- Accounting Now (Pinellas Park, FL)
- …and/or paper claims, monitoring claim status, researching rejections and denials , documenting related account activities, posting adjustments and collections of ... Medicare, Medicaid, Medicaid Managed Care , and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and… more
- LifeBridge Health (Randallstown, MD)
- …will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator , Patient Care Integrator or RN Case Manager. Additional ... (RN) - PART TIME Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Part-time w/Weekend Commitment - Day shift -... outcomes, efficient utilization of health services and minimize denials of payment among a patient population with complex… more
- St. Luke's University Health Network (Allentown, PA)
- …mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care ... regardless of a patient's ability to pay for health care . The Claim and Denial Coding Analyst role is...and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across… more
- Spokane County (Spokane, WA)
- Integrated Care Coordinator - SCRBH Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4316289) Apply Integrated Care ... and the associated program goals and objectives. There are three Integrated Care Coordinator areas of assignment within the Community Services Department… more
- Hartford HealthCare (Southington, CT)
- …of Connecticut's most comprehensive healthcare network as a Quality Improvement Coordinator . Hartford HealthCare at Home, the largest provider of homecare services ... has been fulfilling our mission for more than 115 years. Our Person-Centered Care Model allows our employees to learn and grow within our organization, all… more
- Trinity Health (Newtown, PA)
- …with the severity of illness and accurately documented to support level of care determinations and required authorizations. + Investigates denials and root ... **Description:** Trinity Health Mid-Atlantic is looking for Clinical Pre-Service Nurse Coordinator to join our Pre-Service team! **Employment Type:** Part Time… more
- Complete Specialty Solutions (Houston, TX)
- …keep their referral patients in-house and ensure their patients receive top-quality care . We are committed to fostering a positive work environment that emphasizes ... 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… more
- Dayton Children's Hospital (Dayton, OH)
- Facility:Dayton Children's - Main CampusDepartment:Integrated CareSchedule:Full timeHours:40Job Details:The Care Management Coordinator functions as a member of ... a multidisciplinary health care team with guidance of the nurse case managers,...as a hospital liaison with external third-party payors for denials prevention; collaborates with medical staff, patient registration, HIM… more
- Universal Health Services (Houston, TX)
- Responsibilities Utilization Management Coordinator -PRN Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding ... communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed...Hospital is seeking a dynamic and talented Utilization Management Coordinator PRN to join our team of compassionate, dedicated… more
- ProMedica Health System (Toledo, OH)
- …the only hospital in northwest Ohio to receive this honor. POSITION SUMMARY The Care Navigation Resource Coordinator works directly with unit RN Acute Care ... and Social Worker(s) and reports to the Manager of Care Navigation. The Care Navigation Resource Coordinator provides assistance and support to the care … more
- Intrepid USA (Springfield, MO)
- …recruiting process and team members Great work you'll do here : The Patient Care Coordinator provides clinical and management support to the Clinical Nursing ... assist with staffing and scheduling as needed. The Patient Care Coordinator may also help with admissions...+ Responsible for the correction of problems leading to denials for coverage or qualifying criteria + Performs comprehensive… more
- Highmark Health (Harrisburg, PA)
- …**JOB SUMMARY** (In Person/Virtual/Hybrid) This job is proficient in the coordination of care and manages coordination of care in accordance with recognized ... standards of practice for Care Management. The incumbent utilizes expertise in ...contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials /appeals and retrospective payer audit denials . Collaboratively… more
- Crossroads Hospice & Palliative Care (Memphis, TN)
- …and backgrounds. + Problem-solving skills to research and resolve discrepancies, denials , appeals, and collections. Medical Insurance Billing Coordinator ... At Crossroads Hospice & Palliative Care , the supporting roles of our office teams...lasting impacts that transcend medical treatment. Medical Insurance Billing Coordinator Qualifications: + High school diploma + 1+ year… more
- Gentiva (Lufkin, TX)
- … Care Advanced Illness Management branch in Lufkin!** We are looking for a ** Care Coordinator AIM** to join our team. This position will directly report to ... leader in hospice, palliative, home health, and personal home care . Our place is by the side of those...Billing Department staff on timely responses to all billing denials , requests for additional information, and post-payments audits of… more
- Crossroads Hospice & Palliative Care (Cincinnati, OH)
- …with you in any way, then we want to speak with you! Billing Coordinator Duties: + Obtain referrals and pre-authorizations as required for procedures + Check ... accounts + Update billing software with rate changes Billing Coordinator Requirements: + High school diploma + Knowledge of...with a degree in Business Administration, Accounting, or Health Care Administration preferred + Minimum of 1 to 3… more
- Johns Hopkins University (Baltimore, MD)
- …Obtains pre-certification as required by patient's healthcare insurer or managed care provider. + Obtains preauthorization for retina drug injections with following ... Contacts insurance carriers for clarification of coverages to avoid denials of payment. + Monitors and responds to assigned...closely with both Wilmer billing and Office of Managed Care to keep abreast of ever- changing payor procedures… more
- University of Virginia (Charlottesville, VA)
- …oral and written, creates and submits appeal letters as needed to overturn denials . Utilizes critical thinking and root cause problem solving methodology to discern ... communicated back to departments or physicians in order to prevent continuing denials . Will also work with leadership and communicate routinely with our contracting… more
- Universal Health Services (Orlando, FL)
- …services. Central Florida Behavioral Hospital offers a full continuum of care including inpatient treatment services for children, adolescents and adults; and ... that treats patients with dignity and respect, while delivering high-quality care . Website: www.centralfloridabehavioral.com Click here for a Virtual Facility Tour… more
- Houston Methodist (Katy, TX)
- **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **.** Looking for Hospital Outpatient Medical Coders ... is a plus** At Houston Methodist, the Ambulatory Payment Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits… more
- CVS Health (Orlando, FL)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary As...more personal, convenient and affordable. Position Summary As a Coordinator , Revenue Cycle, you will work in a pharmacy… more