- Community Health Systems (Franklin, TN)
- **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution,...ensure compliance with payer guidelines. As a Denial Appeals Coordinator at Community Health Systems (CHS) - PCCM, you'll… more
- Nuvance Health (Danbury, CT)
- …and facilitates communications with the System Business Office related to appeals, denial and clinical reviews 9. Reviews new denials and appeal upheld cases in ... Rotate Weekends/Evenings* *Summary:* Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs)… more
- Community Health Systems (Franklin, TN)
- …detailed data on reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. ... policy with periodic quality monitoring and evaluation of work products by the Coordinator and/or Director, Coding Denials and Appeals. + Partners with peers… more
- Community Health Systems (Franklin, TN)
- …concise and accurate information to secure timely authorizations and reduce potential denials , utilizing input from the Utilization Review Clinical Specialist. + ... **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals… more
- Bassett Healthcare (Cooperstown, NY)
- …enjoy the best quality of life possible. What you'll do The Nursing Clinical Coordinator is responsible for facilitating, planning, advocating, coordinating, and ... point person for complex patient issues that may be clinical in nature, service related or due to authorization...with Departmental Leadership as needed. + Participates in insurance denials on an as-needed basis. + Is a resource… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future … 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 ... Come join our team as a Medical Staff Services Coordinator . We care for our community! Just last year,...play a key role in the integration of HCA Clinical Strategies and HCA systems. 1. Medical Staff Administration… more
- Dignity Health (Camarillo, CA)
- … and Physician Advisor status recommendations to the appropriate Care Coordinator and documents any related authorizations, denials or status determinations ... **Job Summary and Responsibilities** **Care** ** Coordinator ** **Assistant - Care Coordination** **St. John's Regional...assigned tasks or activities that do not require a clinical license. + This position may obtain patient or… more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a(an) Medical Staff Coordinator WFH today with Work from Home. **Benefits** Work from Home offers a ... for benefits may vary by location._** Come join our team as a(an) Medical Staff Coordinator WFH. We care for our community! Just last year, HCA Healthcare and our… more
- Sharp HealthCare (San Diego, CA)
- …to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/ clinical training sessions. + Act ... benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under… more