Denials Coordinator
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Since 2012, this client has been a trusted partner for the nation’s top health plans, health systems, post-acute care providers, and at-risk physician groups navigating the shift from volume to value. Their high-touch, proven care model fully supports patients from pre-acute through to the home. This client's patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions.
overview
Denials Care Coordinator Brentwood, TN Full-time Are you an excellent communicator who thrives when making a positive impact on your patients’ lives? Are you dedicated to building strong relationships with others? If so, Denials Care Coordinator could be your next career step! In this position you will ensure timely processing of all denial related written communications from the client. You will ensure that all denial information is processed according to protocol and that all documentation is timely and meets all Federal and State requirements. In addition, you will follow established facility policies and procedures. In this position you’ll be part of team that is passionate about patient care while supporting a healthy work/life balance for their employees. If you’re looking forward to making a difference in the lives of others, take the next step by applying below. Top Reasons to Love This Job: - Opportunity to make a difference in patients daily care - Competitive salary and full benefits offered - The Denials Care Coordinator will play an integral role in optimizing the patient's recovery journey "Must-haves" for this position: - Current Licensure as a Physical Therapist (PT), Registered Nurse (RN), or Occupational Therapist (OT) - At least two years recent experience in case-management or utilization management - Five years recent experience in an acute care, rehab or skilled nursing facility environment - Managed care experience a plus. - ICD-9 and InterQual experience a plus. - CMS knowledge preferred.