- BroadPath Healthcare Solutions (Tucson, AZ)
- …is seeking a highly motivated and results-driven **UM RN Appeals Coordinator .** This role collaborates with clinical review staff, medical directors/physician ... flexibility in scheduling, including evenings and weekends, to address pharmacy-related denials + Educates physician reviewers and clinical review staff on managed… more
- Stony Brook University (Stony Brook, NY)
- …to include tracking hours used/taken, sending timely notifications of leave approvals or denials , and working closely with payroll to ensure that pay for employees ... of return to work for employees on leave. + Collaborate with VP Coordinator (VPC), department administrators, and with employees' supervisors on all leave cases to… more
- 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)
- …System 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. ... mail and sets up appropriate P2Ps. 11. Identifies retrospective denials , documents appropriately and routes to Denial Prevention RN...the payer specific timeframe. 13. Documents and updates the denials status in the denial tracking tool in a… more
- Corewell Health (Royal Oak, MI)
- …coordinate and support patient registrations/scheduling/billing-coding while monitoring and tracking denials . The Program Coordinator support for all front-desk ... 8:00 am to 4:30 pm Job Summary The Program Coordinator is a member of the leadership team who...in leading education, training, and ongoing competency. The Program Coordinator provides direction and support for supervisors, manager, Medical… more
- Roper St. Francis (North Charleston, SC)
- …work closely with all payors to resolve appeals and find speedy resolution to denials . The Accounts Coordinator is responsible for managing UKG scheduling and ... - 5:00 PM** **Job Summary** **:** The LifeLink Accounts Coordinator handles billing and follow-up of all LifeLink claims...enable claims to get paid timely and accurately. The coordinator will provide excellent customer service and support in… 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. ... periodic quality monitoring and evaluation of work products by the Coordinator and/or Director, Coding Denials and Appeals. + Partners with peers and Director to… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …meetings with departments to discuss trends, opportunities, etc. Assists Revenue Integrity Coordinator with denials appeals. Close out each tracked denial ... 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
- Trinity Health (Hartford, CT)
- …services. **What you will do** + Responsible for authorization and denials within Case Management ensuring appropriate authorization for inpatient hospital ... and denial processes + Supports the needs of the Case Management Utilization Coordinator team using data, system reports, and analytics + Develops and Implements… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
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Appeals Denials Coordinator,
Clinical Denials Coordinator,
Coordinator,
Denials