- UNC Health Care (Goldsboro, NC)
- …all denial requests and leads the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first and second levels of an ... the Physician Advisors and subject matter experts for all audit and appeals work activities. Assists with documentation review to support the clinical documentation… more
- Catholic Health Services (Melville, NY)
- …Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization ... management and appeals functions to include coordination of specific process and...reflecting accurate utilization data in a timely fashion. Monitors denials as well as all financial metrics associated with… more
- Community Health Systems (Franklin, TN)
- …denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education ... of work products by the Coordinator and/or Director, Coding Denials and Appeals . + Partners with peers and Director to develop coder education based… more
- Insight Global (Nottingham, MD)
- …Requirements * High school diploma or equivalent * 3+ years' experience working in denials (following up on appeals , making adjustments, etc.) * Experience with ... to Day: Insight Global is looking for a Denial Coordinator to support a large hospital system in the...will be overseeing and managing the insurance denial and appeals process to minimize financial risk and improve reimbursement… more
- AdventHealth (Tampa, FL)
- …claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with developing and implementing strategies and procedures to ... ro** **le you'll contribute:** The Ambulatory Payment Classification (APC) Coordinator is responsible for assigning, monitoring, and evaluating the...reduce denials , maximize reimbursements, and promote faster payment. Resolves claim… 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
- Robert Half Accountemps (Orlando, FL)
- …with the ability to negotiate and resolve payment issues. * Knowledge of medical denials and appeals processes. * Expertise in hospital billing systems and ... Description We are looking for a detail-oriented Contracts Coordinator to join our team in Orlando, Florida. In this role, you will play a vital part in managing… more
- Houston Methodist (Houston, TX)
- …| 8:00 AM - 5:00 PM At Houston Methodist, the International Finance Coordinator (IFC) position is responsible for performing the daily tasks of the Finance ... Department and provides prompt internal and external problem resolution. + Identifies denials trends and notifies department management to prevent future denials … more
- Mount Sinai Health System (New York, NY)
- …in accordance with policies and procedures. 3. May run and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a ... **Job Description** The Offsite Billing Coordinator is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits… more
- Cardinal Health (Fresno, CA)
- …to check claim status, request reprocessing or escalate issues. + Analyze denials and underpayments to determine appropriate action ( appeals , corrections, ... building relationships of trust with customers and internal business partners. The Coordinator , Collections is responsible for the timely follow-up and resolution of… more
- Highmark Health (Dover, DE)
- …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
- Guthrie (Binghamton, NY)
- …for review and determination of coverage of ordered medications. + Coordinate and complete appeals for denials as needed + Monitor and Review REMS clearance for ... that qualify Monday through Friday 8:00am-4:30pm Position Summary: The LPN Care Coordinator will assist the providers with medication refills, patient messages, in… 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
- Methodist Health System (Mansfield, 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 ... :** **Job Description :** Your Job: Certified Medical Assistant -Preferred. Surgical Coordinator professional 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
- Cardinal Health (Nashville, TN)
- …identifies trend that inhibit timely payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with ... recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. + Works / Understands electronic… more
- Brockton Hospital (Brockton, MA)
- …external review agencies, to coordinate activities involved in medical record review, denials , appeals and reconsideration hearings. Works closely with the ... rounds. Proactively builds post hospital referrals and sends to the Transition Care Coordinator when indicated to facilitate timely discharge. Acts as a change agent… more
- University of Utah Health (Salt Lake City, UT)
- …responsibility, as assigned by payer/contract/benefit. + Resolves clinical and/or authorization denials through CARC analysis and appeals - including clinical ... EO/AA_ This position is responsible for insurance receivables collections, denials resolution and internal/external customer service. Account portfolio may include… more
- Garnet Health (Middletown, NY)
- …responsible for the day to day operation of the CDI department and DRG Denials appeals process. The Manager will develop, implement and evaluate processes, ... quality, completeness, and accuracy of medical record documentation. The Manager will evaluate denials and work closely with the outcomes manager and coding denial … more