Managed Care Authorization & Appeals Coordinator
Ditmas Park Nursing & Rehab
The Managed Care Authorization & Appeals Coordinator is responsible for managing insurance authorizations, clinical documentation submissions, Medicare non-coverage notices, and insurance appeals for residents in a skilled nursing facility. This position works closely with nursing, rehabilitation, social services, and billing departments to ensure appropriate insurance coverage and maximize reimbursement while maintaining regulatory compliance Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance #J-18808-Ljbffr Ditmas Park Nursing & Rehab
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...clinically-validated virtual care platform. As a... ..., and medication management to effectively treat... ...Health Revenue Cycle Coordinator to join our growing team... ...and obtaining prior authorizations. You'll also serve as... ...unpaid claims, submit appeals for denials, and communicate...SuggestedFull timeRemote workWork from home- ...Denials Coordinator Hospital Billing Patient Financial Services A hospital denial coordinator manages and resolves denied insurance claims to help... ...owner areas, coordinating the appeals process, collaborating... ...delivering outstanding patient care. When you join us, you...Full timeTraineeshipLocal areaShift work
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...Community Health Advocates Helpline Coordinator The Community Service... ...or otherwise access health care, including: Community Health... ...Advocacy Network (ICAN); the Managed Care Consumer Assistance Program... ...a health plan, how to appeal a denial of coverage or care,...Temporary workLocal areaRemote work2 days per week3 days per week$25 - $29 per hour
...women, is seeking a Surgical Coordinator. The first of its kind, Viva... ...single destination where they can manage all aspects of their overall... ..., patients receive the best care. As a Surgical Coordinator... ...and obtain necessary pre-authorization for surgical procedures. Assist...Local area- ...a detail-oriented Customer Service / Prior Authorization Representative. You will be the first point of contact for patients, manage insurance prior authorizations, verify benefits... ...skills are essential for timely patient access to care. #J-18808-Ljbffr Gryphon Healthcare
$22 per hour
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...Supervisor, Appeals Pharmacist Charlotte, North Carolina, United... ...advanced AI-powered care delivery, Judi Health helps clients... ...subject matter expert on prior authorization and appeals operations that are... ..., skilling, performance and managing compliance risks. Position...Contract workWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workWeekend work- ## Performance Improvement Coordinator - Quality Management - Hopewell - Full-Time - DAYSApplylocations: Pennington, NJtime type: Full timeposted on:... ...region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians...Full timeTemporary workPart timeFlexible hours
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...organization, we advance care for some of medicine’s... ...of life. The Prior Authorization Representative is responsible... .... Assists with appealing prior authorization denials... ...to the appropriate managers Checks the... ...initiates as required Coordinates required paperwork, clinical...Remote jobTemporary workH1bWork at officeLocal areaFlexible hours- Put your talents to work at PCM! Whether you work in our Home Care, Clinical Research, Impairments, or Catastrophic Care division, you... ...schedules, addressing urgent issues with caregiver schedules, managing the “lifecycle” of client status (referrals, opens, recertification...Temporary workFlexible hours
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- ...We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced U.S.-based medical office . This role is responsible for... ..., coinsurance, out-of-pocket maximums) Obtain and manage prior authorizations for procedures, imaging, and specialty...Full timeFor contractorsWork at officeRemote work
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...opportunity for a dynamic Flight Coordinator Supervisor to join our... ...preventing lapses in service and managing any issues that arise during... ...operational processes and customer care, proposing solutions to... ...accordance with local airport authority regulations. Flexibility...Full timeWork experience placementLocal areaShift workNight shift$109k - $145k
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DescriptionVAD Coordinator - Heart Failure / LVAD - Mount Sinai Hospital - Full Time DayThe... ...destination patients pre operatively.c)Coordinate care of the postoperative patient with the... ...preferredBCLS certification - Issuing Authority: AHA or Red CrossEmployer...Full timeTraineeshipLocal area$108k - $153k
DescriptionJob Title - Transplant Coordinator (NP/PA), Respiratory... ...other members of the health care team in a professional, respectful... ...and courses as presenter or author. b. Keeping abreast of current... ...programs.4. Participates in risk management activities including...Full timeTraineeshipLocal areaWeekend work$80k - $85k
...require far more touch points than our primary care physicians have time to deliver and the... ...class clinical team to remotely monitor, manage, and support patients at home. Together... ...Health team seeks a Registered Nurse Coordinator to appropriately monitor and triage patients...Local areaRemote workHome officeWeekend work$65k
Reporting to the VP of Provider Partnerships, the Referral Coordinator is the first point of contact for patients entering the Dreem Health care journey. You will manage all incoming referrals from providers, ensure accurate and timely processing in our systems, and deliver...Full timeImmediate startRemote work$105k - $110k
The Coordinator of Care is a Registered Professional Nurse who will manage all aspects of patient care related to services provided in the home. This would include conducting home visits, completion of all required documentation and communication with PCP. Full time schedule...Full timeWork at officeImmediate startRelocation packageMonday to Friday$16.66 - $20.97 per hour
## Branch Coordinator - TELEWORKApplylocations: Remote - UStime type... ...it easier. We help deliver care beyond traditional settings,... ...the Branch Office and Branch Manager(s). This role is eligible for... ...insurance, obtaining authorization of equipment based on payor...Hourly payTemporary workWork at officeLocal areaRemote workFlexible hoursNight shift$50k
...SCOPE OF ROLE : As a Leave Coordinator, your primary responsibility is to manage and coordinate various employee leave... ..., disability leave, and other authorized absences. Your role involves... ...Join a team of employees who care about the wellbeing of others. We...Temporary workWork at officeLocal areaRemote work$58k
...Time Salary Range: $58,000.00 - $58,000.00 Position: Case Manager/Life Skills Coordinator - Residential Reports To Supervisor of Social Services General... ...throughout the continuum of health and human services and care settings based on the needs and values of the client....Full timeImmediate startFlexible hoursWeekend work
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