- 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
- Nuvance Health (Danbury, CT)
- …through various affiliates, Hours: 40 hours Shift: 4:00pm to 12:00am 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
- 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...information with Departmental Leadership as needed. Participates in insurance denials on an as-needed basis. Is a resource for… 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
- Methodist Health System (Celina, 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
- University of Virginia (Haymarket, VA)
- …minimum loss of revenue and maximum payment for services. Utilizing persuasive clinical arguments and tenacious communication skills, both oral and written, creates ... and submits appeal letters as needed to overturn denials . Utilizes critical thinking and root cause problem solving...methodology to discern trends in payor behaviors and/or our clinical documentation/practice that need to be communicated back to… more
- Hackensack Meridian Health (Hackensack, 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
- 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
- Access Dubuque (Dubuque, IA)
- …Positions ID: 36229590 Posted On 07/10/2024 **Job Overview** **Overview** The Care Coordinator integrates and coordinates the clinical care of individuals. ... and observation patients and assesses the individual's health status including clinical conditions, support systems and resources to identify needs and make… 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
- HCA Healthcare (Richmond, VA)
- …to join an organization that invests in you as a Medical Necessity Compliance Coordinator ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... to make a difference. We are looking for a dedicated Medical Necessity Compliance Coordinator like you to be a part of our team. **Job Summary and Qualifications**… more
- CenterWell (Denham Springs, LA)
- …our caring community and help us put health first** The HIMS/Referral Coordinator (Medical Records Clerk) assembles and maintains patients' health information in ... position. This position requires you to work on-site. The HIMS/Referral Coordinator (Medical Records Clerk) ensures all forms are properly identified, completed,… 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
- Independent Health (Buffalo, NY)
- …and providers + Facilitate follow-up phone calls to members and providers for clinical approvals and denials . (Standard: Follow-up phone calls will be completed ... benefits and commitment to diversity and inclusion. **Overview** The Prior Authorization Coordinator facilitates the logging in and out of all prior authorization,… more
- HCA Healthcare (Nashville, TN)
- …(RFC), Re-Request for Consideration (R-RFC), Request for Increased or New Clinical Privileges, including resignations, terminations, LOAs, denials , or ... We care like family! Jump-start your career as a Medical Staff Coordinator today with Surgery Ventures powered by HCA Healthcare. **Benefits** Surgery Ventures… more
- LifePoint Health (Martinsville, VA)
- …and registration processes. . Ensures that all necessary demographic, billing and clinical information is obtained and entered into the registration system with ... authorizations when applicable. An active member of the team to reduce Denials through scheduling and authorization processes. Continuously submits process ideas to… 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