their best and improve their quality of life. Position Summary As a Clinical Coordinator with the Hope, Unity, and Freedom (H.U.F....) Center, you are provided the opportunity to make a difference in the daily functioning of adults in need. Clinical...
'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...
'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...
Job Description: Cabell Huntington Hospital is seeking a full-time Denials Coordinator to work alongside our Clinical... are at the appropriate level of care with the use of clinical based guidelines such as InterQual. The Denial Coordinator provides...
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...
and with coding, clinical and technical denials is required. Excellent interpersonal, verbal, and written communication... clinical and billing data to identify documentation, coding, and denial prevention. Develops and implements action plans...
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...
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...
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...
possible. What you'll do The Nursing Clinical Coordinator is responsible for facilitating, planning, advocating, coordinating... person for complex patient issues that may be clinical in nature, service related or due to authorization or coordination...
Coordinator M-F 7:30 am – 4:00 pm Registered Nurse preferred 3 years Clinical bedside experience required - Inpatient... Interaction Physician Interaction Job Summary: The Post-Acute Clinical Coordinator coordinates the point of entry to the post...
At least one year rehab or admissions experience highly preferred. (5)8-Hours days per week. Job Summary: The Post-Acute Clinical... Coordinator coordinates the point of entry to the post-acute programs which includes evaluating all patients for medical...
Utilization Management Utilization Review and Care Transitions & Coordination Providing clinical information to payers..., monitoring length of stay, seeking necessary care authorizations and utilizing the InterQual Program; appealing denials...
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...