- Community Health Systems (Franklin, TN)
- **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution,...ensure compliance with payer guidelines. As a Denial Appeals Coordinator at Community Health Systems (CHS) - PCCM, you'll… more
- Nuvance Health (Danbury, CT)
- …and facilitates communications with the System Business Office related to appeals, denial and clinical reviews 9. Reviews new denials and appeal upheld cases in ... Rotate Weekends/Evenings* *Summary:* Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs)… more
- Community Health Systems (Franklin, TN)
- …detailed data on reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. ... policy with periodic quality monitoring and evaluation of work products by the Coordinator and/or Director, Coding Denials and Appeals. + Partners with peers… more
- Community Health Systems (Franklin, TN)
- …concise and accurate information to secure timely authorizations and reduce potential denials , utilizing input from the Utilization Review Clinical Specialist. + ... **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals… more
- Bassett Healthcare (Cooperstown, NY)
- …enjoy the best quality of life possible. What you'll do The Nursing Clinical Coordinator is responsible for facilitating, planning, advocating, coordinating, and ... point person for complex patient issues that may be clinical in nature, service related or due to authorization...with Departmental Leadership as needed. + Participates in insurance denials on an as-needed basis. + Is a resource… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future … 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 ... Come join our team as a Medical Staff Services Coordinator . We care for our community! Just last year,...play a key role in the integration of HCA Clinical Strategies and HCA systems. 1. Medical Staff Administration… more
- Dignity Health (Camarillo, CA)
- … and Physician Advisor status recommendations to the appropriate Care Coordinator and documents any related authorizations, denials or status determinations ... **Job Summary and Responsibilities** **Care** ** Coordinator ** **Assistant - Care Coordination** **St. John's Regional...assigned tasks or activities that do not require a clinical license. + This position may obtain patient or… more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a(an) Medical Staff Coordinator WFH today with Work from Home. **Benefits** Work from Home offers a ... for benefits may vary by location._** Come join our team as a(an) Medical Staff Coordinator WFH. We care for our community! Just last year, HCA Healthcare and our… more
- Sharp HealthCare (San Diego, CA)
- …to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/ clinical training sessions. + Act ... benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under… more
- Stony Brook University (Stony Brook, NY)
- Finance Coordinator - Bone Marrow Transplant **Position Summary** At Stony Brook Medicine, our **Finance Coordinator - Bone Marrow Transplant** for the Cancer ... projects within the Cancer Center. **Duties of a Financial Coordinator ** **may include the following but are not limited...needed. + Develop a system to track and resolve denials for services with patient account team. + Facilitate… more
- University of Washington (Seattle, WA)
- …to ensure reduction of denials . + Act as liaison between UW Medicine clinical departments and end users requiring assistance with complex OR Log error issues. + ... Revenue Cycle has** an outstanding opportunity for a **Program Coordinator - UW Medical Center Operating Room (OR) Biller**...charge processing and compliance + Notify the appropriate department clinical team of OR logs that require RN 3… more
- Corewell Health (Royal Oak, MI)
- …coordinate and support patient registrations/scheduling/billing-coding while monitoring and tracking denials . The Program Coordinator support for all front-desk ... 8:00 am to 4:30 pm Job Summary The Program Coordinator is a member of the leadership team who...is a member of the leadership team who provides clinical and administrative support of the day-to-day operations for… more
- Truman Medical Centers (Kansas City, MO)
- …to search for positions and apply.** Ambulatory Medication Access Coordinator - Pharmacy - UH Truman Medical Center (Mon - ... **Hours Per Week** 40 **Job Description** **Ambulatory Medication Access Coordinator (AMAC)** _Empowering Access. Elevating Outcomes._ Join our patient-centered team… more
- Sodus Rehab & Nursing Center (Sodus, NY)
- …Dental insurance + Health insurance + Paid time off OVERVIEW: The admissions Coordinator reports to the Administrator. The admissions Coordinator will ensure ... to readmission into the facility. + Obtain necessary approvals on financial and clinical criteria for all referrals. + Input all patient referral information into… more
- Diversicare Healthcare Services & Diversicare Ther (Montgomery, AL)
- …**Responsibilities** **Join Diversicare Healthcare Services as our Health Information Management Coordinator and take charge of our medical records with precision ... role involves maintaining accurate and comprehensive active medical records, conducting clinical record audits, and educating our team on Electronic Health Records.… 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
- Guthrie (Binghamton, NY)
- …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 ... of ordered medications. + Coordinate and complete appeals for denials as needed + Monitor and Review REMS clearance...care while they are not in the office LPN Clinical Care + Dressing changes, injections, rooming and patient… more
- Senior Care Therapy (Franklin, NJ)
- The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient ... cycle operations. This role works closely with patients, insurance carriers, clinical staff, and billing teams to confirm eligibility, resolve coverage… more
- YesCare Corp (Goshen, NY)
- …a pioneer in correctional healthcare services, YesCare is committed to innovation, clinical expertise, and compassionate care. By choosing a career with YesCare, you ... during sick calls for existing inmates. + Collaborate with the COB Coordinator to search alternative coverage databases when current coverage details are… more