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
#LI-CM7
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$30-45 hourly 6d ago
Inpatient Corporate Coding Coordinator - Remote based in US
Tenet Healthcare 4.5
Remote
Under general supervision and with aid of Official Coding Guidelines, the Corporate Coding Coordinator codes diagnoses and procedures of inpatient accounts according to ICD-10-CM/PCS. The Corporate Coding Coordinator is responsible for assisting the Corporate Coding Manager with second level coding reviews and educates coders on correct coding. Assists the coding department with coding questions, reviews, or inquiries.
Performs second level coder reviews on accounts that are sent back from Revint, Iodine, coding audits, and coding/billing editor.
Provides coders with education and guidance on correct coding based on second level reviews.
Assists coding manager and coding department with coder questions, coding reviews, and coding inquiries. Codes inpatient accounts when coverage is needed.
Monitors and assists coding manager with DNFC management to goals.
Attends Tenet coding educations and maintains coding credentials.
Required:
Associates Degree in Health Information Management
RHIT or CCS
3-5 years acute hospital coding experience
Skilled and working knowledge of MS Office suite
Ability to analyze coding related reports and take action
Preferred:
Bachelor's Degree in Health Information Management
RHIA and CCS
5 plus years' experience in a large, complex, multi-system acute care hospital organization
A pre-employment coding proficiency assessment will be administered.
Compensation
Pay: $30.00-$45.00 per hour. Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, AD&D, and life insurance
Paid time off (vacation & sick leave)
Discretionary 401k match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
#LI-CM7
$30-45 hourly Auto-Apply 7d ago
Quality Coordinator - Transitions of Care
Community Health Systems 4.5
Remote
The Quality Coordinator-Transitions of Care is dedicated to managing quality assurance processes and ensuring compliance with industry standards. This role involves coordinating with various departments to integrate quality systems, facilitating continuous improvement initiatives, and maintaining comprehensive documentation to support assessments and audits. The Quality Coordinator plays a crucial role in fostering a culture of quality and excellence within the organization, driving efforts to meet and exceed quality targets.
Essential Functions
Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements.
Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures.
Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on quality attribution reports.
Optimizes provider schedules by ensuring appointments address preventive care and chronic disease management gaps.
Monitors and analyzes key performance indicators (KPIs) related to quality measures, providing feedback and accountability to stakeholders.
Conducts regular rounding with providers and staff to reinforce best practices and identify workflow improvement opportunities.
Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation.
Facilitates training sessions and provides ongoing support to enhance staff competency in quality care initiatives.
Collaborates with data analytics and population health teams to ensure accurate reporting and performance tracking.
Maintains compliance with all payer-specific quality programs, ensuring proper documentation and adherence to incentive program requirements.
Performs other duties as assigned.
Complies with all policies and standards.
Qualifications
Associate Degree in Healthcare Administration, Nursing, Public Health, or a related field required
Bachelor's Degree in Nursing or a related field preferred
2-4 years of experience in quality improvement, population health, or clinical operations within a healthcare setting required
Experience in working with payer quality programs and regulatory reporting preferred
Knowledge, Skills and Abilities
Strong knowledge of quality improvement methodologies and healthcare regulatory requirements.
Proficiency in electronic medical records (EMR) systems and quality reporting tools.
Excellent communication and interpersonal skills to collaborate effectively with providers, staff, and leadership.
Ability to analyze data, identify trends, and develop action plans for performance improvement.
Strong organizational skills and attention to detail to ensure compliance with quality initiatives.
Ability to adapt to evolving healthcare regulations and payer requirements.
Strong problem-solving skills and the ability to drive accountability in a healthcare setting.
Licenses and Certifications
Certified Medical Assistant (CMA)-AAMA preferred or
LPN - Licensed Practical Nurse - State Licensure preferred or
RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
CPHQ - Certified Professional in Healthcare Quality preferred
$29k-53k yearly est. Auto-Apply 60d+ ago
Clinical Quality Coordinator-Transitions of Care
Community Health Systems 4.5
Remote
We are seeking a compassionate and organized Transition of Care Clinical Support team member to support patients as they move from hospital to home. In this role, you will conduct post-discharge phone interviews to assess patient needs, identify potential barriers to recovery, and help schedule timely follow-up appointments to reduce hospital readmissions. Ideal candidates are patient-focused, detail-oriented, and comfortable with phone-based patient interactions in a fast-paced healthcare environment. Must have a clinical background, RN, LPN, CMA etc.
Essential Functions
Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements.
Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures.
Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on quality attribution reports.
Optimizes provider schedules by ensuring appointments address preventive care and chronic disease management gaps.
Monitors and analyzes key performance indicators (KPIs) related to quality measures, providing feedback and accountability to stakeholders.
Conducts regular rounding with providers and staff to reinforce best practices and identify workflow improvement opportunities.
Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation.
Facilitates training sessions and provides ongoing support to enhance staff competency in quality care initiatives.
