Benefits Coordinator - Healthcare jobs in Berkeley, CA

Benefits Coordinator - Healthcare gathers and maintains coordination of benefits data. Researches, analyzes, and evaluates payer status and determines insurance coverage. Being a Benefits Coordinator - Healthcare ensures data is accurate and updated for efficient medical claim processing. Requires a high school diploma or equivalent. Additionally, Benefits Coordinator - Healthcare typically reports to a supervisor or manager. The Benefits Coordinator - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Benefits Coordinator - Healthcare typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Program Coordinator, Healthcare
  • Integrated Pain Management Medical Group, Inc.
  • Walnut Creek, CA FULL_TIME
  • The Program Coordinator is responsible for the general coordination of multidisciplinary evaluations and pre-admission, program participation and transition planning for patients in the Functional Restoration Programs. The Coordinators will handle all MDE, and FRP authorization requests, appeals, and admissions, and will track patients throughout their programs. Responsibilities include screening candidates, submitting RFAs, coordinating appeals, granting internal authorization, and interfacing with billing to ensure pre-claims requirements are met. The goal of the role is to authorize/schedule only those patients' setup for proper, expected, reimbursement.


    *This role supports both our Concord and Walnut Creek Clinics*


    RESPONSIBILITIES:

    • Responsible for managing new patient referrals and authorizations- Maintains authorization module for multidisciplinary evaluations and programs communicating authorizations and denials for requested treatment to all applicable parties such as: patient, MD, NCM attorneys, within a timely manner according to contractual agreements and/or Workers Compensation laws.
    • Maintains patient census as directed by management by performing pre-admission coordination and scheduling for multidisciplinary evaluations and programs including payer resource for lodging and/ or transportation services.
    • Works closely with referring MD communicating evaluation and program denials, obtaining required appeal letters and forwarded to carriers within the required time frame.
    • Acts as primary contact for program participants in relation to; abscesses, transportation problems, interpreter concerns and other day to day issues that arise.
    • Prepares and facilitates weekly program conferences to include arrangements for outside visitors, conference calls, and maintenance and distribution of weekly program status reports.
    • Create weekly templates in IMS, Compiles evaluation, weekly program and discharge summary reports from providers for entry in IMS and distribution to appropriate parties.
    • Administers and provides guidance of psychological testing during evaluations as well as, pre, mid and post programs to persons served.
    • Creates video link for online classes, sends to patients and providers.
    • Acts as liaison and resource to the care team, prospective patients, persons served, and others as it relates to evaluations and programs.
    • Maintain inventory levels for evaluation and program related materials.
    • Makes purchases as needed for functional restoration program with authorization of program director.
    • Submit invoices, immediately upon receival, to the accounting department.
    • Keep the facility clean, organized, and laundry service is scheduled.
    • Track expenses and upload receipts to Emburse.
    • Communicates with patients, visitors and staff in a courteous, respectful, supportive and professional manner.


    QUALIFICATIONS:

    EDUCATION:

    • Highschool Diploma or GED.


    REQUIREMENTS:

    • Previous experience with EMR/EHR systems desirable.
    • 1-2 years in the healthcare field preferred.
    • Problem Solving; identifies and resolves problems in a timely manner, gathers and analyzes information skillfully; develop alternative solutions.
    • Proficient with Microsoft Office Suite, especially Excel.


    COMPENSATION RANGE:

    $20.00 to $27.00 per hour

    All compensation ranges are posted based on internal equity, job requirements, experience and geographical locations.


    WE OFFER (Full Time):
    • Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
    • 401(K) Plan with Employer Matching
    • License & Tuition Reimbursements
    • Paid Time Off
    • Holiday Pay
    • Employee Perks and Discount Programs
    • Competitive Salaries!

    ABOUT US:
    Boomerang Healthcare is a leader in cutting-edge pain management techniques and rehabilitation programs that set the standard in holistic approaches for managing chronic pain. Our doctors are nationally known experts in the field and are deeply involved in clinical research focused on developing the treatment solutions of tomorrow.

    Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.

