- 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 ... reduce future denials, and ensure compliance with payer guidelines. As a Denial Coordinator at Community Health Systems (CHS) - SSC Nashville, you'll play a… 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 ... departments, and revenue cycle teams to identify and address denial trends. This role plays a critical part in...compliance with payer guidelines. **Essential Functions** + Monitors assigned denial pools and work queues in Artiva, HMS, Hyland,… more
- Community Health Systems (Franklin, TN)
- …pre pay insurance denials, correlating with the follow-up teams. + Works closely with Denial Coordinator , Facility Denial Liaison, and Managed Care ... The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report trending.… more
- Community Health Systems (Clarksville, TN)
- **Job Summary** The Admissions Coordinator II ensures accurate patient registration and financial clearance for hospital services by verifying insurance eligibility, ... patients, physician offices, and internal departments, supporting account accuracy, denial prevention, and a positive patient experience. **Essential Functions** +… more
- Evolent (Nashville, TN)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances** at Evolent is responsible for reviewing and processing ... prior authorization experience. This role is distinct from other coordinator positions in that it is dedicated to case...BCBS TN Rad Onc IROs, Out of Network Benefit Denial packets, Overturns, and other special requests received via… more
- Highmark Health (Nashville, TN)
- …to prescribing physician and impacted member. + Populate all authorization and denial information fields within the OnBase information system. + Enter all ... authorizations into the Argus IPNS information system to allow claim adjudication. + Complete other assigned duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy… more
- Community Health Systems (Franklin, TN)
- …with access to the 3M encoder. + Captures detailed data on reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in… more
- Carrington (Franklin, TN)
- …procedures. + Acts as liaison with outside broker, and internal broker coordinator , processor, processing, underwriting, and closing to ensure timely loan closings. ... Ensures compliance deadlines are met with regards to pre-disclosures, approval letters and denial notices. + Work, maintain and update contacts in the CRM system. +… more
- Covenant Health Inc. (Crossville, TN)
- …+ Maintain strict confidentially of patient information. + Recommends to the Coordinator updates to existing police and procedures that support our values and ... opportunities to improve overall collections and cash flow. + Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and ... opportunities to improve overall collections and cash flow. + Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with… more