- Penn Medicine (Philadelphia, PA)
- …Coordinator is responsible for management of lists and processes related to denials and appeals. Coordinator also prepares quarterly denial reports by service ... day. Are you living your life's work? **Summary:** + The Clinical Appeals Coordinator will play an essential role in maximizing collection of revenue for patient… more
- Crossroads Hospice & Palliative Care (Green, OH)
- …ages and backgrounds + Problem-solving skills to research and resolve discrepancies, denials , appeals, collections Billing Coordinator Schedule & Benefits: + ... we can create lasting impacts that transcend medical treatment. Billing Coordinator Responsibilities: + Obtain referrals and pre-authorizations as required for… 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
- AdventHealth (Orlando, FL)
- …year **The role you'll contribute:** _The Ambulatory Payment Classification (APC) Coordinator is responsible for assigning, monitoring, and evaluating the assignment ... ensure all facilities are receiving accurate reimbursement under OPPS. The APC Coordinator may assist with monthly quality reviews, RAC, and post-payment audits.… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management support ... and other community resources and transportation. In addition, the CM Coordinator position anticipates independent actions necessary to provide competent 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
- Hackensack Meridian Health (North Bergen, 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 ... the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length of… more
- HCA Healthcare (Savannah, GA)
- **Description** **Introduction** Do you have the career opportunities as a **Program Coordinator ** you want with your current employer? We have an exciting ... colleagues. Do you want to work as a Program Coordinator where your passion for creating positive patient interactions...Operations on follow up and resolution of coding related denials and rejections. + Identifies quality issues with registration… more
- Kaleida Health (Buffalo, NY)
- **Coding Quality Coordinator ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description ... **Summary:** The Coding Quality Coordinator (CQC) professionals ensures accurate coding and data collection for reimbursement. They strive to promote an accurate and… more
- Project Renewal, Inc. (New York, NY)
- Housing Coordinator Nursing - Kenton Hall, 333 Bowery, New York, New York, United States of America Req #1305 Thursday, April 24, 2025 Title: Housing Coordinator ... with some latitude for independent action and decision making, the Housing Coordinator is responsible for identifying housing options for the clients, especially the… more
- Corewell Health (Watervliet, MI)
- …for obtaining necessary prior authorizations, submitting documentation to appeal denials , and educating clinicians regarding proper documentation for all Inpatient ... clinical outcomes, and maximize reimbursement. Collaborate with coding, billing, denials and other departments as needed.Monitor CMS/insurance updates, regulations… more
- Community Health Systems (Gadsden, AL)
- **Job Summary** The Insurance Coordinator is responsible for verifying patient insurance eligibility, obtaining necessary pre-certifications and authorizations, and ... requirements. This role plays a vital part in maximizing reimbursement, reducing denials , and supporting patient access to care by maintaining accurate documentation… more
- HCA Healthcare (Portsmouth, NH)
- …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
- ManpowerGroup (Rancho Cucamonga, CA)
- Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - Utilization ... which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient **Location:** Rancho Cucamonga, California **What's… more
- Mount Sinai Health System (Jackson Heights, NY)
- **Job Description** The Offsite Billing Coordinator is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits ... and procedures. 3. May run and work missing charges, edits, denials list and process appeals. Posts denials in IDX on a timely basis. 4. Posts all payments… 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
- Nuvance Health (Danbury, CT)
- …fax queue. 2. Reviews denial letters through daily mail. 3. Identifies retro denials and documents appropriately. 4. Notifies new retro denials to nurses ... to the payors within the payorsi? 1/2 timeframe. 8. Documents and updates the denials in the denial tracking tool timely and accurately. 9. Collects and analyzes the… 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
- UPMC (Pittsburgh, PA)
- UPMC Revenue Cycle is hiring a Credentialing Coordinator . As a Credentialing Coordinator , you will be responsible for processing applications and performing ... who are members of the facilities and organizations of the UPMC. The Credentialing Coordinator role will work Monday through Friday from the Quantum One building in… 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
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