Quality Coordinator
Scottsdale, AZ · On-site
This Quality Coordinator role is essential to ensuring that all claims are properly processed to ... P&P's and SOP - Identify missing/incorrect claims elements and send claims back to Claims ...
Scottsdale, AZ · On-site
This Quality Coordinator role is essential to ensuring that all claims are properly processed to ... P&P's and SOP - Identify missing/incorrect claims elements and send claims back to Claims ...
Scottsdale, AZ · On-site
This Quality Coordinator role is essential to ensuring that all claims are properly processed to ... P&P's and SOP - Identify missing/incorrect claims elements and send claims back to Claims ...
Pasadena, TX · On-site
The trainer coordinator plays an important role in all packaging operations, improving operational ... Create and maintain up-to-date training materials, SOP's and Visual Aids. * Assess trainee ...
Pasadena, TX · On-site
The trainer coordinator plays an important role in all packaging operations, improving operational ... Create and maintain up-to-date training materials, SOP's and Visual Aids. * Assess trainee ...
Denver, PA · On-site
$24 - $28/hr
Log change orders, manage CO folders, and support estimating coordination per SOP-01. * Prepare action item trackers and follow-up summaries after cross-functional meetings. Qualifications * 2+ years ...
Denver, PA · On-site
$24 - $28/hr
Log change orders, manage CO folders, and support estimating coordination per SOP-01. * Prepare action item trackers and follow-up summaries after cross-functional meetings. Qualifications * 2+ years ...
Log change orders, manage CO folders, and support estimating coordination per SOP-01. * Prepare action item trackers and follow-up summaries after cross-functional meetings. Qualifications * 2+ years ...
Log change orders, manage CO folders, and support estimating coordination per SOP-01. * Prepare action item trackers and follow-up summaries after cross-functional meetings. Qualifications * 2+ years ...
Harleysville, PA · On-site
$22 - $24/hr
... SOP, and clean room requirements at all times Prepare, package, label, and inspect products ... Packaging Coordinator Requirements Previous pharmaceutical, medical device, or regulated ...
Quick apply
Harleysville, PA · On-site
$22 - $24/hr
... SOP, and clean room requirements at all times Prepare, package, label, and inspect products ... Packaging Coordinator Requirements Previous pharmaceutical, medical device, or regulated ...
West Covina, CA · On-site
$20.45 - $27.04/hr
This position is accountable for coordinating all inventory activities for assigned dept, facility ... If applicable, manages Consignment or Vendor Managed Inventory according to SCO (SOP'
West Covina, CA · On-site
$20.45 - $27.04/hr
This position is accountable for coordinating all inventory activities for assigned dept, facility ... If applicable, manages Consignment or Vendor Managed Inventory according to SCO (SOP'
Middle River, MD · On-site
$17.25 - $22.50/hr
INVENTORY COORDINATOR II Based onsite at Rocket Lab's Middle River, MD Facility, the Inventory ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
Middle River, MD · On-site
$17.25 - $22.50/hr
INVENTORY COORDINATOR II Based onsite at Rocket Lab's Middle River, MD Facility, the Inventory ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
SOP documentation contributions underway for priority workflows. First 6 Months * Campaign coordination running smoothly with proactive stakeholder communication. * Platform administration fully ...
SOP documentation contributions underway for priority workflows. First 6 Months * Campaign coordination running smoothly with proactive stakeholder communication. * Platform administration fully ...
Birmingham, AL · On-site
$16.75 - $21.50/hr
Coordinates all TMD receiving at LPF and transfers to TMD as needed. * Daily updates for all ... Receive GMP materials per SOP, ensure proper labelling and storage. * Prepare and ship finished ...
Birmingham, AL · On-site
$16.75 - $21.50/hr
Coordinates all TMD receiving at LPF and transfers to TMD as needed. * Daily updates for all ... Receive GMP materials per SOP, ensure proper labelling and storage. * Prepare and ship finished ...
Birmingham, AL · On-site
$16.75 - $21.50/hr
Coordinates all TMD receiving at LPF and transfers to TMD as needed. * Daily updates for all ... Receive GMP materials per SOP, ensure proper labelling and storage. * Prepare and ship finished ...
