and other UH corporate staff. This includes but not limited to Revenue Cycle, Clinical Supervisors, Clinical Managers, Centers... to: ◦ Inventory/ Shrinkage ◦ Billing/ AR/ Denials ◦ Physician usage ◦ Expenses/AP/ Purchasing/ * Salary and budget management...
Job Description: Summary: Under the supervision of a Clinical Social Work Manager, or the designated Social Worker... for hospitalization. Works closely with treating physician to address insurance denials and participates in denial process...
for better? Job Description The Operations Coordinator, PB Coding reflects the mission, vision, and values of NM, adheres to the organization's Code... and all other regulatory and accreditation standards. The Operations Coordinator, PB Coding performs Current Procedural Terminology (CPT...
any resource limitations that could impact the plan Educates providers and clinical staff on the resources available for a safe... complex case reviews, and care conferences Coordinate with home care coordinator and social worker any discharge planning...
stay, case review for appeals of payment denials, and the review and assessment of the adequacy of clinical information... between Admissions and Finance/Revenue Cycle. Communicates with clinical programs and other internal departments as needed. Updates the...
, the Care Coordinator (CC) performs activities that support the clinical, business and program related work of the case... managers (CM) and the management team. The Care Coordinator is a key member of the case management team who performs complex...
replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage... and to assist in prevention of denials. Advises Provider and patient if authorization is denied. The Specialist works with patients...
replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage... and to assist in prevention of denials. Advises Provider and patient if authorization is denied. The Specialist works with patients...
. Consistently follow-up and update authorization/certification information on an ongoing basis. Track denials and appeals, document... them on a consistent basis, and then refer to the denial management coordinator as indicated. Functions as the central...
successful candidate The Assistant Site Director has overall responsibility to plan organize and direct the clinical and operational... including co pay collection insurance verification authorization and referral management and front-end denials * In conjunction...
/31/2025 Type of Position: Clinical Staff - Medical Services Job Type: Regular Work Shift: Sponsorship... (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork...
some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern... resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation...
and commercial payors. Responsibilities: Assist various departments in ensuring all denials are captured & appealed in a timely... manner. Coordinating appeal discussions with clinical & third party payors. Develop, Implement and coordinate billing...
Utilization Review Nurse will also be responsible for issuing pre-authorization approvals/denials, notifying providers/enrollees... of denials verbally and in writing. They will also coordinate pending cases for a review determination with Health Solutions...
with Physicians and clinical staff to obtain prior authorizations for treatments, procedures and medications. Ensures accurate... Coordinator for clarification. Audits for correct billing/documentation by: May audit billing for correct documentation...
with providers of service and clinical department personnel to resolve charge denials or rejections. Attends department and campus... Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork...
practices with non-clinical challenges and provides industry proven business support services. Our affiliated dentists live... the lives of our dentists, staff, and patients by providing leading non-clinical business support services...
of Utilization Management, Inpatient Care Management, and Admission Coordinator with the goal of being a clinical liaison... -Educates physicians and other staff on documentation standards to proactively prevent denials -Functions as a resource...
with administrative and physician leadership to drive performance including but not limited to patient experience, clinical outcomes... Incumbent will serve as the coordinator of medical education for providers and supporting training, orientation...
and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation... in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical...