Denials Prevention Coordinator
2 weeks ago
Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Provide operational expertise, direction, and input to other departments as it relates to denials issues.
Serves as primary liaison between Managed Care and Payor Relations and other organizational departments to provide information regarding denial trends and projects that can be implemented on the local campuses to reduce denials.
Analyzes denial trends for organizational education purposes
Research online medical bulletins, policies, and authorization requirements for payers.
Participate and lead Denials Prevention meetings with other organizational stakeholders
Create and report all data requested for Denials reporting utilizing various software packages.
Skills in planning, leading, facilitating, and implementing improvement projects/teams.
Performs other duties as assigned by Director.
Work Schedule: 80 Hours bi-weekly
Experience with data manipulation, word processing, spreadsheets, and data analysis to report trends/patterns/statuses. Must be proficient with Microsoft Excel, Work, and PowerPoint.
Working knowledge of managed care terminology, managed care reimbursement methodologies, and billing/coding terminology (i.e ICD-10, CPT, Revenue Codes) preferred.
Complete working knowledge of all aspects of the revenue cycle
Excellent interpersonal, written and organizational skills required.
Experience in a progressive healthcare environment with responsibilities for data analysis preferred. Attention to detail and accuracy skills required.
Report writing experience preferred.
Must be flexible, able to work independently and able to achieve deadlines and deliverables with minimal supervision.
Experience with problem solving techniques.
Licenses/Certifications/Registrations/Education:
Bachelor Degree in Business or Healthcare with 3 years of experience in healthcare revenue cycle preferred. Associates Degree with 6 years of experience in healthcare revenue cycle or High School Diploma with 10 years of experience in healthcare revenue cycle required or any equivalent combination of education and experience that provides the knowledge & skill required to perform the job duties.
Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds, including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.
If you would enjoy working in a dynamic environment and are looking for an opportunity to become part of a stellar team of professionals, we invite you to apply online today. We are an equal opportunity employer.
-
Denials Prevention Coordinator
2 days ago
Florence, SC, United States McLeod Health Full timeMaintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. Provide operational expertise, direction, and input to other departments as it relates to denials issues. Serves as primary liaison between Managed Care and Payor...
-
Preventive Professional
1 week ago
Florence, United States PGIC Full timeJob Description Job Description Salary: This position reports to a Licensed Professional and Agency Director(s). Education and Experience: Preventive professional" means, within the MHIDD/SAS system of care: An individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service...
-
Preventive Professional
4 days ago
Florence, United States PGIC Full timeJob Description Job Description Salary: This position reports to a Licensed Professional and Agency Director(s). Education and Experience: Preventive professional" means, within the MHIDD/SAS system of care: An individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service...
-
Preventive Professional
2 weeks ago
Florence, United States PGIC Full timeJob DescriptionJob DescriptionSalary: This position reports to a Licensed Professional and Agency Director(s). Education and Experience: Preventive professional" means, within the MHIDD/SAS system of care: An individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service...
-
Preventive Professional
4 weeks ago
Florence, United States PGIC Full timeJob DescriptionJob DescriptionSalary: This position reports to a Licensed Professional and Agency Director(s). Education and Experience: Preventive professional" means, within the MHIDD/SAS system of care: An individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service...
-
Pharmacy Manager
2 weeks ago
Florence, United States McLeod Health Full timeMaintains a professional image and exhibits excellent customer relations with patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards, Core Values, Mission and Vission. Monitors and analyzes financial processes and operations related to Pharmacy and Oncology clinics Prepares and analyzes reports for drug...
-
Environmental Health and Safety Coordinator
4 weeks ago
Florence, United States Action Packaging LLC Full timeJob DescriptionJob Description$1500 Stay Bonus!Opus Packaging – Florence is a premier packaging company and supplier of corrugated products. Our philosophy and values are the backbone of Opus, but it’s our employees who bring them to life. We know that the most important component of a thriving business is a thriving team.We are currently searching for a...
-
Merchandise and Service Coordinator
4 weeks ago
Florence, United States Ulta Full time**Merchandise and Service Coordinator** CAROUSEL_PARAGRAPH * Florence, South Carolina * Retail Management * Full Time * 176186 ** Share Job** ** Job Description** **OVERVIEW** **Experience** a place of energy, passion, and excitement. A place where the joy of discovery and uncommon artistry blend to create exhilarating buying experiencesfor true beauty...
