Denial Management Coordinator
3 weeks ago
At Forrest General Hospital, we are seeking a highly skilled Denial Management Coordinator to join our team. As a key member of our revenue recovery team, you will play a critical role in ensuring timely reimbursement for our patients.
Key Responsibilities:- Perform retrospective medical record chart reviews to ensure timely reimbursement.
- Manage denied cases in a timely manner and possess a sense of urgency to turn around cases based on payer rules and guidelines.
- Collaborate with physician(s), physician's office staff, registration staff, and Patient Finances Services to obtain necessary information to support medical necessity.
- Work with Business office, Patient Finance Service, and HIM departments to coordinate and ensure requirements are met for Centers for Medicare & Medicaid Services, such as Recovery Audit Contractors, Medicare's MAC, private insurances, and other governmental entities.
- Function as a resource person to various departments involved in the review process.
- Utilize written criteria, standards, local and national coverage of determination and norms to evaluate medical records and documents for appropriateness of level of care.
- Support the Utilization Review function of the hospital by working closely with Physician Advisors of Case Management.
- Attend Utilization Management Committee meetings and report on monthly denial/appeal activities.
- Provide performance indicators and opportunities for improvement for the case management department.
- Act as a liaison position between the hospital and payer source, tracking and trending denials by DRG, Physicians, & payer.
We are looking for a highly motivated and detail-oriented individual with excellent communication and analytical skills. If you are passionate about revenue recovery and have a strong background in healthcare, we encourage you to apply for this exciting opportunity.
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Denial Management Specialist
2 days ago
Hattiesburg, Mississippi, United States Forrest General Hospital Full timeJob Title: Denial Management CoordinatorJob Summary:The Denial Management Coordinator serves as a key liaison between various departments, including case management, medical records, billing, and medical staff, to ensure timely reimbursement and revenue recovery. This role requires a strong understanding of medical necessity reviews, clinical expertise, and...
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Insurance Coordinator
2 weeks ago
Hattiesburg, Mississippi, United States Forrest General Hospital Full timeJob Summary:The Insurance Coordinator is responsible for ensuring prompt and efficient handling of insurance and related documents in order to receive payment in a timely manner for inpatient rehab services. This role is responsible for communicating with patient/caregivers prior to admission to IRF to explain insurance pre-authorization process, discuss...
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Marketing Coordinator
4 weeks ago
Hattiesburg, Mississippi, United States CREI Management, LLC Full timeJob SummaryWe are seeking a highly motivated and customer-focused Marketing Assistant to join our team at CREI Management, LLC. As a Marketing Assistant, you will play a critical role in promoting our apartment community and providing exceptional service to our residents and prospects.Key ResponsibilitiesProvide exceptional customer service to residents,...
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Insurance Claims Specialist
3 weeks ago
Hattiesburg, Mississippi, United States Forrest Health Full timeJob SummaryAs an Insurance Coordinator at Forrest Health, you will play a crucial role in ensuring the efficient handling and filing of insurance claims and related documents. Your primary objective will be to receive payment in a timely manner by following up with insurance companies, both government and non-government entities.Key ResponsibilitiesProcess...
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Marketing Coordinator
7 days ago
Hattiesburg, Mississippi, United States CREI Management, LLC Full timeJob OverviewPosition: Marketing AssistantCREI Management, LLC is looking for a dedicated Marketing Assistant. The successful candidate will be expected to work during the afternoon hours on selected weekdays and one weekend each month. This role is essential for enhancing resident engagement and maintaining a competitive edge in the market.Key...
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Office Coordinator
2 weeks ago
Hattiesburg, Mississippi, United States Youth Villages Full timeJob Title: Office ManagerAt Youth Villages, we are seeking a highly organized and detail-oriented Office Manager to join our team. As an Office Manager, you will be responsible for ensuring the smooth operation of our office, providing administrative support to our staff, and maintaining a safe and efficient work environment.Key Responsibilities:Coordinate...
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Office Coordinator
3 weeks ago
Hattiesburg, Mississippi, United States Youth Villages Full timeJob SummaryThe Office Manager plays a vital role in ensuring the smooth operation of our office. This position is responsible for coordinating and organizing office procedures to maximize efficiency and effectiveness.Key ResponsibilitiesCoordinate office supplies and equipment maintenanceAssist with onboarding new hires and updating staff directoriesOrder...
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Intake Coordinator
1 day ago
Hattiesburg, Mississippi, United States Canopy Full timeJob Title: Intake CoordinatorCanopy Children's Solutions is seeking a highly skilled Intake Coordinator to join our team. As an integral part of our organization, you will play a critical role in ensuring that all youth are seen for intake in a timely manner and matched to the best available therapist given their needs.Key Responsibilities:Coordinate with...
