- Robert Half Office Team (Little Rock, AR)
- Description We are looking for a skilled Insurance Claims & Denials Coordinator to join our healthcare team in Little Rock, Arkansas. This Contract-to-Permanent ... opportunity for professionals experienced in medical insurance claims and denials . In this role, you will play a vital...processes. * Ensure timely follow-up on outstanding claims and appeals . * Provide reports and updates on claims status… more
- Penn Medicine (Bala Cynwyd, PA)
- …employees shape our future each day. Are you living your life's work? **Data Coordinator , Government Audits and Appeals ** Job Summary: + The Data Coordinator ... the direction of the Director of Hospital Compliance, Government Audit and Appeals , receives, reviews, and enters data into the audit tracking database according… more
- Robert Half Accountemps (Los Angeles, CA)
- …guidelines for use by examiners or Participant Services Representatives. * Assist Appeals Coordinator with the preparation of Benefits Committee appeal cases. ... IPA Group in Los Angeles is in the immediate need of a Grievance & Appeals Specialist. The Grievance & Appeals Specialist, will be in responsible for… more
- 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
- Houston Methodist (The Woodlands, TX)
- …care benefits and post-acute care needs. + Streamlines concurrent insurance denials and/or appeals process, in collaboration with management and ... At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that...to ensure effectiveness of post-acute care referrals or minimize denials or delays. + Participates in action plans for… more
- Corewell Health (Southfield, MI)
- …concurrent appeals to address patient class/status downgrades or clinical denials related to medical necessity. + Participates within the department to meet ... reviews. Coordinates activities involved in the certification, recertification, and concurrent appeals process, conducting referrals for 2nd level review, as needed.… 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
- 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
- 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 (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