- Community Health Systems (Franklin, TN)
- **Job Summary** The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely ... trends that can improve claim outcomes. As a Denial Appeals Coordinator at Community Health Systems (CHS)...to ensure all follow-up dates are current. + Analyzes denials to determine appropriate actions, completes appeals ,… 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 (Franklin, TN)
- …to facilities regarding denials that are resulting in retractions. As an Appeals Specialist II at Community Health Systems (CHS) - SSC Nashville, you'll play a ... **Job Summary** The Appeals Specialist II, under the direction of the...Responsible for review and resolution of pre pay insurance denials , correlating with the follow-up teams. + Works closely… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report ... of data and information. This position provides feedback to facilities regarding denials that are resulting in retractions. **Essential Functions** + Responsible for… more
- Community Health Systems (Franklin, 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
- Community Health Systems (Franklin, 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
- Cardinal Health (Nashville, TN)
- …to check claim status, request reprocessing or escalate issues. + Analyze denials and underpayments to determine appropriate action ( appeals , corrections, ... Coordinator , Collections **_What Collections contributes to Cardinal Health_**...resubmissions). + Track and follow up on all submitted appeals until resolution. + Analyze explanation of benefits (EOBs)… more
- Highmark Health (Nashville, TN)
- …workflow within the department. + Prioritize requests for drug authorizations or denials . + Review of prior authorization criteria for drug products. + Recommend ... for guidance and assistance as necessary. + Document all authorizations and denials completely, accurately, and in accordance with timelines as defined by state… more
- Cardinal Health (Nashville, TN)
- …obtain authorization for all requested procedures, tests, drugs, etc. The Senior Coordinator , Benefits Eligibility and Authorization may be asked to perform other ... registration overlay + Take any action necessary for any denials received by the payor to inform the clinician...to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity.… more
- Cardinal Health (Nashville, TN)
- …identifies trend that inhibit timely payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with ... recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. + Works / Understands electronic… more