  • 13 Days Ago

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Benefits Coordinator
  • INEOS Composites
  • Dublin, CA FULL_TIME
  • INEOS Composites US LLCJob DescriptionBenefits Coordinator, North America Human Resources Center of ExcellenceThe Benefits Coordinator is an essential part of t
  • 16 Days Ago

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Veterans Affairs Benefits Coordinator (FT)
  • California State University East Bay
  • Hayward, CA FULL_TIME
  • Veterans Affairs Benefits Coordinator - Student Services Professional IIISalary and Benefits:Salary Range: $5,025.00 - 7,159.00/month. PLEASE NOTE: The starting salary placement depends on qualificati...
  • 7 Days Ago

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Staffing Coordinator
  • Tampico Healthcare Center
  • Walnut Creek, CA FULL_TIME
  • Full-time Position OPEN Monday - Friday Schedule Dayshift (Hours Could Be Flexible) Starting at $22/hr (Depending On Experience) Experience in Staffing/ scheduling in Skilled Nursing Facility setting ...
  • 22 Days Ago

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NOC LVN Unit Coordinator
  • Mariner Healthcare
  • Oakland, CA FULL_TIME
  • SUMMARY Provides and coordinates clinical services for residents / patients in the various units and is responsible for facilitating the interdisciplinary team. ESSENTIAL DUTIES AND RESPONSIBILITIES i...
  • 21 Days Ago

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Non-Clinical - Administrative Administrative Coordinator
  • Aya Healthcare
  • Oakland, CA FULL_TIME,CONTRACTOR,TEMPORARY
  • Aya Healthcare has an immediate opening for the following position: Administrative Coordinator Non-Clinical - Administrative in Oakland, California. This is a 13-week contract position that requires a...
  • Just Posted

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0 Benefits Coordinator - Healthcare jobs found in Berkeley, CA area

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Human Resources Representative
  • Bee Green Recycling & Supply
  • Oakland, CA
  • Bee Green Recycling and Supply provides recycling and landscape supplies to clients all over the Oakland and Bay area. O...
  • 3/27/2024 12:00:00 AM

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Customer Service Representative ( REMOTE WORK )
  • Morphius Corp
  • Oakland, CA
  • MUST RESIDE IN CALIFORNIA!! We are a rapidly growing company that has more clients than we can see. We understand that i...
  • 3/27/2024 12:00:00 AM

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Customer Service Representative ( REMOTE WORK )
  • Morphius Corp
  • Fremont, CA
  • MUST RESIDE IN CALIFORNIA!! We are a rapidly growing company that has more clients than we can see. We understand that i...
  • 3/27/2024 12:00:00 AM

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Customer Service Representative ( REMOTE WORK )
  • Morphius Corp
  • Belmont, CA
  • MUST RESIDE IN CALIFORNIA!! We are a rapidly growing company that has more clients than we can see. We understand that i...
  • 3/27/2024 12:00:00 AM

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Sr. Compensation Consultant (Remote)
  • Arthur J Gallagher & Co.
  • Berkeley, CA
  • Discover a world of endless possibilities at Gallagher Benefit Services, where you'll have the power to shape the future...
  • 3/27/2024 12:00:00 AM

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Compensation Consultant : Remote - Work From Home
  • Arthur J Gallagher & Co.
  • Berkeley, CA
  • Discover a world of endless possibilities at Gallagher Benefit Services, where you'll have the power to shape the future...
  • 3/27/2024 12:00:00 AM

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Customer Service Representative ( REMOTE WORK )
  • Morphius Corp
  • San Francisco, CA
  • MUST RESIDE IN CALIFORNIA!! We are a rapidly growing company that has more clients than we can see. We understand that i...
  • 3/26/2024 12:00:00 AM

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Human Resources Specialist
  • Clausen House
  • Oakland, CA
  • Job Description Job Description · Provide support to employees by interpreting and administering Human Resource policies...
  • 3/26/2024 12:00:00 AM

Berkeley (/ˈbɜːrkli/ BURK-lee) is a city on the east shore of San Francisco Bay in northern Alameda County, California. It is named after the 18th-century Irish bishop and philosopher George Berkeley. It borders the cities of Oakland and Emeryville to the south and the city of Albany and the unincorporated community of Kensington to the north. Its eastern border with Contra Costa County generally follows the ridge of the Berkeley Hills. The 2010 census recorded a population of 112,580. Berkeley is home to the oldest campus in the University of California system, the University of California, B...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Coordinator - Healthcare jobs
$55,723 to $69,565
Berkeley, California area prices
were up 4.5% from a year ago

Benefits Coordinator - Healthcare in Anderson, IN
Medicare law and regulations determine whether Medicare or FEHB is primary (that is, pays benefits first).
February 14, 2020
Benefits Coordinator - Healthcare in Denver, CO
Your FEHB Plan must pay benefits first when you are an active Federal employee or reemployed annuitant and either you or your covered spouse has Medicare.
January 13, 2020
Benefits Coordinator - Healthcare in Pueblo, CO
You will receive an Explanation of Benefits (EOB) from your FEHB plan and an EOB or Medicare Summary Notice (MSN) from Medicare.
November 30, 2019