- Christus Health (Emory, TX)
- …duties to include assisting with department process improvement, research for clinical faculty/resident projects, back-up to manager or floor nurses, maintaining ... and monthly reports and reports trends to clinic management, such as denials , unbilled, and audits. Responsible for the implementation of front-end processes.… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …BroadPath is seeking a highly motivated and results-driven **UM RN Appeals Coordinator .** This role collaborates with clinical review staff, medical ... flexibility in scheduling, including evenings and weekends, to address pharmacy-related denials + Educates physician reviewers and clinical review staff… more
- Stony Brook University (Stony Brook, NY)
- …to include tracking hours used/taken, sending timely notifications of leave approvals or denials , and working closely with payroll to ensure that pay for employees ... of return to work for employees on leave. + Collaborate with VP Coordinator (VPC), department administrators, and with employees' supervisors on all leave cases to… more
- Nuvance Health (Danbury, CT)
- …and facilitates communications with the System Business Office related to appeals, denial and clinical reviews 9. Reviews new denials and appeal upheld cases in ... Rotate Weekends/Evenings* *Summary:* Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs)… more
- Community Health Systems (Franklin, TN)
- …detailed data on reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. ... policy with periodic quality monitoring and evaluation of work products by the Coordinator and/or Director, Coding Denials and Appeals. + Partners with peers… more
- Community Health Systems (Franklin, TN)
- …concise and accurate information to secure timely authorizations and reduce potential denials , utilizing input from the Utilization Review Clinical Specialist. + ... **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals… more
- Bassett Healthcare (Cooperstown, NY)
- …enjoy the best quality of life possible. What you'll do The Nursing Clinical Coordinator is responsible for facilitating, planning, advocating, coordinating, and ... point person for complex patient issues that may be clinical in nature, service related or due to authorization...with Departmental Leadership as needed. + Participates in insurance denials on an as-needed basis. + Is a resource… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future … 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 ... Come join our team as a Medical Staff Services Coordinator . We care for our community! Just last year,...play a key role in the integration of HCA Clinical Strategies and HCA systems. 1. Medical Staff Administration… more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a(an) Medical Staff Coordinator WFH today with Work from Home. **Benefits** Work from Home offers a ... for benefits may vary by location._** Come join our team as a(an) Medical Staff Coordinator WFH. We care for our community! Just last year, HCA Healthcare and our… more
- Sharp HealthCare (San Diego, CA)
- …to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/ clinical training sessions. + Act ... benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under… more
- University of Washington (Seattle, WA)
- …to ensure reduction of denials . + Act as liaison between UW Medicine clinical departments and end users requiring assistance with complex OR Log error issues. + ... Revenue Cycle has** an outstanding opportunity for a **Program Coordinator - UW Medical Center Operating Room (OR) Biller**...charge processing and compliance + Notify the appropriate department clinical team of OR logs that require RN 3… more
- Corewell Health (Royal Oak, MI)
- …coordinate and support patient registrations/scheduling/billing-coding while monitoring and tracking denials . The Program Coordinator support for all front-desk ... 8:00 am to 4:30 pm Job Summary The Program Coordinator is a member of the leadership team who...is a member of the leadership team who provides clinical and administrative support of the day-to-day operations for… more
- Truman Medical Centers (Kansas City, MO)
- …to search for positions and apply.** Ambulatory Medication Access Coordinator - Pharmacy - UH Truman Medical Center (Mon - ... **Hours Per Week** 40 **Job Description** **Ambulatory Medication Access Coordinator (AMAC)** _Empowering Access. Elevating Outcomes._ Join our patient-centered team… more
- Sodus Rehab & Nursing Center (Sodus, NY)
- …Dental insurance + Health insurance + Paid time off OVERVIEW: The admissions Coordinator reports to the Administrator. The admissions Coordinator will ensure ... to readmission into the facility. + Obtain necessary approvals on financial and clinical criteria for all referrals. + Input all patient referral information into… more
- Lawrence General Hospital (Methuen, MA)
- …for appropriate financial and clinical outcomes of these patients. The RN Care Coordinator will be assigned to selected areas of the Hospital on a rotating basis ... Job Description: The RN Care Coordinator is responsible for overseeing the appropriateness of...the attending MD to reduce the possibility of reimbursement denials * Provides clinical information necessary for… more
- Diversicare Healthcare Services & Diversicare Ther (Montgomery, AL)
- …**Responsibilities** **Join Diversicare Healthcare Services as our Health Information Management Coordinator and take charge of our medical records with precision ... role involves maintaining accurate and comprehensive active medical records, conducting clinical record audits, and educating our team on Electronic Health Records.… more
- Cardinal Health (Sacramento, CA)
- Coordinator , Benefits Eligibility and Authorization **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations Management ... also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator , Benefits Eligibility and Authorization may be asked to perform other… more
- Guthrie (Binghamton, NY)
- …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 ... of ordered medications. + Coordinate and complete appeals for denials as needed + Monitor and Review REMS clearance...care while they are not in the office LPN Clinical Care + Dressing changes, injections, rooming and patient… more
- Highmark Health (Montpelier, VT)
- …workflow within the department. + Prioritize requests for drug authorizations or denials . + Review of prior authorization criteria for drug products. + Recommend ... obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document all… more
