- Tidelands Health (Myrtle Beach, SC)
- …point of contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** + Assigns and sequences ... more
- Helio Health Inc. (Syracuse, NY)
- …not done so. + Consistent follow up with all insurance companies to work claim denials . + Prepares weekly and monthly reports of Medicaid billing for the Manager ... more
- Baystate Health (Greenfield, MA)
- Schedule: M-F 7am-3:30pm **SUMMARY DESCRIPTION** Under the direction of the Program Manager or Director of the Service Line, the Scheduler-2 is responsible for ... more
- Dignity Health (Santa Maria, CA)
- …with the Concurrent Denial RNs to determine the root cause of denials and implement denial prevention strategies. Collaborates with Patient Access to establish ... more
- Catholic Health Services (Melville, NY)
- …and coordinates utilization/appeals management review. | Assist Utilization and Appeals Manager in setting up communications with payors and/ or physicians as ... more
- Catholic Health Initiatives (Omaha, NE)
- …posts non-electronic activities to include: payments, adjustments, and zero payment denials . 6. Completes daily posting log and quarterly cash handling audits ... more
- Netflix (Los Angeles, CA)
- …auto liability, and general liability claims. This role reports to a Senior Manager within Risk Management and joins a technical risk team responsible for managing ... more
- CenterWell (Annapolis, MD)
- …following: clinical and survey metrics, clinical operations metrics, claims denials , AO/state survey results, risk mitigation, clinical compliance, QAPI adherence ... more
- Behavioral Center of Michigan (Warren, MI)
- …educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or equivalent. + Bachelor of ... more
- University of Miami (Miami, FL)
- …insurance companies to verify benefits. + Reviews and follows up on denials /Explanation of Benefits (EOBs) received. + Reviews patient charts including demographic, ... more
- Option Care Health (Columbus, OH)
- …are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. ... more
- R1 RCM (Salt Lake City, UT)
- …and reimbursement activities. + Entering and updating software (epars, PAS, Chart Manager ) for specified functions of central business office requests, denials , ... more
- Trinity Health (Syracuse, NY)
- …Lead identifies workflow changes to assist in the reduction of authorization denials for the organization. This role works closely with the surgical HUB ... more
- Houston Methodist (Katy, TX)
- …of issues that may result in potential service delays or reimbursement denials . **PEOPLE ESSENTIAL FUNCTIONS** + Demonstrates ability to use critical thinking skills ... more
- Intermountain Health (St. George, UT)
- …in conjunction with System Physician Advisor. + Work with System Utilization Review Manager and others to adjust UR workflow to reflect current trends and ... more
- Fairview Health Services (St. Paul, MN)
- …Cycle's goals. The Supervisor Revenue Cycle works with the Revenue Cycle Manager /Director to develop strategic plans, staff assignments, and goals to ensure ... more
- Fallon Health (Worcester, MA)
- …initial investigator for provider appeals related to filing limit, claim denials , claim payment, retrospective referrals, administrative inpatient days and other ... more
- The Kidney Experts, PLLC (Jackson, TN)
- …Summary The medical billing assistant is responsible for aiding the Billing Manager in processing medical claims, working claim denials , assessing insurance ... more
- AdventHealth (Tampa, FL)
- …(UM) Specialist works under the direction of the Utilization Management Manager and supports the Utilization Management team with Emergency, Observation and ... more