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Staffing Coordinator
20 hours ago
Hattiesburg, Mississippi, United States ABOUT YOU SITTING SERVICE Full timeAbout You Sitting Service: Part-Time Staffing CoordinatorWe are seeking a highly organized and detail-oriented Part-Time Staffing Coordinator to join our team at About You Sitting Service. As a key member of our staffing team, you will play a crucial role in ensuring the smooth operation of our in-home care and staffing services.Key Responsibilities:Develop...
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Care Coordinator LPN
2 weeks ago
Hattiesburg, Mississippi, United States EngageMED Inc. Full timeJob Description:EngageMED Inc. is seeking a skilled LPN Care Coordinator to collaborate with healthcare providers and teams to identify targeted patient populations within our practice sites. The ideal candidate will assess the healthcare, educational, and psychosocial needs of patients and families, utilizing standardized assessment tools such as depression...
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Human Resource Coordinator
4 weeks ago
Hattiesburg, Mississippi, United States Wis-Pak Full timeJob Title: Human Resource AssistantWis-Pak is seeking a highly organized and detail-oriented Human Resource Assistant to join our team in Hattiesburg, MS.Job Summary:The Human Resource Assistant will provide support to the Human Resources department, performing a wide range of administrative and HR-related tasks. This includes processing payroll, maintaining...
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Administrative Coordinator
1 month ago
Hattiesburg, Mississippi, United States PrideStaff Full timeAbout the RolePrideStaff is seeking a highly motivated and organized Administrative Assistant to provide support services to our client in the Hattiesburg, MS area.Key ResponsibilitiesAdministrative Support: Provide a wide-range of support services, including answering phone calls, welcoming and directing visitors, and maintaining filing...
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Care Coordinator Specialist
4 weeks ago
Hattiesburg, Mississippi, United States EngageMED Inc. Full timeJob Title: LPN Care CoordinatorAt EngageMED Inc., we are seeking a highly skilled LPN Care Coordinator to join our team. As a key member of our healthcare team, you will play a vital role in coordinating patient care and ensuring seamless transitions between healthcare settings.Key Responsibilities:Collaborate with healthcare providers and other team members...
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Nurse Care Coordinator
2 months ago
Hattiesburg, Mississippi, United States Hattiesburg Clinic Full timeCare Coordination NurseThe Care Coordination Nurse plays a vital role in partnering with healthcare professionals to evaluate, strategize, and advocate for the health requirements of Medicare patients. This position is focused on enhancing patient outcomes and eliminating obstacles that hinder patients from participating in their treatment plans. Candidates...
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Office Coordinator
3 weeks ago
Hattiesburg, Mississippi, United States FURNITURE DIRECT Full timeJob SummaryWe are seeking a highly organized and detail-oriented Office Assistant to support our team at Furniture Direct. As an Office Assistant, you will play a vital role in maintaining the smooth operation of our office, ensuring that all administrative tasks are completed efficiently and effectively.Key ResponsibilitiesProvide exceptional administrative...
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Office Coordinator
22 hours ago
Hattiesburg, Mississippi, United States FURNITURE DIRECT Full timeJob OverviewWe are seeking a highly organized and detail-oriented Office Assistant to support our team at Furniture Direct.The successful candidate will be responsible for providing administrative support, maintaining accurate records, and ensuring the smooth operation of our office.Key Responsibilities:Prepare and edit documents, reports, and...
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Front Desk Coordinator
4 weeks ago
Hattiesburg, Mississippi, United States Hattiesburg Clinic Full timePOSITION SUMMARYThe Front Desk Coordinator works under general supervision to perform various procedures associated with routine patient encounters; and maintains positive relationships with patients, family members and other visitors, and fellow employees.KEY RESPONSIBILITIES:* Greet patients and visitors in a professional and courteous manner* Manage...
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Office Coordinator
2 days ago
Hattiesburg, Mississippi, United States FURNITURE DIRECT Full timeJob SummaryWe are seeking a highly organized and detail-oriented Office Assistant to support our team at Furniture Direct. As an Office Assistant, you will play a critical role in maintaining the smooth operation of our office.Key Responsibilities:Prepare and edit correspondence, reports, and other documentsCoordinate appointments, events, and travel...
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Salon Coordinator
2 weeks ago
Hattiesburg, Mississippi, United States Belk Full timeJob SummaryThe Salon Retail Coordinator is responsible for the operation and functional management of the front desk. This position reports to the Salon Manager and is a key member of the salon team.Key ResponsibilitiesSuggesting retail products to all clients, upselling/suggesting larger quantities, promotions and additional services.Ability to cross-sell...
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Supply Chain Operations Coordinator
3 weeks ago
Hattiesburg, Mississippi, United States Vallen Full timeJob Title: Supply Chain Services CoordinatorVallen is seeking a highly skilled Supply Chain Services Coordinator to join our team. As a key member of our operations team, you will play a critical role in executing and refining supply chain, vending, and/or VMI operations at customer locations.Key Responsibilities:Operational Execution: Manage daily...