- WMCHealth (Hawthorne, NY)
- Denials Manager Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Professional/Non- Clinical Department: Business Office Union: ... more
- Beth Israel Lahey Health (Plymouth, MA)
- … denials . + Responsible for appeals and follow up on clinical denials escalated through a work queue, providing appropriate response supported by ... more
- Hartford HealthCare (Farmington, CT)
- …and works with others as needed to determine the appropriate course of denial appeals . * Collaborates with clinical staff and/or outside providers to obtain ... more
- Catholic Health Services (Melville, NY)
- …services and coordinates utilization/ appeals management review. | Assist Utilization and Appeals Manager in setting up communications with payors and/ or ... more
- Methodist Health System (Dallas, TX)
- …Of Week :** Mon-Fri **Work Shift :** **Job Description :** Your Job: The Manager of Collections Physician Billing is responsible for overseeing the AR follow up team ... more
- CaroMont Health (Gastonia, NC)
- …This is a split role between CDS workflow and DRG Denial Management and Appeals based on departmental needs. The Clinical Documentation and Denial Specialist is ... more
- Independent Health (Buffalo, NY)
- …coding guidelines and financial policies/contracts. + Responsible for all reconsideration clinical appeals to include review of records, consultation with ... more
- Surgery Care Affiliates (Boise, ID)
- …Effectively and independently manages second level reimbursement issues, contracted and non-contracted denials and appeals . + This is a demanding environment, ... more
- Covenant Health Inc. (Knoxville, TN)
- …Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used. ... more
- Houston Methodist (Katy, TX)
- …to: medical coding, insurance billing, collections, patient account resolution, appeals / denials , customer service, cash applications, revenue integrity, etc. ... more
- UTMB Health (Galveston, TX)
- …Operations (RCO) including team leads and specialists ( denials /follow-up). The Manager interacts with UTMB leadership, including clinical and finance. ... more
- Beth Israel Lahey Health (Burlington, MA)
- …availability, and discusses issues with outside auditors and the inpatient coding manager /CDI. Prepares appeals on appropriate cases to ensure proper ... more
- Houston Methodist (Houston, TX)
- …verbal and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. ... more
- MD Anderson Cancer Center (Houston, TX)
- …implementation or enhancement that will impact billing and collections. + Responsible for clinical denials workload processing by team of RNs and oversight of ... more
- Sharp HealthCare (San Diego, CA)
- …with providers.Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials , input into appeals , share findings with providers.Review all cases ... more
- UNC Health Care (Chapel Hill, NC)
- …+ Protects hospital revenue by working with payors for insurance authorizations, denials , and appeals + Delivers mandated federal notices to patients/ ... more
- Dignity Health (Phoenix, AZ)
- …processes concurrent denials that require medical necessity determinations; processes appeals and reconsiderations. Act as a working manager within ... more
- HCA Healthcare (Rochester, NH)
- …set us apart from any other healthcare provider. We are seeking aCase Manager to join our healthcare family. **Benefits** Frisbie Memorial Hospital, offers a total ... more
- Whidbey General Hospital (Coupeville, WA)
- …LOS, cost per case, avoidable days, resource utilization, readmission rates, concurrent denials , and appeals . + Supports the vision, mission, and values ... more
- Endo International (Nashville, TN)
- …talented individuals to join our team. **Job Description Summary** The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo Access and ... more
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