- Hebrew SeniorLife (Roslindale, MA)
- …housing rights (eg accompanying clients to Housing Court, representing clients in administrative appeals of housing application denials , etc.) At the request of ... any necessary housing-specific follow-up in collaboration with the Supportive Services Coordinator In collaboration with the Program Director, conduct outreach to… 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 ... and coding issues. + Document all actions and interact with ancillary areas to secure needed assistance 30% On a quarterly basis initiate internal billing audits to ensure that payments are captured accurately and in full. Coordinate and provide support for… more
- Children's Mercy Kansas City (Kansas City, MO)
- …manages high risk administrative processes and data related to medical necessity denials , clinical appeals , long length of stay rounds, and ... tools and tracking to monitor status and outcomes of denials and appeals to identify trends and...and resolve insurance/payer issues; clinical care delivery concerns; Care Coordinator performance improv + Assists management in long length… 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