-
Donation Attendant--House of Hope Mission Mart
4 hours ago
Florence, United States House of Hope of the Pee Dee Full timeJob DescriptionJob DescriptionWhen you work at the House of Hope Mission Mart, you are helping to provide HOPE for men, women and children facing homelessness! Would you like to join our team?We are looking for a full-time Logistics Coordinator who will provide excellent customer service by greeting and assisting those dropping off donations at the Mission...
-
Critical Facilities Engineer
7 days ago
Florence, United States GRAFT RECRUITMENT LTD Full timeJob Title: Day Technician (Direct with Client) Package: between £52k + Private Healthcare, Bonus, Overtime Location: Near Heathrow/ Greater London Position Summary: As a Critical Facilities Day Technician, you'll play a pivotal role in maintaining the site's esteemed reputation with high-profile clients, ensuring 100% uptime and delivering top-notch...
-
Manufacturing Production Supervisor
4 weeks ago
Florence, United States Advanced Insulation Concepts, Inc Full timeJob DescriptionJob DescriptionWe have an immediate opening for a Production Supervisor. We are looking for a motivated and organized person to lead our Insulated panel production team.Responsibilities:Lead a production and operations team of 15.Organize and coordinate the daily activities of the team.Delegate assignments to appropriate personnel.Direct the...
-
Health Navigator
3 weeks ago
Florence, United States Main Street Rural Health Full timeOverview: We are a healthcare company focused exclusively on serving rural communities. We built our business to make it easier for rural patients to access care. We partner with rural primary care partners to meet patients where they are by becoming an extension of their current healthcare team and providing personalized assistance with...
-
Chicken Plant Production
6 days ago
Florence, United States Pilgrim's Full timeAt Pilgrim’s, Safety Is A Condition, which means the safety of our team members comes first - always. We have implemented safety measures to prevent the spread of COVID-19. We are working to ensure social distancing guidelines are followed within our facility. Each day, temperature screens are performed for each employee and visitor before entering the...
-
Operations Manager-Warehouse
4 weeks ago
Florence, United States Hamer Door & Partitions of Florence LLC Full timeJob DescriptionJob DescriptionWe are currently seeking an experienced Operations Manager to oversee our warehouse and general operations. The successful candidate will be responsible for managing the flow and quality control of materials in our shop, organizing daily activities, and leading a team to ensure efficiency and compliance with safety protocols and...
-
Sector Quality Director
3 weeks ago
Florence, United States Jabil Circuit, Inc. Full timeJOB SUMMARY The Senior Director will be responsible for maintaining the necessary product quality and systems quality improvements to drive Quality as a competitive advantage in an assigned business sector in the Computing and Storage sector ESSENTIAL DUTIES AND RESPONSIBILITIES · Manages quality for high velocity and / or large sectors for the...
-
Environmental Specialist
2 weeks ago
New Florence, United States Consolidated Asset Management Services Full timeDescription Conemaugh Generating Station is a 2-Unit, 1700-MW rated coal-fired power plant. The Environmental Specialist/Engineer will contribute to the development and effective implementation of strategy, programs, systems, and processes that ensure the Conemaugh Generating Station maintains compliance with all applicable environmental laws and regulations...
-
Environmental Specialist
2 weeks ago
New Florence, United States Consolidated Asset Management Services Full timeDescription Conemaugh Generating Station is a 2-Unit, 1700-MW rated coal-fired power plant. The Environmental Specialist/Engineer will contribute to the development and effective implementation of strategy, programs, systems, and processes that ensure the Conemaugh Generating Station maintains compliance with all applicable environmental laws and regulations...
-
Driver, Shuttle The Brady
3 weeks ago
New Florence, United States WARRENTON OIL GROUP Full timeJob DetailsJob Location Brady Hotel - New Florence, MO DescriptionJob Summary The Hotel Shuttle Driver is expected to work as a valued member of the Hotel Division. This job will primarily consist of local vehicle operations transporting guests safely and professionally to various destinations. This is an ideal job for someone looking for part time hours and...
-
Health Navigator
2 weeks ago
Florence/Alabama/US Main Street Rural Health Full timeOverview: We are a healthcare company focused exclusively on serving rural communities. We built our business to make it easier for rural patients to access care. We partner with rural primary care partners to meet patients where they are by becoming an extension of their current healthcare team and providing personalized assistance with...