- Community Health Systems (Franklin, TN)
- **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... reduce future denials, and ensure compliance with payer guidelines. As a Denial Coordinator at Community Health Systems (CHS) - SSC Nashville, you'll play a… 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 ... departments, and revenue cycle teams to identify and address denial trends. This role plays a critical part in...compliance with payer guidelines. **Essential Functions** + Monitors assigned denial pools and work queues in Artiva, HMS, Hyland,… more
- Cardinal Health (Nashville, TN)
- …building relationships of trust with customers and internal business partners. The Coordinator , Collections is responsible for the timely follow-up and resolution of ... explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment. + Document all collection activities in the billing… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
- Cardinal Health (Nashville, TN)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... experience, preferred. + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare, Medicaid, commercial insurance… more
- Highmark Health (Nashville, TN)
- …to prescribing physician and impacted member. + Populate all authorization and denial information fields within the OnBase information system. + Enter all ... authorizations into the Argus IPNS information system to allow claim adjudication. + Complete other assigned duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy… more
- Community Health Systems (Franklin, TN)
- …with access to the 3M encoder. + Captures detailed data on reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in… more
- Humana (Nashville, TN)
- …is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced ... apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and… more
- Carrington (Franklin, TN)
- …procedures. + Acts as liaison with outside broker, and internal broker coordinator , processor, processing, underwriting, and closing to ensure timely loan closings. ... Ensures compliance deadlines are met with regards to pre-disclosures, approval letters and denial notices. + Work, maintain and update contacts in the CRM system. +… more