- University of Iowa Hospitals & Clinics (Iowa City, IA)
- Description The Pharmacy Revenue Cycle Coordinator is a financial position in the healthcare industry necessary for hospital and pharmacy billing practices. This ... to clinic administered and outpatient medically billed medications. The Revenue Cycle Coordinator will also coordinate with pharmacy leadership and the UI Health… more
- Liberty Health (Wilmington, NC)
- …related to coding, medical records/documentation, pre-certification reimbursement and claim denials / appeals Use critical thinking and problem-solving to navigate ... us! We are currently seeking an experienced: UTILIZATION MANAGEMENT ADMINISTRATIVE COORDINATOR Full Time, Days SUMMARY: Day-to-day assistance with the management of… more
- Robert Half Office Team (Little Rock, AR)
- Description We are looking for a skilled Insurance Claims & Denials Coordinator to join our healthcare team in Little Rock, Arkansas. This Contract-to-Permanent ... opportunity for professionals experienced in medical insurance claims and denials . In this role, you will play a vital...processes. * Ensure timely follow-up on outstanding claims and appeals . * Provide reports and updates on claims status… more
- Robert Half Accountemps (Los Angeles, CA)
- …guidelines for use by examiners or Participant Services Representatives. * Assist Appeals Coordinator with the preparation of Benefits Committee appeal cases. ... IPA Group in Los Angeles is in the immediate need of a Grievance & Appeals Specialist. The Grievance & Appeals Specialist, will be in responsible for… more
- Community Health Systems (Franklin, TN)
- … ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
- Guthrie (Sayre, PA)
- …well as identifies, analyzes and takes the necessary action to submit complex appeals to insurance payers. Reviews all medical chart and account documentation in ... to determine appropriate coding and initiate corrected claims and appeals . Interprets payer guidelines, regulatory guidelines, contractual obligations and works… more
- Houston Methodist (The Woodlands, TX)
- …care benefits and post-acute care needs. + Streamlines concurrent insurance denials and/or appeals process, in collaboration with management and ... At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that...to ensure effectiveness of post-acute care referrals or minimize denials or delays. + Participates in action plans for… more
- Trinity Health (Hartford, CT)
- …**Shift:** Day Shift **Description:** **Position Purpose** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post service initial ... denials , securing escalated insurance authorizations, handling escalated medical necessity...research and application of regulatory policies to support administrative appeals . This role will be under the Pre-Service Insurance… more
- Baptist Memorial (Memphis, TN)
- …debt from potential write-offs due to lack of collections and overturns on payer denials through the appeals process. The role will collaborate with upper ... Overview The Denial Escalation Coordinator 's primary focus will be to escalate accounts...and report trends associated with the write off and appeals processes as well as provide education back to… 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
- Corewell Health (Watervliet, MI)
- …for communication with appropriate health insurance companies regarding authorizations and denials . Executes standard work regarding Medicaid appeals / denials ... for obtaining necessary prior authorizations, submitting documentation to appeal denials , and educating clinicians regarding proper documentation for all Inpatient… more
- Squirrel Hill Health Center (Pittsburgh, PA)
- …is a Federally Qualified Health Center (FQHC), seeking a dedicated Clinical Support Coordinator to join our team. The ideal candidate will ensure that healthcare ... insurance companies to streamline the authorization process. The Clinical Support Coordinator will assist SHHC Providers in managing and maintaining electronic or… more
- Guthrie (Cortland, NY)
- …for review and determination of coverage of ordered medications. *Coordinate and complete appeals for denials as needed *Monitor and Review REMS clearance for ... This is for a LPN Care Coordinator Part Time position in Infusion. 3 days-...3 days- 24 hours/week Position Summary: The LPN Care Coordinator will assist the providers with medication refills, patient… more
- Highmark Health (Oklahoma City, OK)
- …workflow within the department. + Prioritize requests for drug authorizations or denials . + Review of prior authorization criteria for drug products. + Recommend ... for guidance and assistance as necessary. + Document all authorizations and denials completely, accurately, and in accordance with timelines as defined by state… more
- Methodist Health System (Dallas, TX)
- …patient of surgery date and schedules 1 week post op appointment. * Handle all appeals and denials in conjunction with patient's care. * Participate in patient ... America) **Job Description :** Your Job: The Methodist Vascular Specialists Surgical Coordinator professional is responsible to Serve as the patient point of contact… more
- Rush University Medical Center (Chicago, IL)
- …appropriate path to obtain authorization and patient's financial responsibility. 5. Submits appeals for authorization denials . 6. Serves as resource to ... origin, disability, veteran status, and other legally protected characteristics. **Position** Intake Coordinator - Transplant **Location** US:IL:Chicago **Req ID**… more
- University of Rochester (Rochester, NY)
- …information and initiate corrected claim submission accordingly + Create and submit appeals for denials + Communicate with the department for authorization ... individual, and internal equity considerations._ **Responsibilities:** The Revenue Cycle Coordinator IV is responsible for monitoring, reviewing and resolving system… more
- Methodist Health System (Celina, TX)
- …patient of surgery date and schedules 1 week post op appointment. * Handle all appeals and denials in conjunction with patient's care. * Participate in patient ... 8X5 Day (United States of America) **Job Description :** Your Job: Surgical Coordinator professional responsible to Serve as the patient point of contact with the… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... documented in patient's medical records. + Reviews notices of potential denials and respond appropriately; ie facilitate Physician to Physician appeals… more
- Guthrie (Corning, NY)
- …for review and determination of coverage of ordered medications. * *Coordinate and complete appeals for denials as needed * *Monitor and Review REMS clearance ... Position Summary: The LPN Care Coordinator will assist the providers with medication refills, patient messages, in basket monitoring, overdue results, referrals,… more