Collaborates with data analytics and population health teams to ensure accurate reporting and performance tracking.
Maintains compliance with all payer-specific quality programs, ensuring proper documentation and adherence to incentive program requirements.
Performs other duties as assigned.
Complies with all policies and standards.
Qualifications
Associate Degree in Healthcare Administration, Nursing, Public Health, or a related field required
Bachelor's Degree in Nursing or a related field preferred
2-4 years of experience in quality improvement, population health, or clinical operations within a healthcare setting required
Experience in working with payer quality programs and regulatory reporting preferred
Knowledge, Skills and Abilities
Strong knowledge of quality improvement methodologies and healthcare regulatory requirements.
Proficiency in electronic medical records (EMR) systems and quality reporting tools.
Excellent communication and interpersonal skills to collaborate effectively with providers, staff, and leadership.
Ability to analyze data, identify trends, and develop action plans for performance improvement.
Strong organizational skills and attention to detail to ensure compliance with quality initiatives.
Ability to adapt to evolving healthcare regulations and payer requirements.
Strong problem-solving skills and the ability to drive accountability in a healthcare setting.
Licenses and Certifications
Certified Medical Assistant (CMA)-AAMA preferred or
LPN - Licensed Practical Nurse - State Licensure preferred or
RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
CPHQ - Certified Professional in Healthcare Quality preferred
$29k-53k yearly est. Auto-Apply 60d+ ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Cleveland, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 14d ago
Processor, Coordination of Benefits
Molina Healthcare Inc. 4.4
Cleveland, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
Job Duties
* Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
* Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
* Updates the other insurance table on the claims transactional system and COB tracking database.
* Review of claims identified for overpayment recovery.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
* Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
* Strong verbal and written communication skills.
* Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
* Microsoft Office suite proficiency.
PREFERRED QUALIFICATIONS:
* Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-31.7 hourly 15d ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Akron, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 14d ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Cincinnati, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 14d ago
Processor, Coordination of Benefits
Molina Healthcare Inc. 4.4
Akron, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
Job Duties
* Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
* Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
* Updates the other insurance table on the claims transactional system and COB tracking database.
* Review of claims identified for overpayment recovery.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
* Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
* Strong verbal and written communication skills.
* Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
* Microsoft Office suite proficiency.
PREFERRED QUALIFICATIONS:
* Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-31.7 hourly 15d ago
Processor, Coordination of Benefits
Molina Healthcare Inc. 4.4
Cincinnati, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
Job Duties
* Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
* Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
* Updates the other insurance table on the claims transactional system and COB tracking database.
* Review of claims identified for overpayment recovery.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
* Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
* Strong verbal and written communication skills.
* Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
* Microsoft Office suite proficiency.
PREFERRED QUALIFICATIONS:
* Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-31.7 hourly 15d ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Ohio jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 14d ago
Processor, Coordination of Benefits
Molina Healthcare Inc. 4.4
Ohio jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
Job Duties
* Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
* Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
* Updates the other insurance table on the claims transactional system and COB tracking database.
* Review of claims identified for overpayment recovery.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
* Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
* Strong verbal and written communication skills.
* Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
* Microsoft Office suite proficiency.
PREFERRED QUALIFICATIONS:
* Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-31.7 hourly 15d ago
Processor, Coordination of Benefits
Molina Healthcare 4.4
Dayton, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
**Job Duties**
+ Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
+ Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
+ Updates the other insurance table on the claims transactional system and COB tracking database.
+ Review of claims identified for overpayment recovery.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
+ Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
+ Strong verbal and written communication skills.
+ Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
+ Microsoft Office suite proficiency.
**PREFERRED QUALIFICATIONS:**
+ Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 14d ago
Processor, Coordination of Benefits
Molina Healthcare Inc. 4.4
Dayton, OH jobs
Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records.
Job Duties
* Provides telephone, administrative and data entry support for the coordination of benefits (COB) team.
* Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads.
* Updates the other insurance table on the claims transactional system and COB tracking database.
* Review of claims identified for overpayment recovery.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 1 year of administrative support experience, or equivalent combination of relevant education and experience.
* Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
* Strong verbal and written communication skills.
* Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders.
* Microsoft Office suite proficiency.
PREFERRED QUALIFICATIONS:
* Health care experience
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.65 - $31.71 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-31.7 hourly 15d ago
Expanse Program Coordinator
HCA 4.5
Coordinator job at HCA Healthcare
This is OUR story... and YOUR next chapter At HCA Healthcare, our Digital Transformation and Innovation (DT&I) team is redefining what's possible inpatient care. By leveraging the power of artificial intelligence, automation, and digital technologies, DT&I is helping drive meaningful improvements in clinical outcomes, reduce manual workload, and expand the reach of our care teams. If youre passionate about using technology to improve human life, this is where your work truly matters
What you will accomplish in this role
The Expanse Program Coordinator reports directly to the AVP of Expanse Implementation, and is responsible to administratively support the Expanse Training and Go Live support team. This position is responsible for staffing, scheduling, and other administrative support tasks (ex: expense report approval), along with the planning, training and coordination associated with the Education and Go Live support team. This position will administratively support staff with the coordination of training and go live readiness. In addition, this position will have special project assignments.
