- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …The Role BHPS provides Utilization Review services to its clients. The UM Denials Coordinator supports the Utilization Management function by reviewing denied ... additional information, or resolve discrepancies prior to letter release. The UM Denials Coordinator reports to the Clinical Services team and performs a range… more
- Roper St. Francis (North Charleston, SC)
- …work closely with all payors to resolve appeals and find speedy resolution to denials . The Accounts Coordinator is responsible for managing UKG scheduling and ... - 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
- 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. ... periodic quality monitoring and evaluation of work products by the Coordinator and/or Director, Coding Denials and Appeals. + Partners with peers and Director to… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …meetings with departments to discuss trends, opportunities, etc. Assists Revenue Integrity Coordinator with denials appeals. Close out each tracked denial ... Overall works to increase revenue capture. Assists Revenue Integrity Coordinator with Medical Center denials process as...Assists Revenue Integrity Coordinator with Medical Center denials process as needed. Facility resource for denials… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… 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
- 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 ... acumen to reduce financial exposure. * Evaluate all external denials related to medical necessity and assess the feasibility...when necessary. * Identify root causes and trends in denials and create strategies to prevent future occurrences and… 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
- Hartford HealthCare (Manchester, CT)
- …as required. Researches and resolves reasons for insurance and Medicare claim denials , initiates needed code and billing corrections when appropriate to ensure ... to ensure notification requirements are met in a timely manner preventing any denials and nonpayment of services. 3. Obtains authorizations prior to date of service.… more
- System One (Las Vegas, NV)
- Job Title: LTSS Coordinator - Nevada Location: Nevada Type: Contract Compensation: $33/Hour Contractor Work Model: Remote Title: LTSS Coordinator - Nevada ALTA ... Data & Advanced Analytics, and Agile Transformation Services. The LTSS Coordinator - Nevada monitors and promotes effective utilization of long-term services… more
- Novant Health (Salisbury, NC)
- What We Offer Patient Services Coordinator III Pinnacle Orthopedics Salisbury Monday-Friday, 8am-5pm Novant Health is seeking a Patient Service Coordinator III ... Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze denials , correct errors to ensure charges captured and processed and goal for… more
- Novant Health (Salisbury, NC)
- …We Offer Novant Health Pinnacle Orthopedics Salisbury is seeking a Patient Services Coordinator IV. The PSC IV will be responsible for processing referrals at least ... care starts with remarkable people. As a Patient Services Coordinator IV, you'll play a pivotal role in ensuring...and Review); Missing Guarantor. Resolves work queue errors & denials through research and analysis by reviewing chart and… more
- HCA Healthcare (Portsmouth, NH)
- …**Introduction** Do you have the PRN career opportunities as a(an) Operations Coordinator PRN you want with your current employer? We have an exciting ... colleagues. Do you want to work as a(an) Operations Coordinator PRN where your passion for creating positive patient...necessity review and authorization for surgeries, working to prevent denials and reduce write-offs. . Coordinates Peer to Peer… more
- UNC Health Care (Hendersonville, NC)
- …of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator (RN) is responsible and accountable for all Care Management Denial and ... Contractor (RAC) requests and follow-ups, including tracking of approvals and denials as well as coordinating and completing the appeal process. Responsibilities:… more
- University of Michigan (Ann Arbor, MI)
- CSPD Instrument Coordinator / Liaison Apply Now **Job Summary** The CSPD Instrument Coordinator / OR Liaison serves as the critical operational and communication ... reporting. + Provide utilization and trend data to support purchasing decisions, denials of use (DNUs), and inventory optimization. Documentation, IFUs & Compliance… more
- UPMC (Williamsport, PA)
- Join Our Team as an Office Coordinator at the Costello Center! Are you a highly organized, people-focused professional looking to make a meaningful impact in a ... at 1705 Warren Avenue is seeking a full-time Office Coordinator to lead our front office operations and support...+ Collaborate with the Central Billing Office to resolve denials and ensure accurate charge input + Oversee staff… 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
- University of Washington (Seattle, WA)
- …Medicine Enterprise Revenue Cycle has** an outstanding opportunity for a **Program Coordinator - UW Medical Center Operating Room (OR) Biller** **WORK SCHEDULE** ... week 8AM to 4:30PM **POSITION HIGHLIGHTS** + The Program Coordinator - UW Medical Center Operating Room (OR) Biller's...payer requirements and governmental regulations to ensure reduction of denials . + Act as liaison between UW Medicine clinical… 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 ... issued 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
- 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
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