- Locations: Illinois, Pennsylvania, Florida, California, Maryland
- Related Keywords: Coordinator, Denial, Denial Management, Management, Management Coordinator
- Billing Quality Coordinator
- Methodist Health System (Dallas, TX)
- ...or equivalent; 7 or more years of related work experience. Strong revenue cycle background preferred; 3-5 years of experience in denial management ; Knowledge of hospital patient access and patient accounting processes and systems; Capable of analyzing data in order to support the...
- Supervisor, Specialty Case Review
- CVS Caremark (Northbrook, IL)
- ...and procedures to health plan/employer specifics, and review of denial management processes. - Documentation and validation of...Specialty Program. - Collaborates with the Case Review Unit coordinator to process referrals. - Establishes and maintains communication among...
- Coordinator Reimbursement, Customer Service, Denial Management
- Northside Hospital (Atlanta, GA)
- ... Reimbursement, Customer Service and Denial Management to join our team. The Reimbursement, Customer Service & Denial Management Coordinator will oversee all aspects of insurance accounts receivables reimbursement and contractual review for all three facilities as...
- Coordinator Reimbursement, Customer Svc and Denial Mgt
- Northside Hospital (Atlanta, GA)
- ...currently seeking aCoordinator Reimbursement, Customer Service and Denial Managementto join our team.The Reimbursement, Customer Service & Denial Management Coordinator will oversee all aspects of insurance accounts receivables reimbursement and contractual review for all...
- Clinical Care Coordinator
- WVU Healthcare (Morgantown, WV)
- ...Care Coordinator Description: Clinical Care Coordinator Summary: The Clinical Care Coordinator comprehensively plans for Care Management of targeted patient populations. Performs resource management , including denial management , utilization management , access to...
- Utilization Management Coordinator
- Universal Health Services, Inc. (Highlands Ranch, CO)
- Utilization Management Coordinator Job Code: 23356 Facility: Highlands Behavioral Health Location: HIGHLANDS RANCH, CO US Travel...parties are notified in the event of an admission, or continuing stay denial . 7. Manages utilization review data and information flow. 8. Serves as...
- Part Time Utilization Management Coordinator
- Hickory Trail Hospital (Desoto, TX)
- The UR Coordinator is responsible for assisting with the treatment activities offered to the patient,...care organizations and implementation and supervision of the discharge planning. Case Management 1. Provide for the implementation of the treatment plan and conduct...
- Clinical Appeals Coordinator
- Centene (Brighton, MA)
- Clinical Appeals Coordinator - MA Job Type: Full-Time Location: BRIGHTON, MA Last Updated: 06/19/2009 Job Description: Position Purpose: Act as the repository for all regional denial and appeal letters and act as the liaison between Medical Management , Quality, NCQA and State...
- Utilization Management Coordinator
- UHS - Highlands Behavioral Health System (Littleton, CO)
- The Utilization Review Coordinator assists in the operations of the Utilization Review Department and ensures compliance with...parties are notified in the event of an admission, or continuing stay denial . 7. Manages utilization review data and information flow. 8. Serves as...
- Clinical Coordinator - Physical Therapist
- Aegis Therapies (Sioux, IA)
- ...is 19 days. Our OCE is looking for a Clinical Coordinator to support with onsite rehabilitation related responsibilities while providing direct...accordance with Federal, State and Local regulations. To provide RUGS management per scope of service and other duties assigned by Program...
- Coordinator Appeals &Grievance-Medicare Job
- AMERIGROUP Corporation (Virginia Beach, VA)
- Job Title: Coordinator Appeals &Grievance-Medicare Job ID: 10786 Location:Virginia Beach, VA Full/Part Time:...resolve appeal requests through review of benefit design, eligibility, care management procedures and claims payments .Responsible for processing of CAGs through...
- Recovery Audit Coordinator
- Martin Memorial Medical Center - Main (FL)
- This position is responsible to coordinate all activities surrounding claims denial management with government payers. Track timeliness of record requests and denial responses. Monitor denial management outcomes and prepare necessary reporting for communication to ...
- Nurse Reviewer
- Hawaii Medical Service Association (Honolulu, HI)
- ...pharmaceutical management is unclear, 2) there is a potential denial of services, or 3) a potential of reducing the length of...and responsibilities. * Provides support to the unit Supervisor and Nurse Coordinator on special case reviews and projects. * Perform other duties as...
- ESIS Medical Programs Quality Analyst
- ACE Limited/ACE INA (Philadelphia, PA)
- ...and the causes of these errors.5. Communicates effectively with vendor management to gather audit documentation and explain results; leading meetings...partners when necessary.6. Acts as a liaison between Medical Program Coordinator team, Claims, and Vendors to notify of audit results,...