trend to clinic management, such as denials, unbilled, and audits. Responsible for the implementation of front-end... as a backup to support clinical Associates, when necessary. Orchestrates monthly staff meetings with providers and staff. Keeps...
trend to clinic management, such as denials, unbilled, and audits. Responsible for the implementation of front-end... as a backup to support clinical Associates, when necessary. Orchestrates monthly staff meetings with providers and staff. Keeps...
's most skilled and highly regarded multidisciplinary team of healthcare professionals. Summary Clinical Denials Coordinator... functions as needed. Clinical Denials Coordinators are also responsible for reviewing denied accounts, establishing trends...
as directed. Coordinates all administrative activities surrounding management of clinical denials. Coordinates and performs.... Completes clinical appeal writing for insurance denials. 2. Evaluates each patient medical record reviewing specific documents...
available position Utilization Management Coordinator (DENIALS)- Per diem Career development opportunities across UHS and its 300... UM Coordinator will coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment...
available position Utilization Management Coordinator (DENIALS)- Per diem Career development opportunities across UHS and its 300... UM Coordinator will coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment...
Denials Management Coordinator - Revenue Integrity Description: Responsible for developing, implementing... reviews to determine the appropriate appeal of patient accounts. Combines clinical, business, and regulatory knowledge...
health care team to prevent insurance denials and discharge delays. The focus is on care appropriateness and quality... clinical experience, 3 years UR/CM experience, written and verbal communication and interpersonal skills, knowledge...
for expected reimbursement. Evaluates denials and non-certified days from 3rd party payors to determine appropriateness of denial... & one of the listed certifications is required. 3 years of hospital clinical experience preferred & 2 years of hospital or payor...
with and in support of the physician-led multidisciplinary care team, assures the appropriate use of clinical resources to accomplish the... optimal clinical outcomes. The above is accomplished through the use of medical staff or organizational accepted criteria...
by conducting a comprehensive review of clinical documentation to determine if an appeal is warranted. Where warranted, the Denials... Management RN will collect, organize and present pertinent clinical information to third party payers. The Denials Management RN...
all administrative, coding and clinical validation denials and medical necessity acute denials referred by Patient Financial Services... ESSENTIAL JOB FUNCTIONS include, but are not limited to: Denials/Appeals PERFORMANCE STANDARDS: Investigate...
The Denials Management Coordinator serves as a daily liaison between case management, medical records, billing, medical... review on recent discharges and provide clinical medical necessity reviews to ensure timely reimbursement. The RN...
, coordination, and follow-up of all concurrent and retrospective inpatient clinical denials. The Denial Review Coordinator... Department: Care Coordination Position Summary Summary: The Denial Review Coordinator is accountable for the management...
providers, and insurance companies to streamline the authorization process. The Clinical Support Coordinator will assist SHHC...Squirrel Hill Health Center (SHHC), is a Federally Qualified Health Center (FQHC), seeking a dedicated Clinical Support...
Coordinator combines clinical, business and regulatory knowledge and skill to reduce financial risk and exposure caused... Scheduled Bi-Weekly Hours 0 Work Shift Day: 8 hours Job Description The Clinical Utilization Review and Appeals...
Monday-Friday; 8:00am-4:30pm Job Summary: The Post-Acute Clinical Coordinator coordinates the point of entry to the post... as well as admission criteria to perform clinical assessments and determine appropriateness of admission. Obtains financial...
to management Consult with corporate Chief Medical Officer, Clinical Consultants, and Denials Management Department Participate... partnerships. Clinical Rehabilitation Specialist Paramount, California Req ID 532974 Post Date Jan. 18, 2025 CategoryNon...
clinical performance. Responsibilities Develops, plans, implements, analyzes and organizes clinical operations for the care... are met. Reviews assignments as appropriate with the patient services coordinator and professional and support staff. Oversees payor...
Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork... University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof...