- UNC Health Care (Goldsboro, NC)
- …Reviews all denial requests and leads the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first and ... issues related to reimbursement, denials , status, etc. 6. Evaluates clinical denials for validity and probability to overturn, proactively gathers required … more
- Trinity Health (Ann Arbor, MI)
- …responsibilities simultaneously. Experience with post payment audits and with coding, clinical and technical denials is required. Excellent interpersonal, ... Day Shift **Description:** Responsible for performing in-depth analysis of patient clinical and billing data to identify documentation, coding, and denial… more
- Nuvance Health (Danbury, CT)
- …40 hours Shift: Monday-Friday 8:30am-5:00pm, and 1 weekend per month Summary: The Clinical Care Coordinator - Unit is responsible for providing direction and ... leadership to the clinical team regarding the patient level of care and...13. Proactively interacts with third party payers to prevent denials . 14. Acts as liaison between patient, physician, family,… more
- Bassett Healthcare (Cooperstown, NY)
- …enjoy the best quality of life possible. What you'll do The Nursing Clinical Coordinator is responsible for facilitating, planning, advocating, coordinating, and ... point person for complex patient issues that may be clinical in nature, service related or due to authorization...information with Departmental Leadership as needed. Participates in insurance denials on an as-needed basis. Is a resource for… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management support ... and other community resources and transportation. In addition, the CM Coordinator position anticipates independent actions necessary to provide competent and… more
- Hackensack Meridian Health (Neptune, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of the healthcare team and is responsible ... for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care … more
- Kaleida Health (Buffalo, NY)
- **Coding Quality Coordinator ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description ... **Summary:** The Coding Quality Coordinator (CQC) professionals ensures accurate coding and data collection for reimbursement. They strive to promote an accurate and… more
- Hackensack Meridian Health (Holmdel, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of the healthcare team and is responsible ... for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care … more
- Actalent (Sacramento, CA)
- Job Title: Clinical Care Coordinator Location: Remote Work Hours: 8:30 AM - 5:00 PM (40 hours per week) Duration: 6+ Months (Potential to Extend) Position ... and proactive individual to join our team as a Clinical Care Coordinator . In this role, you...the referral and enrollment process. + Service Authorization & Denials : Process daily service authorizations and denials … more
- CenterWell (Savannah, GA)
- …our caring community and help us put health first** The HIMS/Referral Coordinator (Medical Records Clerk) assembles and maintains patients' health information in ... medical records and charts. The HIMS/Referral Coordinator (Medical Records Clerk) performs varied activities and moderately complex… more