- Penn Medicine (Philadelphia, PA)
- …Coordinator is responsible for management of lists and processes related to denials and appeals . Coordinator also prepares quarterly denial reports by ... future each day. Are you living your life's work? **Summary:** + The Clinical Appeals Coordinator will play an essential role in maximizing collection of revenue… more
- Crossroads Hospice & Palliative Care (Green, OH)
- …ages and backgrounds + Problem-solving skills to research and resolve discrepancies, denials , appeals , collections Billing Coordinator Schedule & Benefits: ... we can create lasting impacts that transcend medical treatment. Billing Coordinator Responsibilities: + Obtain referrals and pre-authorizations as required for… more
- Catholic Health Services (Melville, NY)
- …Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization ... management and appeals functions to include coordination of specific process and...accurate utilization data in a timely fashion. | Monitors denials as well as all financial metrics associated with… more
- Community Health Systems (Fort Smith, AR)
- …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 Remote Denial Coordinator - Registered Nurse - PRN is responsible...reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal… more
- Houston Methodist (Houston, 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
- UNC Health Care (Hendersonville, NC)
- …Denial and RAC process, including requests, follow-ups, tracking of approvals and denials , and completing appeals . Oversees/maintains the denial and RAC ... of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator (RN) is responsible and accountable for all Care Management Denial and… more
- Nuvance Health (Danbury, CT)
- …managers, Case Management Operation Coordinators, and Insurance companies. Sends provider appeals to insurance companies including Medicare and Medicaid for entire ... Reviews denial letters through daily mail. 3. Identifies retro denials and documents appropriately. 4. Notifies new retro ...Creates a weekly assignment for director to review for appeals . 6. Communicates with insurance companies to schedule a… 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
- Hackensack Meridian Health (North Bergen, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of the healthcare team and is responsible ... the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length of… 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
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