• Denials Appeals Coordinator

    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 (10/14/25)
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  • Denials Prevention & Appeals…

    Nuvance Health (Danbury, CT)
    …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. Reviews ... Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and other stakeholders in ensuring… more
    Nuvance Health (10/10/25)
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  • Clinical Denials Prevention…

    University of Michigan (Ann Arbor, MI)
    Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary** The Clinical Denials Prevention & Appeals Specialist role is entirely remote. ... The Clinical Denials Prevention & Appeals Specialist plays a critical role in optimizing the...their meticulous work + Collaborate with leadership and CDI Coordinator to conduct new-hire training and orientation. **Required Qualifications… more
    University of Michigan (10/07/25)
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  • CHS Utilization and Appeals…

    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
    Catholic Health Services (09/09/25)
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  • DRG Denials Auditor

    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 (09/09/25)
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  • Appeals Specialist II - RN/LPN (Remote)

    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 (10/14/25)
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  • Appeals Specialist II

    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 (10/10/25)
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  • Physician Advisor Clinical Appeals

    CommonSpirit Health (Englewood, CO)
    …are seeking a highly skilled individual to develop and submit clinical appeals , expertly crafting physician-aligned letters based on federal and state regulations, ... audit-ready case files with denial rationales and P2P documentation, ensuring successful appeals across all levels (1-5), including IRO and ALJ reviews, utilizing… more
    CommonSpirit Health (09/28/25)
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  • Denial Coordinator

    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 (10/10/25)
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  • Denial Coordinator

    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 (10/10/25)
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