- Blanchard Valley Health System (Findlay, OH)
- …the PFS Director, Revenue Cycle Director, HIS Director and Revenue Integrity Coordinator , adequate internal control procedures to assure the proper recording and ... to assure the proper recording and posting of all insurance payments and denials . Duty 11: Manages the Patient Financial Services Denial management program… more
- Southeast Georgia Health System (Brunswick, GA)
- …and are the key to our culture of Service Excellence. As a Resource Management Coordinator , you will conduct medical record reviews of all denied inpatient ... responsible for: Coordinates concurrent and retro precertification processes. Assesses payer denials for appropriateness of appeal and initiates the appeal process… more
- 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 ... provider meetings/ workshops when neededCommunicate with billing and credentialing coordinator to identify and resolve audit review issuesAnswer/respond to… more
- Universal Health Services (Oakland Park, FL)
- …https://ftlauderdalebehavioral.com We are pleased to announce the following available position: Utilization Management Coordinator - RN Denials & Appeals ... (Experience a must) The main duties of the UM Coordinator - RN are: to coordinate and monitor appropriate...meet deadlines. + Intermediate computer skills. + Organizational, time management , problem solving, crisis management skills as… more
- University of Utah (Salt Lake City, UT)
- …PRN37990B **Job Title** Coding Educator **Working Title** Medical Coding and Denials Educator **Job Grade** F **FLSA Code** Administrative **Patient Sensitive Job ... the direction of the Quality Assurance Manager, the Medical Coding and Denials Educator is responsible for providing quality assurance education, analysis, and… 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 ... https://westoakshospital.com/ West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator PRN to join our team of compassionate,… 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 ... be spent in the following activities: **Monitor Advanced Beneficiary Notices and denials as it relates to medical necessity requirements. **Identify and evaluate … more
- Complete Specialty Solutions (Houston, TX)
- …about treatments Qualifications: + 2+ years of experience in dental office management / coordinator roles + Cross-trained in both oral surgery and orthodontic ... 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 ... in acute care hospital or clinic preferred. + Experience assisting case management and/or denials prevention programs preferred. Skills + Exceptional oral… more
- Spokane County (Spokane, WA)
- …Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization management , utilization review, or ... Integrated Care Coordinator - SCRBH Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4316289) Apply Integrated Care Coordinator -… more
- UCLA Health (Los Angeles, CA)
- …you will be the primary point of contact for receiving and resolving member denials . You will review denials for accuracy, confirming the receipt of necessary ... documentation to support the denial and ensuring compliance with all contractual obligations and state and federal laws/regulations. You will extrapolate and summarize essential information for the UM Manager and Medical Director and regularly meet with them… more
- Gentiva (Lufkin, TX)
- …lives every day. **Overview** **We are opening a new Palliative Care Advanced Illness Management branch in Lufkin!** We are looking for a **Care Coordinator ... other operational activities related to the administration of the advanced illness management (AIM) and palliative care department by performing the following duties… more
- Houston Methodist (Katy, TX)
- …data, payor medical policies, etc.), determines the causes for coding related edits or denials and partners with management to ensure timely billing and denial ... is a plus** At Houston Methodist, the Ambulatory Payment Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits… more
- Wood County Hospital (Bowling Green, OH)
- Wood County Hospital is accepting applications for an RN Care Coordinator . This position is r esponsible for conducting patient assessments and ensuring completion ... necessity, level of care, length of stay, and authorization denials for inpatients and observation patients. Collaborates with the...Experience: + 1-year previous experience in UR and Case Management . + 2 years of acute care nursing experience… more
- Universal Health Services (Conway, SC)
- …Health Hospital is hiring for a Part Time RN Utilization Review Coordinator . Utilization Review / Risk Management Lighthouse Behavioral Health Hospital ... of care. + Plans and organizes the functions of the facilities Case Management system to minimize denials of payment. + Performs prospective, concurrent,… more
- University of Rochester (Rochester, NY)
- …identify lapses and changes in coverage. Works with billing office to monitor denials and write-off activity. Coordinator works independently and solves problems ... POSITION SUMMARY: Coordinates all aspects of patient financial account management for high dollar orthotics and prosthetics. Utilizes scheduling and registration… more
- Fresenius Medical Center (Kennesaw, GA)
- **PURPOSE AND SCOPE:** The Patient Intake Coordinator requires excellent sales and customer service skills. This position is responsible for placing new and existing ... (hospital discharge planners, FKC clinics, non-Fresenius clinics), the Patient Intake Coordinator is responsible for securing a schedule and ensuring that all… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Coding & Claims - Coordinator 1 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4375274) Coding & Claims - Coordinator 1 Salary Depends ... + Benefits Supplemental Information Please clickHERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Baton-Rouge-La/Coding Claims Coordinator -1\_R-000963-1?q=coding%20&%20claims) to apply. * Reviews and verifies accurate… more
- Intrepid USA (Springfield, MO)
- …process and team members Great work you'll do here : The Patient Care Coordinator provides clinical and management support to the Clinical Nursing Supervisor. ... position may also assist with staffing and scheduling as needed. The Patient Care Coordinator may also help with admissions or nursing visits in times of high census… more
- Sanford Health (SD)
- …8:30 am to 4 pm **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in accordance to established guidelines and ... physician. May also need to notify physician and patient of authorization denials . Inputs collected data into computer system for insurance communication, DRG… more
