Utilization Management Appeals Coordinator

Responsibilities JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical...

Responsibilities JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all supporting data to...

ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. * Monitor patient length of stay...

Duties may include but are not limited to: - Providing daily support to two attorneys - Heavy research - Department billing - Tracking appeal deadlines - Appealing property values, which includes gathering and entering property values and tax rates into a database - Preparing paperwork for appeal (i.e., form, cover letter, etc.) - Coordinating hearings...

Job DescriptionJob DescriptionSalary: 50,000 annuallyPrimary responsibilities include providing daily research and support to two supervisory attorneys, including maintaining and organizing the calendar, appealing property values, and data entry. Candidates should be organized, motivated, a self-starter, able to multitask, work well with others, have a...

Responsibilities JOB SUMMARY: Performs timely, daily pre-certifications, to secure initial authorization based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and Utilization Management Department. Obtains billing and insurance information, verification of...

Responsibilities JOB SUMMARY: Performs timely, daily pre-certifications, to secure initial authorization based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and Utilization Management Department. Obtains billing and insurance information, verification of...

Mac Properties is a dynamic and growing private residential real estate company with operations in the metropolitan areas of Chicago, St. Louis and Kansas City. We are hiring a Front Desk Coordinator in Hyde Park! We have 2nd and 3rd shift available and the pay rate is $17/hour. JOB OVERVIEW: A Front Desk Coordinator brings positive energy to each...

Weekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and their families rely on Compass Health Center when in crisis - every day, we help people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, and other obstacles in order for our patients to live freely. **About This...

Association Management Center (AMC) is a trusted partner to more than 28 leading associations and professional societies. Our talented team of more than 150 professionals provides the day-to-day operational management our clients need to achieve their business goals. We are proud to support our clients in the impactful work they do and to create a workplace...

Job DescriptionJob DescriptionResponsible for performing specific tasks required for an efficient and effective hospital utilization review program for Behavioral Health (Psychiatric or Addiction) Services. The incumbent is responsible for carrying out activities that meet the objectives of the hospital utilization review program. The hospital Utilization...

Job DescriptionJob DescriptionAssociation Management Center (AMC) is a trusted partner to more than 28 leading associations and professional societies. Our talented team of more than 150 professionals provides the day-to-day operational management our clients need to achieve their business goals. We are proud to support our clients in the impactful work they...

The Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties and events, assists in the...

The Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties and events, assists in the...

Job DescriptionJob DescriptionThe Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties...

Job DescriptionJob DescriptionThe Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties...

The Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties and events, assists in the...

Ardmore Roderick is a full-service civil engineering firm providing infrastructure design, construction services and program management to a variety of agencies.Headquartered in Chicago, we have offices in Champaign, IL, Orlando, FL, and Philadelphia, PA. Ardmore Roderick was recently named by Crain’s Chicago as one of the fastest growing companies in the...

**Looking for a career at a company that cares about you? Look no further! Preservation Management, Inc. is committed to creating a caring community for our employees and residents.** PMI is currently looking for a passionate individual to join our team in the Chicago, ILarea as our **Assistant Property Manager.** - What we offer you: _a full-time position...

Minimal Qualifications/Experience/Skills: A Minimum of a Bachelor’s Degree in Public Health, Social Work, Business Administration, or Finance from an accredited College. At least two years of administrative or project management experience. Prior experience in planning and development of project initiatives. Excellent writing and verbal communication...