• Enrollment Coordinator -Healthcare

    NTT DATA North America (Cumberland, RI)
    NTT DATA Services currently seeks an Enrollment Coordinator -Healthcare to join our team in Cumberland, RI. This is a hybrid role: 4 days per week in office/1 day ... and CPM's) in regards to escalation notices. * The Payer Enrollment Coordinator will be responsible for identifying and quantifying trends/issues and then… more
    NTT DATA North America (07/18/25)
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  • Children's Long-Term Support Waiver Service…

    Kenosha Human Development Services (Kenosha, WI)
    …Community Resource Center Location: Main Office Job Title: CLTS Waiver Service Coordinator Reports To: CLTS Waiver Program Manager Type of Position: Full-time FLSA ... information, please click on this link: CLTS Waiver Service Coordinator 7-9-2025 (http://www.khds.org/wp-content/uploads/Postings/393.pdf) POSITION SUMMARY Provide general social work/case… more
    Kenosha Human Development Services (07/11/25)
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  • Clinical Support Coordinator

    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
    Squirrel Hill Health Center (07/10/25)
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  • Sr. Compliance Coordinator -Billing…

    BJC HealthCare (St. Louis, MO)
    …Country, MO. **Preferred Qualifications** **Role Purpose** The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG specialty provider ... ensures compliance with governmental regulations. Additionally, the Senior Compliance Coordinator collaborates with departments in providing appropriate education to… more
    BJC HealthCare (07/09/25)
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  • LPN Care Coordinator - Part Time - Infusion…

    Guthrie (Cortland, NY)
    This is for a LPN Care Coordinator Part Time position in Infusion. 3 days- 24 hours/week Position Summary: The LPN Care Coordinator will assist the providers ... determination of coverage of ordered medications. *Coordinate and complete appeals for denials as needed *Monitor and Review REMS clearance for monthly refills of… more
    Guthrie (07/01/25)
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  • Precertification Coordinator - Neurology…

    Ascension Health (Pensacola, FL)
    …Notify case management about interactions with insurance companies regarding services. + Manage denials or potential denials as described by insurer. + Monitor ... and review applicable schedule to ensure that authorization and initial length of stay is obtained and on file. **Requirements** Education: + High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. + Note: Required… more
    Ascension Health (07/31/25)
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  • RN Utilization Management Coordinator PRN

    Corewell Health (Southfield, MI)
    …Initiates concurrent appeals to address patient class/status downgrades or clinical denials related to medical necessity. + Participates within the department to ... payers to obtain authorization and reauthorization information and addresses concurrent denials and/or audit requests. + Provides UR and clinical documentation is… more
    Corewell Health (07/31/25)
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  • Clinical Documentation Integrity (CDI)…

    Trinity Health (Livonia, MI)
    …reimbursement and compliance management as it relates to CDI. Assists with denials management, complex case resolution and may perform CDI reviews as directed. ... education for clinicians. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports… more
    Trinity Health (07/30/25)
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  • Market Director Care Coordinator…

    CommonSpirit Health (Rancho Cordova, CA)
    …Services, including but not limited to medical necessity reviews and denials management. Oversees Clinical Care Coordination functions within the facilities in ... aimed at improving patient Length of Stay (LOS), decreasing concurrent denials , streamlining patient authorizations, and enhancing care coordination quality of care.… more
    CommonSpirit Health (07/13/25)
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  • Provider Enrollment Coordinator

    Trinity Health (Des Moines, IA)
    …communication between payers and leadership and facilitate resolution of denials . Collaboratively work with several different departments and payer contacts ... payer representatives. Collaborates with payer representatives to assist with claim denials . Demonstrates flexibility and adapts to changes in workload and… more
    Trinity Health (07/01/25)
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