- Crossroads Hospice & Palliative Care (Akron, OH)
- …ages and backgrounds + Problem-solving skills to research and resolve discrepancies, denials , appeals , collections Billing Coordinator Schedule & Benefits: ... we can create lasting impacts that transcend medical treatment. Billing Coordinator Responsibilities: + Obtain referrals and pre-authorizations as required for… more
- Central Maine Medical Center (Lewiston, ME)
- …for our community and for each other every day. Position Summary: The Denials Management Coordinator is responsible for applying fundamental knowledge of ... and payer requirements as it relates to researching, analyzing, and resolving denials , contractual underpayments and credits. This job requires regular outreach to… more
- University of Virginia (Haymarket, VA)
- …an accurate and timely manner. + On-line data entry of certification/authorizations and denials / appeals are communicated to HSF, PFS and other Access staff and ... in a Utilization/Case Management/Pre-Arrival role where prior authorizations, prior certifications, or appeals of denials for the same were pursued. Relevant… more
- UNC Health Care (Hendersonville, NC)
- …Denial and RAC process, including requests, follow-ups, tracking of approvals and denials , and completing appeals . Oversees/maintains the denial and RAC ... of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator (RN) is responsible and accountable for all Care Management Denial and… more
- Robert Half Accountemps (Los Angeles, CA)
- …in hospital revenue cycle management and ensure seamless functioning * Address medical appeals and denials with utmost efficiency. Requirements * Minimum of 3 ... Description We are seeking an Medical Billing Coordinator in the healthcare industry to join our...the Hospital Revenue Cycle. * Experience in handling medical appeals and denials . * Excellent interpersonal and… more
- Nuvance Health (Poughkeepsie, NY)
- …to inquiries and facilitates communications with the System Business Office related to appeals , denials , and clinical reviews. 8. In collaboration with a case ... *Description* Purpose: The Operations Coordinator , with a high degree of autonomy, will...other problems in procuring. 4. Requests medical records for appeals , following processes established by the Health Information Management… more
- State of Massachusetts (Boston, MA)
- …talents to serve our citizens. *_About the Role:_* The Building and Engineering Coordinator (Program Coordinator III), is responsible for leading and managing a ... with Amusement Device Licensing, Hoisting examinations and Hoisting enforcement and appeals . Administrative and programmatic support includes, but is not limited to:… more
- Hackensack Meridian Health (Holmdel, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of the healthcare team and is responsible ... the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length of… more
- Hackensack Meridian Health (Holmdel, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of the healthcare team and is responsible ... the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length of… more
- Mount Sinai Health System (New York, NY)
- …entered/processed in accordance with policies and procedures. + Analyzes missing charges, edits, denials list and process appeals . Posts payments and denials ... **Job Description** **Senior Billing Coordinator -Analyst MSH Adolescent Health Center FT Days** The...MSH Adolescent Health Center FT Days** The Senior Billing Coordinator and Analyst is an experienced billing and revenue-capture… more
- Mount Sinai Health System (Richmond, NY)
- …in accordance with policies and procedures. + May run and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a ... **Job Description** **Billing Coordinator - Central Administration - Staten Island -...Full Time - Days - OFFSITE** The Offsite Billing Coordinator is responsible for multiple components of the billing… more
- Mount Sinai Health System (New York, NY)
- …in accordance with policies and procedures. 3. May run and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a ... **Job Description** The Senior Billing Coordinator (Generalist) is responsible for multiple components of the billing process, including Accounts Receivable, Charge… more
- CVS Health (Orlando, FL)
- …make health care more personal, convenient and affordable. **Position Summary** As a Coordinator , Revenue Cycle, you will work in a pharmacy operation setting at our ... Service Centers, supporting the claims follow up, denial and appeals processes. You will directly impact a patient's life...a unbilled queue and aged work list queue processing denials , unpaid claims, primary and secondary billing efforts for… more
- HonorHealth (Scottsdale, AZ)
- …at HonorHealth.com. Responsibilities Job Summary The Research Infusion Authorization Coordinator I position within the HonorHealth Research Institute initiates and ... radiology. Working closely with clinical and administrative teams to prevent denials by ensuring medical necessity and obtaining prior authorizations promptly.… more
- Sharp HealthCare (San Diego, CA)
- …benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under ... issued accurately and served timely to members or responsible party.Ensures that all denials for medical necessity are issued under the direction of the appropriate… more
- Seattle Children's (Seattle, WA)
- …interdisciplinary team members to coordinate/manage referrals, insurance authorizations, including denials and appeals , and other independent activities related ... The Dental Care Coordinator (CC) works in partnership with the dental...progressive responsibilities in administrative support functions such as unit coordinator , insurance processing coordinator , patient care … more
- Idaho Division of Human Resources (Rigby, ID)
- PROJECT COORDINATOR Posting Begin Date: 2024/11/20 Posting End Date: 2024/12/04 Work Type: Full Time Location: Rigby, ID, United States Minimum Salary: 27.69 Maximum ... (ITD) is seeking someone who is proactive and self-motivated for a Project Coordinator position located in Rigby, Idaho. This may a great opportunity for you… more
- Highmark Health (Harrisburg, PA)
- …and contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials / appeals and retrospective payer audit denials . ... Collaboratively formulates plans of action for denial trends with the care coordination teams, performance improvement teams, physicians/physician advisor and third party payers. + Maintains a working knowledge of care management, care coordination changes,… more
- University of Rochester (Rochester, NY)
- …information and initiate corrected claim submission accordingly. + Create and submit appeals for denials . + Communicate with internal departments for ... authorization and coding issues. + Document all actions and interact with ancillary areas to secure needed assistance. 10% + Review and complete activities related to various unbilled HAR's. + Monitor MUE Communication WQ's. 5% + Other duties as assigned… more
- Brockton Hospital (Brockton, MA)
- …external review agencies, to coordinate activities involved in medical record review, denials , appeals and reconsideration hearings. Works closely with the ... rounds. Proactively builds post hospital referrals and sends to the Transition Care Coordinator when indicated to facilitate timely discharge. Acts as a change agent… more
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