Birmingham, AL · On-site
$16.75 - $21.50/hr
Coordinates all TMD receiving at LPF and transfers to TMD as needed. * Daily updates for all ... Receive GMP materials per SOP, ensure proper labelling and storage. * Prepare and ship finished ...
Exton, PA · On-site
$17.25 - $22.25/hr
Warehouse Coordinator Location: Exton PA Reports to : Manager of CTM Manufacturing Full-time ... Follow GMP/SOP procedures for receiving, logging, maintaining, disposing (expired), shipping of ...
Quick apply
Exton, PA · On-site
$17.25 - $22.25/hr
Warehouse Coordinator Location: Exton PA Reports to : Manager of CTM Manufacturing Full-time ... Follow GMP/SOP procedures for receiving, logging, maintaining, disposing (expired), shipping of ...
Long Beach, CA · On-site
$19.25 - $25.25/hr
INVENTORY COORDINATOR II Based onsite at Rocket Lab's global headquarters in Long Beach, CA, the ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
Long Beach, CA · On-site
$19.25 - $25.25/hr
INVENTORY COORDINATOR II Based onsite at Rocket Lab's global headquarters in Long Beach, CA, the ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
$20.45 - $27.04/hr
This position is accountable for coordinating all inventory activities for assigned dept, facility ... If applicable, manages Consignment or Vendor Managed Inventory according to SCO (SOP'
$20.45 - $27.04/hr
This position is accountable for coordinating all inventory activities for assigned dept, facility ... If applicable, manages Consignment or Vendor Managed Inventory according to SCO (SOP'
Orlando, FL · On-site
$15 - $17.75/hr
Maintains an effective partnership with the clint and Direct Supervisor to accomplish work assignments and overall goals and objectives in relation to the stores SOP'S. * Coordinates and completes ...
Quick apply
Orlando, FL · On-site
$15 - $17.75/hr
Maintains an effective partnership with the clint and Direct Supervisor to accomplish work assignments and overall goals and objectives in relation to the stores SOP'S. * Coordinates and completes ...
SOP documentation contributions underway for priority workflows.First 6 MonthsCampaign coordination running smoothly with proactive stakeholder communication.Platform administration fully owned and ...
Quick apply
SOP documentation contributions underway for priority workflows.First 6 MonthsCampaign coordination running smoothly with proactive stakeholder communication.Platform administration fully owned and ...
Long Beach, CA · On-site
$19.25 - $25.25/hr
SENIOR INVENTORY COORDINATOR I Based onsite at Rocket Lab's global headquarters in Long Beach, CA ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
Long Beach, CA · On-site
$19.25 - $25.25/hr
SENIOR INVENTORY COORDINATOR I Based onsite at Rocket Lab's global headquarters in Long Beach, CA ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
Saint Louis, MO · On-site
The Coordinator Quality will process all Standard Operating Procedures for the MO site. This ... Maintaining a SOP training and GMP training database for this site * Monitor and report to ...
Saint Louis, MO · On-site
The Coordinator Quality will process all Standard Operating Procedures for the MO site. This ... Maintaining a SOP training and GMP training database for this site * Monitor and report to ...
Long Beach, CA · On-site
$19.25 - $25.25/hr
SENIOR INVENTORY COORDINATOR I Based onsite at Rocket Lab's global headquarters in Long Beach, CA ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
Long Beach, CA · On-site
$19.25 - $25.25/hr
SENIOR INVENTORY COORDINATOR I Based onsite at Rocket Lab's global headquarters in Long Beach, CA ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
Middle River, MD · On-site
$17.25 - $22.50/hr
SENIOR INVENTORY COORDINATOR Based onsite at Rocket Lab's Middle River, MD production facility, the ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
Middle River, MD · On-site
$17.25 - $22.50/hr
SENIOR INVENTORY COORDINATOR Based onsite at Rocket Lab's Middle River, MD production facility, the ... Receive inwards goods on a FIFO basis and ensure SOP's for processing of inwards goods are adhered ...
