- Community Health Systems (Franklin, TN)
- …reduce future denials , and ensure compliance with payer guidelines. As a Denial Appeals Coordinator at Community Health Systems (CHS) - PCCM, you'll play a ... **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving...BARRT, and other host systems, ensuring timely follow-up on denials and appeals . + Conducts follow-up calls… more
- Nuvance Health (Danbury, CT)
- …Business Office related to appeals , denial and clinical reviews 9. Reviews new denials and appeal upheld cases in work queue and incoming fax queue. 10. Reviews ... Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and other stakeholders in ensuring… more
- Community Health Systems (Franklin, TN)
- …denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education ... of work products by the Coordinator and/or Director, Coding Denials and Appeals . + Partners with peers and Director to develop coder education based… more
- Community Health Systems (Antioch, TN)
- …in Artiva, HMS, Hyland, BARRT, and other host systems, ensuring timely follow-up on denials and appeals . + Conducts follow-up calls and payer portal research to ... **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving...reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal… more
- Community Health Systems (Franklin, TN)
- … ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** The Transplant Financial Coordinator plays an integral role in assisting patients with the critical function ... billing compliance. The primary responsibility of the Transplant Financial Coordinator is assessing patient's insurance coverage and financial situation for… more
- Thrive Proactive Health (Virginia Beach, VA)
- …third-party billing partners while learning the ins and outs of insurance billing, denials , appeals , and patient financial support. This position is ideal for ... Management : Submit and follow up on claims, corrected claims, and appeals . + Denials & A/R Management : Investigate, appeal, and resolve denied claims; manage… more
- HCA Healthcare (Manchester, NH)
- …care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic Medical Center. **Benefits** Catholic Medical Center, offers a ... may vary by location._ Come join our team as a Medical Staff Services Coordinator . We care for our community! Just last year, HCA Healthcare and our colleagues… more
- Mount Sinai Health System (New York, 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** The Offsite Billing Coordinator is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251119-5613FP-001 Location Middletown, CT Date Opened 12/11/2025 12:00:00 AM Salary ... - is accepting applications for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) (REGULATORY) position, located in Middletown, CT. New:… more
- Roper St. Francis (North Charleston, SC)
- …with all payors to resolve appeals and find speedy resolution to denials . The Accounts Coordinator is responsible for managing UKG scheduling and time ... - 5:00 PM** **Job Summary** **:** The LifeLink Accounts Coordinator handles billing and follow-up of all LifeLink claims...enable claims to get paid timely and accurately. The coordinator will provide excellent customer service and support in… more
- Cardinal Health (Sacramento, CA)
- Coordinator , Benefits Eligibility and Authorization **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations Management ... also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator , Benefits Eligibility and Authorization may be asked to perform other… more
- Robert Half Office Team (Pewaukee, WI)
- Description We are looking for an Insurance Authorization Coordinator to join our team on a contract-to-permanent basis in Pewaukee, Wisconsin. This role is vital in ... clinical and demographic information. * Maintain accurate records of authorizations, denials , and correspondence using electronic health record systems. * Inform… more
- Guthrie (Binghamton, NY)
- …for review and determination of coverage of ordered medications. + Coordinate and complete appeals for denials as needed + Monitor and Review REMS clearance for ... that qualify Monday through Friday 8:00am-4:30pm Position Summary: The LPN Care Coordinator will assist the providers with medication refills, patient messages, in… more
- Robert Half Office Team (Blue Ash, OH)
- Description We are looking for a dedicated Insurance Referral Coordinator to join our client's team in Blue Ash, Ohio. This role involves managing prior ... Track authorization statuses and promptly notify healthcare teams regarding approvals, denials , or pending requests. * Stay informed about current insurance policies… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... documented in patient's medical records. + Reviews notices of potential denials and respond appropriately; ie facilitate Physician to Physician appeals… more
- Insight Global (Sarasota, FL)
- …DDE - Direct Data Entry experience Knowledge of a UB 04 form Experience with denials and appeals Knowledge of ICD-9, ICD-10, and CPT codes Experience using SSI ... billing system Previously used Allscripts or AM/PFM more
- Highmark Health (Salt Lake City, UT)
- …Epic work queues, investigating and completing coding updates and corrections, coordinating appeals , denials , and rebills, creating and maintaining complex Excel ... worksheets. Serves as the HIM Epic Super-user for coding, and works closely with Epic analysts to support coding and charging workflows, integrated 3M encoder, testing and upgrades. **ESSENTIAL RESPONSIBILITIES:** + Reviews dashboards and reports, to identify… more
- MD Anderson Cancer Center (Houston, TX)
- …* Analyze invoices and accounts in the patient accounting system to prepare for appeals of third-party payer denials . Utilize Explanation of Benefits (EOB) and ... clinical knowledge, insurance expertise, and critical thinking to resolve complex denials and audits-making a direct impact on patient outcomes and organizational… more
- University of Utah (Salt Lake City, UT)
- …account resolution of MAC 1 & 2 team members. + Monitor and resolve denials and appeals to ensure timely collection. + Maintain work queue expectations. ... + Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
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