- St. Luke's University Health Network (Allentown, PA)
- …clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network. Utilizes ... coding errors and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal. Claim corrections will be made after review… more
- TEKsystems (Flagstaff, AZ)
- …reviewing work processes to determine reimbursement eligibility. . Ensure payments and/or denials are made in accordance with company practices and procedures. . ... Review claims to determine whether claimant is covered under a policy review policy to determine coverage and evaluate the extent of a settlement. . Authorize claim payments set reserves on payments ensure timely disbursement of funds coordinate or conduct… more
- University of Utah (Salt Lake City, UT)
- …+ Demonstrated knowledge of revenue cycle. + Working knowledge of insurance denials , appeals and expected reimbursement rates. + Experience presenting findings ... PRN39530B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt **Patient… more
- Wood County Hospital (Bowling Green, OH)
- …The Denial Coordinator reviews and analyzes all inpatient and outpatient denials for opportunities to control, appeal and eliminate denials . Provides ... write-offs and recommends action. + Prepares and coordinates written appeals for medical necessity denials . + Monitors and follows up on medical necessity … more
- Trinity Health (Darby, PA)
- …**Description:** Trinity Health Mid-Atlantic is looking for Clinical Pre-Service Nurse Coordinator to join our Pre-Service team! **Employment Type:** Full Time ... University Drive Newtown, PA 18940. **Summary:** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post service initial denials… more
- Nuvance Health (Danbury, CT)
- *Description* Summary: Identifies and communicates the clinical denials in a timely manner in collaborationand working closely with the physical advisors, Clinical ... managers, Case Management Operation Coordinators, and Insurance companies. Sends provider appeals to insurance companies including Medicare and Medicaid for entire… more
- Houston Methodist (Houston, TX)
- …Houston, TX 77030 (Scurlock Tower)** At Houston Methodist, the International Finance Coordinator (IFC) position is responsible for performing the daily tasks of the ... Department and provides prompt internal and external problem resolution. + Identifies denials trends and notifies department management to prevent future denials … more
- Robert Half Accountemps (Alhambra, CA)
- …payer contracts, processing contractual adjustments, knowledge of late charge process * Appeals and denials management *Primary, secondary and tertiary ... Hospital Billing, Hospital Inpatient, Hospital Outpatient, Hospital Revenue Cycle, Medical Appeals , Medical Denials , Basic Medical Terminology, Medical Billing,… more
- Hackensack Meridian Health (Hackensack, 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 (Hackensack, NJ)
- …and serve as a leader of positive change. The **Case Management 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 (Neptune, NJ)
- …and serve as a leader of positive change. The **Care Management, 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)
- …and serve as a leader of positive change. The **Care Management, 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
- The Mount Sinai Health System (New York, NY)
- …entered/processed in accordance with policies and procedures. 3. Analyzes missing charges, edits, denials list and process appeals . Posts payments and denials ... **JOB DESCRIPTION** The Senior Billing Coordinator and Analyst is an experienced billing and...Charge Entry, Edits and Payment Posting. The Senior Billing Coordinator -Analyst is proficient in these processes to ensure accurate… more
- The 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
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The Case Management 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
- The Mount Sinai Health System (Long Island City, NY)
- …in accordance with policies and procedures. 3. May run and work missing charges, edits, denials list and process appeals . Posts denials in EPIC on a ... **JOB DESCRIPTION** **Billing Coordinator -Ambulatory-Full Time-Day-Mount Sinai Queens** The Billing Coordinator (Generalist) is responsible for multiple… more
- CVS Health (Kissimmee, 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
- The 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
- 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 ... 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
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