- Guidehouse (Los Angeles, CA)
- …for Underpayment Analysis + Works with EBO and Client to research and resolve denials + Upon identification of issues, research issues to determine whether it is an ... more
- Access Dubuque (Dubuque, IA)
- …company. They also appeal appropriately and work to find root cause of denials . The Patient Financial Services Representative thinks outside of the box to find ... more
- Catholic Health Services (Melville, NY)
- …a hospital strongly preferred. Two years administrative background as physician manager preferred. Previous experience as a physician advisor preferred. Experience ... more
- Insight Global (Miami, FL)
- …authorizations and claims status Screens and routes complex cases to the appropriate manager Navigates multiple systems to obtain necessary data to issue GOPs Verify ... more
- UPMC (Bethel Park, PA)
- …and balancing problems. + Perform accounts receivable trending on payors and denials , including calculation for days in accounts receivable and financial analysis on ... more
- Travelers Insurance Company (St. Paul, MN)
- …of benefits through litigation). Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical services into the ... more
- Penn Medicine (Lititz, PA)
- …by internal external benchmarking, and audit findings. + Identify patterns in denials working with appropriate parties to correct errors and mitigate future errors. ... more
- Fairview Health Services (St. Paul, MN)
- …Line/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials , and other key stakeholders to improve the quality of ... more
- Gentiva (Mooresville, NC)
- …Care** (EPC) to join our team. This position will directly report to the Care Manager EPC and is responsible for managing all day to day business affairs and other ... more
- UCLA Health (Los Angeles, CA)
- Description Under the supervision of the manager , assistant director and director, serve as a Patient Financial Analyst for Hematology/Oncology which includes ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …Clarifying ambiguous or conflicting documentation e. Target DRGs Reviews f. Use of case manager as a resource + Uses guidelines to evaluate patient status based on ... more
- UCLA Health (Los Angeles, CA)
- Description Under the general direction of the Manager , this position codes diagnosis and procedures for assigned cases. In performing the coding requirements this ... more
- UPMC (Pittsburgh, PA)
- …receive appropriate evaluation, diagnosis, treatment, screening. * Review proposed service denials for specified levels of care and the utilization of appropriate ... more
- Insight Global (Camden, NJ)
- …be responsible for oversight of charge reconciliation process. They will report to the Manager of Revenue Integrity and work with the CDM Analysts for all aspects of ... more
- Arkansas Children's (Little Rock, AR)
- …of the professional revenue cycle, including authorizations, billing, coding, denials and collections. 3. Directs professional billing and coding management ... more
- University of Rochester (Strong, AR)
- …managing the submission of any supplemental information that is requested. + Review all denials for PA to determine the reason the request was denied and preparing a ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …Clarifying ambiguous or conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate patient status based on ... more
- Ascension Health (Evansville, IN)
- …to join our team! + **EMR System:** Athena & Sunrise Clinical Manager + **Facility:** Peyton Manning Children's Hospital Center for Children. + **Location:** ... more
- HCA Healthcare (Blacksburg, VA)
- …management of the Division AVP of Medical Staff Services and Division Manager of Medical Staff Services, the incumbent provides services for the credentialing ... more
- Ellis Medicine (Schenectady, NY)
- …working relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the maintenance of the practice's charges and coding, in ... more