- UCHealth (Denver, CO)
- …in Colorado. Work Schedule: Full Time Days Responsibilities: + Oversees and manages external payer audit and denials prevention functions to drive process ... strategies, processes and technology to continuously improve and manage the Payer Audit Management and Denials Management departments supporting the… more
- Rush University Medical Center (Chicago, IL)
- …**Shift 1** **Work Schedule:** 8 Hr. (8:00:00 AM - 5:00:00 PM) **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of payer ... claim resolution projects, Joint Executive Committee meetings, and the overall payer performance strategy. The Manager is also responsible for facilitating… more
- RWJBarnabas Health (Oceanport, NJ)
- …for managing clinical and technical denials and works to resolve the denials and authorizations. The Manager will collaborate with Case Management and ... Manager , AppealsReq #:0000169981 Category:Leadership Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:Appeals Location: System… more
- Beth Israel Lahey Health (Danvers, MA)
- …denied claims for complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful ... to obtain required information. Additional tasks include researching medical policies, payer billing guidelines, claim requirements, and written letters of medical… more
- St. John's Embrace Living (Rochester, NY)
- …this description speaks to you, continue reading about the opportunity of MDS Reimbursement Manager . This is a full-time, 40 hours per week position at St. John's ... Home. Position Summary: The MDS Reimbursement Manager organizes and directs the PDPM/CMI reimbursement program with...regularly with billing and Admission staff regarding issues of payer coverage and all payer changes relative… more
- Henry Ford Health System (Warren, MI)
- GENERAL SUMMARY: Coordinate payer denials and appeals, respond to insurance company requests for medical records, and perform medical record reviews. Review ... work with payers to ensure timely handling of these payer audits. Review technical payer denials...claim audits to assure adherence to CMS and other payer guidelines. + Communicates timely with Manager … more
- Stanford Health Care (Palo Alto, CA)
- …Program Manager is responsible for ensuring compliance with government, payer and internal charge capture policies for both Technical (Facility) and Professional ... Care job.** **A Brief Overview** The Revenue Integrity Program Manager is the face of Revenue Cycle Operations for...is also responsible for managing the NThrive Charge Capture Audit results, conducting root cause analyses, and assisting with… more
- Hackensack Meridian Health (Eatontown, NJ)
- …industry benchmarks for DME and Infusion. + Oversees the management of all incoming payer audit requests, including but not limited to CERT Audits, RAC requests, ... of work that leads to fulfillment and professional growth. **Responsibilities** The Manager , Billing, Infusion and DME will identify reimbursement issues and ensure… more
- Glendive Medical Center (Glendive, MT)
- The Health Information Manager oversees activities related to the development, implementation, and maintenance of health information in compliance with federal and ... state laws and GMC's mission. The manager is responsible for the following HIM services: Coding,...policy, and guideline changes. + Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and… more
- Cedars-Sinai (CA)
- …Medicaid RACs, government billed claims and inpatient stay reviews, and commercial payer audit and recovery programs. Communicates trends and presents executive ... one of America's Best Hospitals. **What you be doing in this role:** The Manager , Compliance and Revenue Integrity (CRI) manages one or more functions within the… more
- LifePoint Health (Martinsville, VA)
- …line, payer and provider. * * . Document and track all RAC and Payer audit requests including maintaining the RAC and Arthur Databases to ensure that all ... Manager the submission of records and respond to denials and appeals requests. . Share RAC findings with...researching and resolving problems, issues and ability to articulate audit findings. Must be willing to learn new tasks… more
- Tidelands Health (Murrells Inlet, SC)
- …point of contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** + Assigns and sequences ... is required for accurate and complete coding. + Have knowledge of payer guidelines related to MUE, Medical Necessity, LCD/NCD requirements and HIPAA/Compliance in… more
- Covenant Health Inc. (Knoxville, TN)
- …follow-up of hospital accounts is essential to ensure payment and prevent denials from insurance companies. Employees in this role work independently as assigned ... accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is… more
- Robert Half Accountemps (Frisco, TX)
- …+ Provide feedback to the billing and collections teams on trends in payments, denials , or payer issues. + Work collaboratively with other team members to ... Specialist is responsible for accurately posting and reconciling payments, adjustments, and denials in the EMR. This role ensures that all payments are applied… more
- Guidehouse (Lewisville, TX)
- …is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with ... regarding this opening, you may contact Chris Rivera (Recruiting Manager ) at ###_** **Essential Job Functions** + Hospital Billing...demographic or insurance information. + Works all rejection and payer audit reports within 48 hours of… more