- 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
- 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
- Robert Half Accountemps (Cleveland, OH)
- Description We are looking for a skilled Revenue Cycle Coordinator to join our team in Cleveland, Ohio. This long-term contract position involves managing accounts ... prior periods. * Contact insurance companies to identify reasons for claim denials and take appropriate corrective action. * Prepare and submit documentation… 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
- Mount Sinai Health System (Wantagh, NY)
- …in accordance with policies and procedures. + 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
- Sharp HealthCare (San Diego, CA)
- …benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under ... issued accurately and served timely to members or responsible party.Ensures that all denials for medical necessity are issued under the direction of the appropriate… 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
- 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 ... Of Week :** 5 **Work Shift :** **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
- Corewell Health (Grand Rapids, MI)
- …verifies that prior authorization has been obtained; assists with retroactive insurance denials / appeals . + Responsible for complex EMR/EHR scanning and Right Fax ... faxing and uploading to EPIC. + Assists with training new team members utilizing standard work. + Ability to perform the role of Patient Services Representative, Associate when necessary. + Actively participates in safety initiatives and risk mitigating… more
- Robert Half Accountemps (Houston, TX)
- …account clean-up projects with accuracy and efficiency. + Review claims and denials to assess validity and facilitate their resolution. + Identify missing ... proper documentation necessary for claim resolution. + Manage disputes and appeals by crafting compelling arguments for settlement outcomes. + Collaborate across… more
- Sutter Health (San Francisco, CA)
- …or third-party payers as necessary to gather additional information and convey approvals, denials or appeals . + Provides excellent customer service by listening ... to provider, staff and patient concerns and assisting them in resolving issues in a courteous manner while documenting appropriately. + Cross-trains others to assure consistent coverage; provide back up support as needed. **EDUCATION:** HS Diploma or GED… 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
- 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
- Fair Haven Community Health Care (New Haven, CT)
- …prides itself on efficient billing services including the filing of claims, appeals processing, authorizations, and, above all, a great passion for helping ... individuals obtain treatment. The Billing Specialist/Dental Authorization Coordinator works with the Billing and Dental department verifying benefits for patients… more
- University of Rochester (Rochester, NY)
- …compliance, insurance company barriers and tracking all assistance provided. Plans, executes, appeals and follows through on all aspects of the process which has ... Responsible for managing department referrals. + Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists, and… more
- University of Rochester (Rochester, NY)
- …company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... insurance company by applying knowledge and experience of previous authorization requests, denials and approvals. On behalf of the provider and the University,… more
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