Howell, NJ · On-site
$27.09 - $36.54/hr
RCCA is in search of an outstanding Research Coordinator who will serve as the main point of ... Ensure compliance with RCCA SOP, US Oncology Policies, HIPAA, IRB, FDA, and ICH-GCP guidelines at ...
Howell, NJ · On-site
$27.09 - $36.54/hr
RCCA is in search of an outstanding Research Coordinator who will serve as the main point of ... Ensure compliance with RCCA SOP, US Oncology Policies, HIPAA, IRB, FDA, and ICH-GCP guidelines at ...
$27K - $33.8K
4% of jobs
$33.8K - $40.5K
20% of jobs
$40.8K is the 25th percentile. Wages below this are outliers.
$40.5K - $47.3K
18% of jobs
The median wage is $50.9K / yr.
$47.3K - $54.1K
15% of jobs
$54.1K - $60.9K
11% of jobs
$66.3K is the 75th percentile. Wages above this are outliers.
$60.9K - $67.6K
9% of jobs
$67.6K - $74.4K
9% of jobs
$74.4K - $81.2K
4% of jobs
$81.2K - $88K
6% of jobs
$88K - $94.7K
2% of jobs
$94.7K - $101.5K
1% of jobs
$27K
$57.9K
$101.5K

Sevagan
KRG Technologies Inc.
E-Mail: Sevagan at krgtech
25000 | Avenue Stanford | Suite # 243 | Valencia, CA 91355
Phone : 661-558-0000 EXT- 513|
As a Quality Coordinator for Claims Processing, you will be responsible for reviewing all components of member submissions for paper claims. This Quality Coordinator role is essential to ensuring that all claims are properly processed to ensure the correct parties are billed for claims. You will review submitted member data in a workflow system (MedForce)against data in AS400 to ensure all claims data has been properly entered. The Quality Coordinator will also perform data mining to review the accuracy of member payments.
Additionally, the Quality Coordinator will:
- Review and validate claims elements captured in the adjudication system against the claims forms and supporting documents submitted as detailed in the P&P's and SOP
- Identify missing/incorrect claims elements and send claims back to Claims Processors for correction, with an emphasis on critical claims fields which result in non-conformance per regulatory guideline
- Validate corrections made by the processors to ensure 100% accuracy
- Validate claims payment contents - paid to, amount paid, and payment type
- Collaborate with the Paper Claims Processing Team and Supervisors to identify specific opportunities for improvement
- Raise and report errors to team supervisors. Also, identify trend sand learning opportunities based on errors tracked
- Adhere to specified TAT as defined by the business
- Maintain a high level of self-learning to be up to date on the current P&P, SOP's and regulatory guidelines and be available to conduct refresher and follow up training whenever required
*
Required Qualifications
- 2+ years of experience in pharmacy/Medicare Part D claims processing or audit - Quality auditing experience - Proficiency in MS Word and MS Excel
*Preferred Qualifications
- Medicare Part D or related industry knowledge
- Exposure to CMS Member Reimbursement Request Forms- Analytical thinking and rational decision making skills - Experience MedForce or AS400 preferred
Strong Experince on Claims
Sourced by ZipRecruiter
KRG Technologies was founded with a simple motive of offering the clients exactly what they want, how they want and when they want. By leveraging for its clients its technological edge and right-sourcing advantage, KRG in a short period of time has grown to become one of the most trusted strategic technology partners. Treating every client as the top priority, we customize our solutions and services to align with the unique needs of each client. Headquartered in Valencia, California, KRG employs a unique global delivery platform to minister its offerings spanning from application development and maintenance to business process reengineering. With years of hands-on domain experience and international presence, we offer state-of-the-art solutions backed by our follow-the-sun service model in the most cost effective manner. We value our clientele for the trust reposed in us and our clientele admire us for our personalized approach and deep commitment to their success. Our biggest strength lies in technical expertise of our team and individual competency of our employees, which enables us to be the most befitting solution provider.
It services
201 - 500 Employees
Valencia, CA, US
2003