- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking a highly motivated and results-driven **UM RN Appeals Coordinator .** This role collaborates with clinical review staff, medical ... to ensure consistent clinical evaluation and processing of medical necessity appeals . Accurate documentation and detailed recordkeeping of notifications to members… more
- Community Health Systems (Franklin, TN)
- …reduce future denials , and ensure compliance with payer guidelines. As a Denial Appeals Coordinator at Community Health Systems (CHS) - PCCM, you'll play a ... **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving...BARRT, and other host systems, ensuring timely follow-up on denials and appeals . + Conducts follow-up calls… more
- Nuvance Health (Danbury, CT)
- …Business Office related to appeals , denial and clinical reviews 9. Reviews new denials and appeal upheld cases in work queue and incoming fax queue. 10. Reviews ... Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and other stakeholders in ensuring… more
- Community Health Systems (Franklin, TN)
- …denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education ... of work products by the Coordinator and/or Director, Coding Denials and Appeals . + Partners with peers and Director to develop coder education based… more
- Community Health Systems (Antioch, TN)
- …in Artiva, HMS, Hyland, BARRT, and other host systems, ensuring timely follow-up on denials and appeals . + Conducts follow-up calls and payer portal research to ... **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving...reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …monthly meetings with departments to discuss trends, opportunities, etc. Assists Revenue Integrity Coordinator with denials appeals . Close out each tracked ... Overall works to increase revenue capture. Assists Revenue Integrity Coordinator with Medical Center denials process as...Assists Revenue Integrity Coordinator with Medical Center denials process as needed. Facility resource for denials… more
- Community Health Systems (Franklin, TN)
- … ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
- Thrive Proactive Health (Virginia Beach, VA)
- …third-party billing partners while learning the ins and outs of insurance billing, denials , appeals , and patient financial support. This position is ideal for ... Management : Submit and follow up on claims, corrected claims, and appeals . + Denials & A/R Management : Investigate, appeal, and resolve denied claims; manage… 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
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251119-5613FP-001 Location Middletown, CT Date Opened 12/11/2025 12:00:00 AM Salary ... - is accepting applications for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) (REGULATORY) position, located in Middletown, CT. New:… more
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