Current Job Openings

Care Coordinator

We currently have an opportunity for a Care Coordinator in our conveniently located Center City Philadelphia location. The Care Coordinator will be responsible for the review and evaluation of complex medical and surgical claims, emergency room services, pre-existing condition claim suspensions, emergency ambulance services, post-service (retrospective) reviews, and handicapped dependent applications.

• Ensures assigned reviews are resolved within the established policy and procedure guidelines and documents are filed and secured according to department's record retention policy.
• Works collaboratively with the pricing departments and Medical Directors to identify payment problems, make recommendations, and implement claim payment procedures.
• Ensures a weekly productivity report is completed.
• Performs additional duties as assigned.

RN licensed to practice in Pennsylvania, with a minimum of three years nursing experience. Excellent interpersonal, organizational, analytical, verbal and written communication skills required. Computer skills required. Claim review and recent home health experience preferred.

Apply

Mail: Independence Blue Cross Human Resources - 27327 1901 Market Street, 25th Fl Philadelphia, PA 19103

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After receiving an applicant's information, Independence Blue Cross will hold the responses strictly confidential. EOE, M/F/D/V. No agency calls please.

Independence Blue Cross is an Equal Opportunity Employer.