• Case Manager Assistant (LPN)

    Arkansas Children's (Little Rock, AR)
    …call. 5. Assist the manager in writing appeal letters for denials of in-patient admissions. Arkansas Children's (https://www.archildrens.org/about-us) is the only ... love, and hope while we champion children." Angela - Parking and Fleet Coordinator "Care, love, and hope for children!" Kathy - Administrative Assistant "When I… more
    Arkansas Children's (08/22/25)
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  • Contract Administrator II - Hybrid

    State of Colorado (CO)
    …(provider, program, purchasing, etc.) If claims are received for disallowed services, denials are processed and submitted to the provider The provider may resubmit ... or interviewing for this position, please direct your inquiries to our ADAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE STATE OF COLORADO… more
    State of Colorado (08/21/25)
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  • Referral Coord - Neuro

    SSM Health (Oklahoma City, OK)
    …first and helps you to feel valued while respecting teamwork and collaboration. Our referral coordinator roles are an integral piece in our care team and we see it ... insurance plan requirements. + Logs, tracks and reviews managed care approvals and denials . + Responds in a timely manner to last minute/emergency referrals or… more
    SSM Health (08/21/25)
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  • Utilization Review Specialist-Registered Nurse…

    Blessing Hospital (Quincy, IL)
    …Educational assistance opportunities JOB SUMMARY + Collaborates with the Clinical Care Coordinator (C3) to provide care specific clinical information to third party ... care appropriate to each patient. Coordinates, manages, monitors, and tracks denials . This position requires full understanding and active participation in… more
    Blessing Hospital (08/16/25)
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  • Hospital Liaison/Community Relations Marketer

    Sodus Rehab & Nursing Center (Cortlandt, NY)
    …an admission. Maintain statistics indicating customer flow, pending and lost inquiries, denials , hospital discharges and marketing activity and submit to regional ... coordinator as requested. + Works with the Administrator and facility staff to ensure consistent, effective admissions, discharge and transfer meetings are conducted… more
    Sodus Rehab & Nursing Center (08/13/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …Responsible for managing department referrals. + Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists, and ... insurance company by applying knowledge and experience of previous authorization requests, denials , and approvals. + On behalf of the provider and the University,… more
    University of Rochester (08/09/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …+ Responsible for managing department referrals. Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists and ... insurance company by applying knowledge and experience of previous authorization requests, denials and approvals. On behalf of the provider and the University,… more
    University of Rochester (08/07/25)
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  • Pharmacy Technician III - HUP

    Penn Medicine (Philadelphia, PA)
    …and prescription benefit administrators to coordinate drug coverage or resolve denials Provides education to Pharmacy, Patient Financial Counselors, and Care ... in a community-based retail or hospital outpatient pharmacy environment or a financial coordinator . ( **Required** ) We believe that the best care for our patients… more
    Penn Medicine (08/07/25)
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  • Intake Clinician

    UnityPoint Health (Sioux City, IA)
    …you an excellent communicator and attentive to detail? The Acute Rehabilitation Program Coordinator is an integral part of a collaborative effort to identify and ... served. + Communicates with external sources for insurance approvals and denials . + Submits completed Rehabilitation Patient Assessment instrument (IRF-PAI) to CMS… more
    UnityPoint Health (07/25/25)
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  • RN-Utilization Review Weekender Days

    Baptist Memorial (Meridian, MS)
    …when indicated + Communicates with physician advisors related to status concerns or denials + Updates auth/cert screen in the electronic medical record + Works ... queues in the electronic medical record + Communicates with authorization coordinator + Communicates in-house high dollar case information + Completes assigned… more
    Baptist Memorial (07/21/25)
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