Job Search Results for Coordinator

Pre-Authorization Coordinator

Job DescriptionThe PAVE Coordinator is responsible for initiating Pre-Authorization request to the payer for the claims that require approval. This position require communication with payers,... More patients, physician offices and hospital clinical staff. This position is primarily responsible for pre-certifying procedures ordered by physicians. The PAVE Coordinator will also be responsible monitoring appropriateness and medical necessity and provides necessary information for authorization and continued visits. This individual will confirm pre-certifications that have been obtained or will obtain pre-certifications if needed in addition to conducting quality assurance.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Serve as primary resource for LH regarding insurance eligibility; prior authorization process and requirements; collects patient demographic information and coverage information. Advises patients of their financial obligation and collects payments in a courteous and professional manner.Contacts insurance companies by phone, fax, or online portal to obtain insurance benefits, eligibility, and authorization information;Updates systems with accurate information obtained; performs quality assurance audits and reports back to leadership opportunities for providing education to patient accessResponsible for communicating to service line partners of situations where rescheduling is necessary, due to lack of authorization or limited benefits and is approved by clinical personnel;Ensures that proper authorization is in place for inpatient, elective, outpatient, surgical, urgent/emergent services and held responsible for timely notification to payers of the patient?s visit to the facility to protect financial standing of the organization. Escalates non-authorized accounts/visits to management;Ensures all benefits (Copays, Deductibles, Co-Insurance, OOP, LTM), authorizations, pre-certifications, and financial obligations of patients, are documented on account, clearly, accurately, precise, and detailed to ensure expeditious processing of patient accounts and denial prevention.;Maintains a close working relationship with clinical partners, and ancillary departments to ensure continual open communication between clinical, ancillary, and Patient Access & Patient Financial Services, Surgical Scheduling departments. Case Management, and Utilization Review to facilitate the sending of clinical information in support of the authorization to the payer, as assigned;Monitors team mailbox, e-mail inbox, faxes, and phone calls responding to all related PAVE account issues, within defined time frames; Adheres to the department accuracy and performance standards.Contact payer to obtain prior authorization. Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization;We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Ticket Coordinator

Managing Unified Customers? and Partners? CritSits to ensure the CritSit process is being followed, and any need of escalation is addressed? Delivering a high-quality customer and partner experience... More through timely and effective response to internal and external customer needs; owning active CritSits? Expanding internal visibility of Unified customers? CritSits by managing complex, mission critical, and/or politically charged situations, including Enterprise accounts and Partners? Identifying systemic issues and flagging process breakdowns during the execution of the CritSit process? Stepping up to take on challenges by acting as Crisis Manager in catastrophic impact situations? Pursuing proactive actions to help prevent future issues? Leading projects and work groups to improve process and tools? Establishing and maintaining relationships? Collaborating effectively with the customer and internal groups to solve customer issues and improve business processes in the quickest way possible? Actively participating on project initiatives owned by CMET? Providing CritSit reporting to allow businesses to make better decisionsWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Licensing Coordinator

Create efficiencies with entering and maintaining data in various systems.Manage the workflow and governance of data.Troubleshoot issues and make necessary corrections to the data and/or the process.... More Review data to ensure accuracy.Ensure data entry processes and procedures are properly documented. Maintain consistent conventions related to data anddocument retention.Prepare and disseminate various reports. This includes reviewing reports and making necessary corrections.Assist with creating training documentation to train team members on processes.Review and prioritize critical requests to ensure business deadlines are met.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Project Coordinator (Remote)

A retail employer headquartered in Dublin, CA is seeking a remote Project Coordinator to joint their team. This person will be supporting the Self Checkout project in support of implementing self... More checkout stations across existing stores at a major retail company. Job duties will include virtually coordinating with installers who are onsite at construction sites and walking installers through best install practices of fixtures.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Delivery Management Coordinator

The Delivery Management Coordinator supports supply chain execution by maintaining visibility into open purchase orders and supplier delivery commitments. This role ensures accurate order tracking,... More timely supplier follow up, and consistent delivery reporting to support procurement, planning, and internal stakeholders.This role partners closely with procurement, sourcing, planning, and suppliers to maintain accurate order status information and ensure delivery updates are communicated across the organization.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Travel and Events Coordinator

Insight Global is looking for a Corporate Events Coordinator to work remotely for a large Life Sciences company. This person will be booking travel for groups of 50+ employees, supporting in person... More meetings and live events, and working heavily in CVENT and Concur for travel booking and reconciliations. This person will need to manage attendee communications, have experience with presenting, and have strong communication skills with external customers. These events will be mainly educational events for medical professionals who utilize their services.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Clinical Grievances Coordinator

Point of contact for Health Plan member grievances and internally identified potential quality of care issues (PQI ? Potential Quality Issues). Responsible for coordinating the process with receipt... More and initial processing (including data entry, record requests and follow ups) for member grievances and other quality of care concerns from internal and external sources.Maintains documentation in databases as required, coordinates and communicates with provider offices and other involved entities, ensuring documentation is requested and received, while managing TATs within Health Plan timelines (24 hours to 10 days, depending on type of request). This person will be handling grievances and appeals for the front-line staff health plans (internal PQI ? Potential Quality Issue) and will be gathering patient records and responses.- Fully Remote - Hours: 8-5 pm PST - 3MC w/ possibility of extension** Needs to be comfortable with possibly traveling 1x per quarter to Irvine, CA **We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Clinical Grievances Coordinator

Point of contact for Health Plan member grievances and internally identified potential quality of care issues (PQI ? Potential Quality Issues). Responsible for coordinating the process with receipt... More and initial processing (including data entry, record requests and follow ups) for member grievances and other quality of care concerns from internal and external sources.Maintains documentation in databases as required, coordinates and communicates with provider offices and other involved entities, ensuring documentation is requested and received, while managing TATs within Health Plan timelines (24 hours to 10 days, depending on type of request). This person will be handling grievances and appeals for the front-line staff health plans (internal PQI ? Potential Quality Issue) and will be gathering patient records and responses.- Fully Remote - Hours: 8-5 pm PST - 3MC w/ possibility of extension** Needs to be comfortable with possibly traveling 1x per quarter to Irvine, CA **We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Marketing Project Coordinator

Main responsibilities are to keep the marketing organization aligned, connected, and moving. This person will sit at the center of team activity, using Trello and AI tools to track what is happening,... More anticipate what is needed next, and ensure the right people are working together at the right time.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Continuity & Resiliency Program Coordinator

A top manufacturing client of ours is seeking a hands-on Business Continuity and Resiliency professional to serve as a key partner to the current resiliency leadership team. This role will act as a... More right-hand to the Business Continuity lead, with a strong emphasis on technology impact assessments, insurance alignment, and governance execution.The team has recently completed a proposal for a new resiliency framework and is now moving into execution. This role will help operationalize that framework, support a newly defined governance and insurance model, and work cross-functionally across IT and the business to assess and communicate technology risk and impact.Key ResponsibilitiesBusiness Continuity & Resiliency Execution? Support execution of a newly defined business continuity and resiliency framework? Help operationalize governance and insurance-related resiliency processes? Act as a trusted partner and right-hand to the Business Continuity lead? Coordinate resiliency-related activities across IT and business stakeholdersTechnology Impact Assessment (Core Focus)? Lead and support technology impact assessments across critical systems and services? Evaluate operational, financial, and business impacts of technology disruptions? Partner with infrastructure, cybersecurity, and application teams to understand dependencies and riskTranslate technical impact into business-relevant language for leadership and insurance stakeholdersWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less