- Community Health Systems (Franklin, TN)
- **Job Summary** The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. ... HMS, Hyland, BARRT) to ensure all follow-up dates are current. + Analyzes denials to determine appropriate actions, completes appeals, or routes cases for … more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …obtain additional information, or resolve discrepancies prior to letter release. The UM Denials Coordinator reports to the Clinical Services team and ... The Role BHPS provides Utilization Review services to its clients. The UM Denials Coordinator supports the Utilization Management function by reviewing denied… 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
- 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 (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
- 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
- Nuvance Health (Norwalk, CT)
- …regarding coverage, care options and community resources. Responsibilities: 1. Social Work Clinical Care Coordinators provide clinical social work assessment and ... any delays and help expedite diagnostics and treatments. 4. Assesses patient's clinical readiness for transition in collaboration with the healthcare team and… more
- Insight Global (Nottingham, MD)
- Job Description Day to Day: Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will be ... * Coordinate and monitor denial management and appeal processes, leveraging clinical , business, and regulatory acumen to reduce financial exposure. * Evaluate… 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
- System One (Las Vegas, NV)
- …independence in their homes. + Coordinate, oversee, and provide insights into the clinical documentation system for processing approvals and denials , notify care ... Job Title: LTSS Coordinator - Nevada Location: Nevada Type: Contract Compensation:...promotes effective utilization of long-term services and supports through clinical review and benefits management. Essential Functions: + Serve… 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
- 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
- Novant Health (Charlotte, NC)
- What We Offer The Patient Service Coordinator III (PSC III) serves as the front door and first impression for our clinics. This role is critical to delivering the ... + Schedule appointments based on patient preference, provider availability, and clinical urgency. General Clerical Duties + Perform routine clerical functions… 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
- Behavioral Center of Michigan (Warren, MI)
- …and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical information and ... Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex … more
- Rochester Regional Health (Rochester, NY)
- …Full-Time, 40 hours/weekSchedule: Day Shift SUMMARY: The Senior Corporate Compliance Coordinator plays a critical role in minimizing organizational risk by ... and contractual obligations. Serving as a subject matter expert, the Coordinator leads efforts to build and continuously optimize the organization's electronic… 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
- Fresenius Medical Center (Big Spring, TX)
- …to work Monday-Friday 8am-5pm CST.** **PURPOSE AND SCOPE:** The Patient Intake Coordinator requires excellent sales and customer service skills. This position is ... (hospital discharge planners, FKC clinics, non-Fresenius clinics), the Patient Intake Coordinator is responsible for securing a schedule and ensuring that all… 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
- 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