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Clinical coordinator • springfield ma

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Denial Coordinator

Holyoke Medical CenterHolyoke, Massachusetts, United States, 01040
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Holyoke Medical Center is in need of an experienced Denial Coordinator.Reviews all denial accounts for categorization, level of appeal, special requirements for initiating appeals.Create and mainta...[internal_linking.show_more]

Logistics Coordinator

Sun Gro HorticultureAgawam, MA, US
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Sun Gro Horticulture is one of the most prominent North American horticultural companies, employing over 800 staff and serving customers worldwide.Since its humble beginnings in 1929, it has become...[internal_linking.show_more]

Maintenance Coordinator

MCPLudlow, MA, US
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The Maintenance Coordinator is responsible for overseeing and coordinating all maintenance and repair activities across our residential properties throughout Hampden, Hampshire, and Worcester Count...[internal_linking.show_more]

Clinical Research Coordinator I

Baystate HealthSpringfield, Massachusetts
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Baystate Health, is Western Massachusetts’s premier healthcare provider.Baystate Medical Practices, the largest multispecialty group in the region.Baystate Medical Center, is also the region’s only...[internal_linking.show_more]

MDS/Clinical Reimbursement Coordinator

CareOne at RedstoneEast Longmeadow, MA
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Balance Life & Work with a New Career Opportunity.MDS/Clinical Reimbursement Coordinator .Compensation will be based on, but not limited to, experience, qualifications, credentials and any other re...[internal_linking.show_more]

Clinical Manager

SYJ HealthcareSpringfield, MA
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Competitive Pay + Excellent Benefits!.Clinical Managers serve as clinical leaders and resident advocates.Clinical Manager Duties & Responsibilities.Supervise nursing staff and ensure quality standa...[internal_linking.show_more]

Placement Coordinator

Hamilton ConnectionsWest Springfield, MA, US
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Our West Springfield, MA office is currently seeking a placement coordinator to join our team.Great opportunity for a recent college graduate seeking an entry-level opportunity!.Researching qualifi...[internal_linking.show_more]

Clinical Supervisor

Career Land CenterSpringfield, Massachusetts, United States
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We are seeking an experienced Clinical Supervisor to oversee and guide a team of behavioral health professionals.This role focuses on maintaining high standards of care while supporting clinicians ...[internal_linking.show_more]

Service Coordinator

Fire Equipment IncAgawam, MA, US
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Service Coordinator – Test & Inspection Division Location:.Agawam, MA Department: Operations Reports To: Branch Manager Compensation: $26.FEI) is a trusted leader in fire protection services across...[internal_linking.show_more]

Travel Nurse RN - Clinical Nurse Coordinator - $2,068 per week in Pittsfield, MA

TravelNurseSourceSpringfield, Massachusetts, US
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Registered Nurse (RN) | Clinical Nurse Coordinator.Access Healthcare LLC is seeking a Clinical Nurse Coordinator Registered Nurse (RN) for a travel assignment in Pittsfield, MA to start on 5/11/202...[internal_linking.show_more]

Trip Coordinator

HB TravelsSpringfield, MA, United States
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Springfield, Massachusetts, United States.We are seeking a detail-oriented and enthusiastic Trip Coordinator to join our growing team.In this role, you'll assist clients with planning and coordinat...[internal_linking.show_more]

Billing Coordinator

USA Waste and RecyclingEnfield, CT, USA
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The Billing Coordinator is responsible for performing all functions related to the monthly processing and distribution of the company's invoices.This position requires the ability to work effective...[internal_linking.show_more]

ABA Clinical Supervisor

Northeast Family ServicesWest Springfield, MA, US
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Ready for a summer schedule that works for you? ☀️ .Summer Fun Fridays at Northeast Family Services! .We close at 12:30pm every Friday from Memorial Day through Labor Day — giving our team more tim...[internal_linking.show_more]

MDS Coordinator

RegalCareHolyoke, MA
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A well-established skilled nursing and rehabilitation center in the Wakefield MA area is seeking an experienced and detail-oriented .The ideal candidate will be a licensed nurse with strong clinica...[internal_linking.show_more]

Financial Coordinator

Baystate HealthSpringfield, Massachusetts
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The Transplant Financial Coordinator plays an integral role in assisting transplant patients with the critical function of financial planning for their transplant surgery and future medical needs a...[internal_linking.show_more]

Clinical Director

Mental Health Association - Western MAHolyoke, MA, US
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The Mental Health Association (MHA) is seeking a passionate and experienced Clinical Director to lead and inspire a residential recovery program.This role is perfect for a licensed clinician who th...[internal_linking.show_more]

MDS Coordinator

Hampden Post AcuteWilbraham, MA
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Proudly supported by Marquis Health Consulting Services.Full-time opportunity available.Ensure timely and accurate MDS assessments.Verify compliance with regulatory requirements and deadlines.Super...[internal_linking.show_more]

Marketing Coordinator

Massachusetts Municipal Wholesale Electric Company (MMWEC)Ludlow, Massachusetts, United States
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MMWEC is seeking a proactive Marketing Coordinator to drive our corporate communications and digital presence.In this role, you will act as a key architect for the.This is a unique opportunity to m...[internal_linking.show_more]

Logistics Coordinator

SUNGRO HORTICULTUREAgawam, MA, United States
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Sun Gro Horticulture is one of the most prominent North American horticultural companies, employing over 800 staff and serving customers worldwide.Since its humble beginnings in 1929, it has become...[internal_linking.show_more]

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Denial Coordinator

Denial Coordinator

Holyoke Medical CenterHolyoke, Massachusetts, United States, 01040
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  • [job_card.full_time]
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Denial Coordinator

Holyoke Medical Center is in need of an experienced Denial Coordinator

Responsiblities:

  • Reviews all denial accounts for categorization, level of appeal, special requirements for initiating appeals.
  • Create and maintain a clinical appeal process for all inpatient denials assuring that proper documentation is provided to support appeals of unauthorized inpatient days or days denied for lack of documentation.
  • Create and maintain a clinical appeal process for outpatient denials where a referral was not obtained and clinical documentation is required.
  • Utilizes denial reports to assess root causes and identify trends. Share findings with stakeholders
  • Leads a Denials Management Stakeholders team; monitoring identified issues and process
  • Work with highest level of appeal cases; Refer appropriate cases to Physician Advisors and fiscal attorney
  • Coordinates all second level appeals that cannot be referred to attorney consultants
  • Coordinate timely processing of appeal at all levels

Requirements:

Qualifications/Requirements

  • High School diploma equivalent required
  • Minimum of 3 years of related experience in a medical, hospital or healthcare-related environment with at least one year of experience in a hospital billing department
  • Experienced in healthcare claims processing preferred, knowledge of federal healthcare reimbursement systems a plus
  • Strong written and verbal communication skill
  • Excellence in Excel and Word
  • Strong analytical, organizational and time management skills required
  • Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
  • Knowledgeable in FDCPA and MA FDCPA regulations





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