Facility: VIRTUAL-GA Job Summary: The Utilization Management Nurse (UM) Coordinator is responsible for conducting... medical necessity reviews 24 hours per day, 7 days per week. Utilizing mcg Indicia, clinical reviews are performed...
atmosphere. Responds to questions and concerns. Forwards, directs and notifies Team Lead or Operations Coordinator.../financial and clinical data procured by patient intake and registration areas necessary to expedite payment on patient accounts...
atmosphere. Responds to questions and concerns. Forwards, directs and notifies Team Lead or Operations Coordinator.../financial and clinical data procured by patient intake and registration areas necessary to expedite payment on patient accounts...
atmosphere. Responds to questions and concerns. Forwards, directs and notifies Team Lead or Operations Coordinator.../financial and clinical data procured by patient intake and registration areas necessary to expedite payment on patient accounts...
directly with the Denials Management Coordinator. This role combines clinical, business, and regulatory expertise to minimize... closely with Denials Management Coordinator to analyze denial trends and develop strategies for denial avoidance. Facilitate...
coordinator regarding patient needs.Answer department phone for all General, Memorial, and W&C divisions and route calls... appropriately.Payroll for Clinical Quality Management, Case Management, and Palliative Care departments.Purchase supplies and order...
. Will assist with the duties of the Denials Coordinator when assistance is needed to provide cross coverage. Other duties...Job Description: Communicates discharge recommendations of the clinical team to patient, care givers...
underpayments from denials and posts the correct adjustment for reporting purposes. The Specialist demonstrates self- direction..., professionalism, effective communication skills, a working knowledge of denials, and understands private and governmental insurance...
for supporting critical and time sensitive functions of the Clinical Care Coordination team, including but not limited to managing..., but not limited to the Swing Bed Coordinator. ● Manage timely post-acute care referrals, to assist with length of stay management...
for supporting critical and time sensitive functions of the Clinical Care Coordination team, including but not limited to managing..., but not limited to the Swing Bed Coordinator. â Manage timely post-acute care referrals, to assist with length of stay management...
with documentation to ensure complete information is provided to the Denials Coordinator and Corporate Business Office team for claim...Job Description: OVERVIEW At Redeemer Health, we offer nurses the opportunity to choose their preferred clinical...
complete information is provided to the Denials Coordinator and Corporate Business Office team for claim and appeal processing...OVERVIEW: At Redeemer Health, we offer nurses the opportunity to choose their preferred clinical setting, be it...
or any other characteristic protected by law. Description We're a skilled nursing facility looking for dynamic associates to join our clinical..., and transfer meetings; Maintains statistics indicating customer flow, pending and lost inquiries, denials, hospital discharges...
Management Specialist at Hackensack Meridian Health includes: 1. In collaboration with the Care Coordinator, reviews daily... into EPIC systems for denials/ lower level of cares. 11. Contacts insurance company for benefit coverage and obtains...
payors. Notifies the UR Nurse and Denials Coordinator of potential denials. Supports the denials coordinator to manage... and clinical best practice to concurrently screen admission review and review with payors in collaboration with Case Management...
with denials/appeals coordinator Elevate to department leadership all patients not meeting medical necessity criteria after... of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information...
coordinator depending on the complexity of the case and the needs of the patient. In collaboration with the RN staff and charge... is the primary care "coordinator" to move the patient through the care continuum. Works to ensure optimal quality...
in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical..., and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator. Timely follow-up...
Business Unit Palos Hospital Job REQID 152472 Job Function Nursing Coordinator Shift Night Job (3rd) Type of Employment Full.... Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough...
Senior Scheduler Job Code: 29133 Position Summary In addition to all Outpatient Services Coordinator... with surgical and procedural information related to preparation and instructions as appropriate Mitigates procedural denials...