• Division Manager of Denial Prevention

    HCA Healthcare (Fort Lauderdale, FL)
    …Are you ready to manage in a new era as a Division Manager of Denial Prevention where building a healthier tomorrow is more than a job? Our HCA Healthcare ... at an HCA Healthcare facility. Be an impact as a(an) Division Manager of Denial Prevention where your passion for leading and creativity are valued? We want your… more
    HCA Healthcare (11/13/24)
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  • Inpatient Coding Denial Specialist

    HCA Healthcare (Nashville, TN)
    …Bonus Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your current employer? We have an exciting opportunity ... caring group of colleagues. Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating positive patient interactions is valued? If… more
    HCA Healthcare (09/25/24)
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  • Reconciliation/ Denial Analyst

    Hackensack Meridian Health (Edison, NJ)
    …healthcare and serve as a leader of positive change. The **Reconciliation/ Denial Analyst** provides statistical and financial data enabling management to accurately ... in various accounts receivable categories reflected in the daily dashboards and denial reports. Supports the Revenue Operations team by monitoring key metrics… more
    Hackensack Meridian Health (11/23/24)
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  • RN - Denial Prevention Analyst

    Avera (Sioux Falls, SD)
    **Position Summary:** The RN - Denial Prevention Analyst coordinates facility wide denial and denial prevention information for Avera Heart Hospital and ... in order to identify and implement prevention opportunities. Furthermore, the RN - Denial Prevention Analyst works accounts in Denial Management desktop to… more
    Avera (11/20/24)
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  • Specialist-Authorization Denial - HS…

    Baptist Memorial (Memphis, TN)
    Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet medical ... to appropriate staff. + Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement Requirements, Preferences… more
    Baptist Memorial (11/09/24)
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  • Specialist- Denial II RN - HS Denial

    Baptist Memorial (Memphis, TN)
    …services to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned. Responsibilities + Reviews, ... Preferred: Five years clinical experience and 3-5 years case management or denial management experience. Minimum: RN, 5 years clinical experience in a clinical… more
    Baptist Memorial (10/24/24)
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  • Specialist-Quality Assurance Denial

    Baptist Memorial (Memphis, TN)
    Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational controls ... + Employee referral program Job Summary: Position: 19873 - Supervisor-Quality Assurance Denial Escalation Facility: BMHCC Corporate Office Department: HS Denial more
    Baptist Memorial (10/16/24)
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  • Vice President, Utilization Review and Clinical…

    Prime Healthcare (Ontario, CA)
    …direction and operational management for the Utilization Review and Clinical Denial Management teams. This position encompasses process oversight for all lines ... from the Revenue cycle team to collaborate on Utilization review, denial management protocols, and Business Intelligence/Analytics along with maintaining the… more
    Prime Healthcare (11/22/24)
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  • Denial Specialist - Hybrid

    Beth Israel Lahey Health (Danvers, MA)
    …by management. + Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. + Ability to ... billing system in order to identify paid claims or root cause of denial when assessing denials. + Responds to incoming insurance/office calls with professionalism… more
    Beth Israel Lahey Health (11/10/24)
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  • Financial Counselor / PA Denial Management

    Hartford HealthCare (Farmington, CT)
    …estimates and collection of patient cost share with a focus on claim denial prevention by collaborating with clinical teams, business partners and insurance payers. ... established requirements in an effort to facilitate payer follow up and support denial dispute 7. True to HHC Mission and Values, demonstrate positive and effective… more
    Hartford HealthCare (10/17/24)
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  • Utilization Management Denial Review Nurse…

    UCLA Health (Los Angeles, CA)
    …You will review for appropriate care and setting while working closely with denial coordinators and other staff to ensure the accurate processing of all written ... notifications. You will also provide clinical guidance on denial cases and ensure that all denial letters are written and issued according to internal policies… more
    UCLA Health (09/24/24)
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  • Denial Analyst

    Acacia Network (Bronx, NY)
    Finance Denial Analyst Bronx, NY : 3/11/2024 Job Description Job ID#: 3830 Job Category: Finance Position Type: Full Time Details: Under the supervision of the ... Director of Revenue Cycle, the denial analyst will be responsible for timely billing and...+ Check patient payments. + Reviewing EOBs + Claim denial reconciliation. + Other duties and responsibilities assigned by… more
    Acacia Network (09/10/24)
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  • Coding Denial Auditor

    R1 RCM (Boise, ID)
    …flows while reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for reviewing denial coded cases for ... coding completeness and accuracy. This person will identify potential coding and DRG errors, researches appropriate guidelines to support recommended changes, and communicates the changes to the coder involved on a timely basis. The Reviewer provides expert… more
    R1 RCM (11/21/24)
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  • Denial Mgmt Clinical Analyst

    Premier Health (Dayton, OH)
    …The DMCA is responsible for resolving third party payor denials and identifying denial trends by payer. The DMCA is knowledgeable of third party payer contracts, ... and Medicaid guidelines, and other regulations which impact the utilization or denial of provider services. Essential Duties & Functions: 1. Responds positively to,… more
    Premier Health (11/07/24)
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  • Claims and Denial Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... staff for single or low volume errors. Report high volume coding denial trends to the coordinator + Maintain meticulous documentation, spreadsheets, account, and… more
    St. Luke's University Health Network (10/16/24)
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  • UR/CDI/Inpatient Denial Quality Assistant…

    Great River Health (West Burlington, IA)
    …Day Shift, Mon-Fri Job Description: A Brief OverviewThe UR/CDI/Inpatient Denial Quality Assistant provides administrative support to departments, ensuring efficient ... daily operations. Key responsibilities include assessing, administering and documenting communication to patients regarding level of care and Medicare compliance. The assistant also would coordinate meetings, preparing reports, and handle communications with… more
    Great River Health (11/27/24)
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  • Performance Mangagement Manager - Denial

    R1 RCM (Detroit, MI)
    …experience and ability to manage a team effectively. + Demonstrated experience in denial management and revenue cycle management. + Evidence of strong analytical and ... problem-solving skills. + Prior experience working in business intelligence tools such as but not limited to, Microsoft Power BI, Tableau, MedeAnalytics, etc. For this US-based position, the base pay range is $71,930.00 - $109,236.00 per year . Individual pay… more
    R1 RCM (11/26/24)
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  • Manager, Business Intelligence

    Huron Consulting Group (Chicago, IL)
    …Managed Services is currently seeking a Manager over Vendor Management and Denial Prevention to join Adventist Health's Centralized Services & Strategy team. The ... The Manager will also oversee the execution of system-wide denial prevention strategy including but not limited to identifying... prevention strategy including but not limited to identifying denial trends and root causes, reporting on denial more
    Huron Consulting Group (11/23/24)
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  • Revenue Cycle Denials Analyst

    Emory Healthcare/Emory University (Atlanta, GA)
    …denials across the healthcare system + Reporting to the Director of Enterprise Denial Management, this role provides critical insights into denial trends and ... overall Data Collection and Reporting + Gather and compile denial data from multiple systems for both hospital and...reports + Trend & Root Cause Analysis - Analyze denial patterns to identify root causes, collaborating with cross-functional… more
    Emory Healthcare/Emory University (11/12/24)
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  • Denials Specialist 2 / HIM Coding

    Hartford HealthCare (Farmington, CT)
    …*Key Areas of Responsibility* *Denials Resolution* . Manages the HIM Coding Denial work queue and collaborates with coding managers and other departments as ... vendor. Reviews audit findings and schedules quarterly meeting to provide updates on denial trends. . Conducts account research and works with others as needed to… more
    Hartford HealthCare (11/06/24)
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