Major Responsibilities:
* Assists with the department expense management, budget process, travel and meeting coordination
* Coordinates or completes eSAF requirements for new team members, supports team equipment procurement and other onboarding needs
* Participates in the program management of the field sourced support program, including communications, scheduling, travel coordination, and training / competency coordination
* Perform administrative duties including Education and Support team schedule coordination, review and processing of expense reports, documentation / records management, meeting scheduling and organization, communication with internal departments and partners, onboarding new team members, and preparing meetings and taking/distributing notes
* Coordinate, problem-solve, and manage expectations within all levels of organization
* Coordinate and work with divisions, facilities, multi-disciplinary teams, including clinical and non-clinical staff in order to develop and implement procedures and programs
Education & Experience:
* Bachelors degree preferred
* 4 years of experience in an administrative coordination role required
* Experience in a staffing coordination role preferred
* Competence in Microsoft word, excel, PowerPoint, OneNote and other administrative software systems (competence at time of hire)
* Professional ability to develop and design presentations related to subject matter provided to individual (competence and ability at time of hire)
* Competence to management schedules, book travel and coordinate meetings
* Ability to travel up to 10% required
* Position is a work from home role with preference for Nashville based candidates
At HCA Healthcare, we are committed to fostering a culture of growth that allows you to build the career of a lifetime. We encourage you to apply for our Expanse Program Coordinator today. We review all applications promptly, and qualified candidates will be contacted to continue the process. Join us!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$56k-73k yearly est. 8d ago
Central Authorization Coordinator PRN
HCA Healthcare 4.5
Coordinator job at HCA Healthcare
**Introduction** Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Central Authorization Coordinator PRN today with Work from Home.
**Benefits**
Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (**********************************************************************
**_Note: Eligibility for benefits may vary by location._**
Come join our team as a(an) Central Authorization Coordinator PRN. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!
**Job Summary and Qualifications**
Under general supervision of the RVP/AVP for HCA Post-Acute Services Division, The Central Authorization Coordinator is responsible for managing/coordinating all day to day managed care admissions with the Post Acute Transition Specialists and/or admissions staff with all managed care payers. This includes utilizing a interdisciplinary approach to coordinate the insurance approval of care of all necessary types of post acute disposition patients to assure smooth, efficient functioning Post Acute Service Units and delivery of quality health care services. Post acute disposition can include but is not limited to: Inpatient Rehabilitation, Home Health, Hospice, LTACH, SNF, etc. The Central Authorization Coordinator acts as the business and clinical resource for the department. Utilizes quality improvement activities and audits as necessary, development of new programs and clinical procedures, and collaboration with Division Post Acute Service Units to promote efficiency and customer service and assists Market Managers and Program Directors as necessary. Assist AVP with coordination and management of central authorization program. Assumes additional supervisory/administrative responsibilities as assigned by AVP.
Majority of the responsibilities involves central insurance authorization for the post acute service lines as needed. For the effective and efficient admissions process in the delivery of these services: Continuously evaluates, develops a plan and conducts business with insurance payers for the appropriate approval/authorization for post acute patients to meet the individual needs of medically referred patients in an efficient, productive manner and within the established guidelines for HCA and Nursing Professional Standards for Practice and Code of Ethics. To maintain accurate, current records on all patients according to policy and procedures. To assist with educational programs for departmental and hospital ASSOCIATES and to uphold the standards of the department and hospital by dealing with patients, visitors, ASSOCIATES and other medical professionals in a respectful, courteous manner.
What qualifications you will need:
+ Associate Degree
+ Registered Nurse, or Licensed Practical / Vocational Nurse (LPN / LVN), or Licensed Physical Therapy, or Advance Practice Registered Nurse (APRN)
+ Minimum 1 years experience working with Managed Care insurance plans with working first hand knowledge/experience in approval/authorization process in post acute care services.
+ Must possess good interpersonal and program development skills.
Nashville-based HCA Healthcare is one of the nation's leading providers of healthcare services. Founded in 1968, HCA Healthcare created a new model for hospital care in the United States. In this model, we use combined resources to improve hospitals, deliver patient-focused care, and improve the practice of medicine. We have conducted several clinical studies. One of those studies includes a demonstration that full-term delivery is healthier than early elective delivery of babies. Another study identified a clinical protocol that can reduce bloodstream infections in ICU patients by 44 percent. We are a learning health system that uses its more than 31 million annual patient encounters to advance science, improve patient care and save lives. HCA affiliated facilities in the North Florida Division are a part of a quality healthcare network in North Florida. This network includes 15 affiliated hospitals, 5 surgery centers, and two consolidated service centers. Together, our network has over 3,100 beds, employs more than 14,000 team members, and has over 4,200 physicians on staff.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Central Authorization Coordinator PRN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.