- UNC Health Care (Goldsboro, NC)
- …Reviews all denial requests and leads the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first and ... issues related to reimbursement, denials , status, etc. 6. Evaluates clinical denials for validity and probability to overturn, proactively gathers required … more
- Methodist Health System (Dallas, TX)
- …of the physician-led multidisciplinary care team, assures the appropriate use of clinical resources to accomplish the optimal clinical outcomes. The above ... selected cases, and facilitating discharge/transition planning. Participates in ongoing clinical improvement, hospital, and medical staff quality initiatives while… more
- Novant Health (Charlotte, NC)
- Job Summary The Clinical Research Billing and Reimbursement Coordinator 's primary role is to provide the daily coordination, monitoring and management of ... accounts where research charges related to a clinical trial are involved. This role will support administrative activities applicable to the establishment of the… more
- Nuvance Health (Danbury, CT)
- …40 hours Shift: Monday-Friday 8:30am-5:00pm, and 1 weekend per month Summary: The Clinical Care Coordinator - Unit is responsible for providing direction and ... leadership to the clinical team regarding the patient level of care and...13. Proactively interacts with third party payers to prevent denials . 14. Acts as liaison between patient, physician, family,… more
- Squirrel Hill Health Center (Pittsburgh, PA)
- …Health Center (SHHC), is a Federally Qualified Health Center (FQHC), seeking a dedicated Clinical Support Coordinator to join our team. The ideal candidate ... providers, and insurance companies to streamline the authorization process. The Clinical Support Coordinator will assist SHHC Providers in managing and… more
- Complete Specialty Solutions (Katy, TX)
- …procedures and billing. Occasional work from home opportunity. Commitment to professional and clinical excellence is a must! The Treatment Coordinator will work ... We are looking to add an onsite, traveling Treatment Coordinator to support the operations of our specialty team...days + Assist office staff with all specialty related denials that include: duplicate claim, timely filing, EOB requests,… more
- Complete Specialty Solutions (Houston, TX)
- …autonomy, and continued growth. Job Description: CSS is seeking a Dental Specialty Coordinator who is cross-trained in both oral surgery and orthodontic admin duties ... full-time position that includes occasional work-from-home opportunities. The Dental Specialty Coordinator will oversee the daily operations of our specialty team,… more
- Spokane County (Spokane, WA)
- …depending upon each employee's enrollment choices. Examples of Duties Behavioral Health Agency Clinical Integrated Care Coordinator : + Follows the laws of the ... ADDITIONAL MINIMUM REQUIREMENTS (Depending Upon Area of Assignment) Behavioral Health Agency Clinical Integrated Care Coordinator : + Must be designated as a… 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 ... for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care … 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 ... for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care … more
- CenterWell (Savannah, GA)
- …our caring community and help us put health first** The HIMS/Referral Coordinator (Referral and Scheduling Coordinator ) schedules and pre-registers patients for ... and providers outside of the primary care physician's office. The HIMS/Referral Coordinator (Referral and Scheduling Coordinator ) performs varied activities and… more
- Trinity Health (Grand Rapids, MI)
- …managing surgery status between centralized surgery scheduling, central authorization team, and clinical care team/ office + Authorizations / Denials - Serves ... **Shift:** Day Shift **Description:** Great opportunity for a Surgery Revenue Coordinator to work collaboratively between the centralized authorization group, … more
- HonorHealth (Scottsdale, AZ)
- …and supportive drugs, prescription drugs, DME, and radiology. Working closely with clinical and administrative teams to prevent denials by ensuring medical ... urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization,… 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
- HCA Healthcare (Blacksburg, VA)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Coordinator Medical Staff Services with LewisGale Hospital Montgomery you can be a ... you need to succeed in our organization. We are looking for an enthusiastic Coordinator Medical Staff Services to help us reach our goals. Unlock your potential!… more
- Corewell Health (Dearborn, MI)
- …coordinate and support patient registrations/scheduling/billing-coding while monitoring and tracking denials .The Program Coordinator is support for all ... Job Summary The Program Coordinator is a member of the leadership team who provides clinical and administrative support of the day-to-day operations for the… more
- ProMedica Health System (Toledo, OH)
- …Ohio to receive this honor. POSITION SUMMARY The Care Navigation Resource Coordinator works directly with unit RN Acute Care Navigator(s) and Social Worker(s) ... and reports to the Manager of Care Navigation. The Care Navigation Resource Coordinator provides assistance and support to the care navigation team to assist with… more
- Gentiva (Minneapolis, MN)
- …part of Gentiva, an industry leader in hospice and palliative care. Our clinical teams serve as an extension of physicians' care, partnering with them and ... for an **AIM (Advanced Illness Management) Program -** **Care Coordinator ** to join our team in the Twin Cities....and their family (if applicable). + Manage all daily clinical records functions including establishing and implementing clinical… more
- Dignity Health (Phoenix, AZ)
- …years and now provides more than 73 subspecialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic ... and approximately 200 residents and fellows throughout the 25 academic programs. Clinical services are complemented with translational and bench research to augment… more
- Point32Health (MA)
- …Under the administrative direction of the Supervisor of Administration, the Care Coordinator (CC) performs activities that support the clinical , business and ... case managers (CM) and the management team. The Care Coordinator is a key member of the case management...within Case Management Department** : + Initiates requests for clinical information from inpatient providers within department timelines +… more