• SF Oncology Authorization Coordinator

    Sutter Health (San Francisco, CA)
    …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
    Sutter Health (07/24/25)
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  • Clinical Resource Coordinator - Inpatient…

    Sharp HealthCare (San Diego, CA)
    …assesses and select the appropriate denial reason. Maintain mandated TAT for denials .Obtains and gathers clinical information from multiple sources including use of ... Sharp and/or Hospital applications to retrieve patient medical records for review by Hospitalist Case Managers, SNF's or outpatient service providers.Verifies and documents eligibility and benefit details.Obtains prior authorizations for specific medications,… more
    Sharp HealthCare (07/11/25)
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  • Radiology Scheduling Coordinator…

    Mount Sinai Health System (New York, NY)
    …+ Access to the EPIC clinical information to submit to insurance companies to avoid denials and delays - routing request for peer to peer to the appropriate APP + ... Scheduling for Radiology Procedures - based on urgency, provider/practice appointment and clinical protocols - ie 2 week post op imaging; having imaging completed before meeting to discuss surgery planning + Ability to schedule Stat imaging and add on… more
    Mount Sinai Health System (06/18/25)
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  • Admissions Coordinator

    Bear Mountain Health Care (Hanover, NH)
    …all necessary paperwork from Managed Care companies including authorizations and denials for admission - Communicate with facility, hospitals, and liaisons regarding ... patient status, availability, and potential admissions. - Marketing and media campaign efforts. Qualifications + Previous experience in Skilled Nursing facility a plus + Familiarity with medical software and equipment + Calm demeanor + Ability to thrive in a… more
    Bear Mountain Health Care (05/19/25)
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  • AR Revenue Cycle Specialist III - #Staff

    Johns Hopkins University (Middle River, MD)
    …of claims. Communicates with providers regarding appeals and medical policy denials and provides appropriate proactive guidance for future practice. Review chart ... either electronically or by paper. Will monitor and identify trends in denials and recommend systematic proactive changes for continuous improvement. Will mentor and… more
    Johns Hopkins University (06/24/25)
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  • Director Case Management

    Brockton Hospital (Brockton, MA)
    …rounds. Proactively builds post hospital referrals and sends to the Transition Care Coordinator when indicated to facilitate timely discharge. Acts as a change agent ... ensure compliance with Signature Healthcare Hospital standards, prompt notification of denials , questionable cases and cases referred for outside review. Monitors… more
    Brockton Hospital (06/13/25)
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  • Utilization Review RN Point of Entry

    Trinity Health (Des Moines, IA)
    …and Admitting Department. + Collaborates with the Recovery Audit Contractor (RAC) Coordinator and Conifer for Medicare/Medicaid RAC Denials management. **MINIMUM ... along with any communications. + Collaborates with MercyOne Post Denials team to determine potential appeals or downgrades and...or portal in a timely manner to prevent technical denials . + Enters authorization, approvals and denials … more
    Trinity Health (07/30/25)
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  • High Risk Nurse Care Manager

    Children's Mercy Kansas City (Kansas City, MO)
    …high risk administrative processes and data related to medical necessity denials , clinical appeals, long length of stay rounds, and clinically/financially risky ... patients. Uses data tools and tracking to monitor status and outcomes of denials and appeals to identify trends and opportunities for the patient population,… more
    Children's Mercy Kansas City (06/18/25)
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  • Coord Physician Adv Ops

    Covenant Health Inc. (Knoxville, TN)
    Overview Physician Advisor Operations Coordinator , Revenue Integrity and Utilization PRN/OCC, Variable Hours, Day Shift Covenant Health Overview: Covenant Health is ... Employer" seven times. Position Summary: The Physician Advisor Operations Coordinator will perform activities to help facilitate utilization management functions… more
    Covenant Health Inc. (08/01/25)
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  • Supervisor, Post Acute Complex Care

    ChenMed (Miami, FL)
    …rehabilitation facility staff. The incumbent is responsible for training new Post Acute Coordinator (PHC) and quality assurance of their work of a defined region. ... processes, contribution to team growth and data quality strategy, Post Acute Coordinator interviewing and function coverage in regions outside of their usual Post… more
    ChenMed (07/18/25)
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