- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... be required to work with multiple departments and communicate to the Denial Avoidance Specialist when identifying trends relating to denials. The specialist will… more
- Blanchard Valley Health System (Findlay, OH)
- …with payer regulations and the department's policies and procedures. Duty 2 Reviews historical payment information to determine accuracy of reimbursement, reviews ... solving with peers and leaders to address payer underpayment, overpayment, and denial issues or changes that directly impact the accounts receivable. Works closely… more
- Baylor Scott & White Health (Dallas, TX)
- …and supported, and our workforce should mirror the communities we serve. **Qualifications** + Associate degree. + A minimum of ( 2 ) two years of relevant work ... **Job Summary** You, as a Registered Nurse in the Denial Resource Center at Baylor Scott & White Health,...earnestly participating in their implementation. + By closely examining denial trends, you will categorize them based on impacts… more
- TECO Energy (Ybor City, FL)
- …experience listed above, may consider three (3) years of related experience with an Associate 's Degree or two ( 2 ) years of related experience with a Bachelor's ... based on project requirements, capacity plans, and system support. (20%) 2 . Problem solving involves basic troubleshooting following the OSI (Open Systems… more
- City of New York (New York, NY)
- …a case or uncover activities of a criminal, corrupt, unlawful or unethical nature; or 2 . An associate degree or 60 semester credits from an accredited college ... UMOS in the rank of Detective or above. Part-time Associate Investigators, Level I will be limited to working...and notify applicant of approval or appeal process for denial of handgun permit. Location and Schedule Varies. Qualifications… more
- AbbVie (Mettawa, IL)
- …help patients achieve their full treatment plan potential. AbbVie Patient Services Associate Director - Access and Reimbursement Marketing: Oncology and Eye Care The ... Associate Director APS - Access and Reimbursement marketing, reports...Verification and Prior Authorization processes + Claim submission and denial management Continuous sitting for prolonged periods (more than… more
- City of New York (New York, NY)
- …Open to candidates who are permanent in the civil service title of Clerical Associate or for those individuals who filed for THE NEW YORK CITY BRIDGE EXAM ... period From June 7, 2023 to July 18, 2023, which includes CLERICAL ASSOCIATE . THE TEST DATE: Multiple-choice and Qualifying Education and Experience testing is… more
- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Coding Associate II - Orthopedics you will review clinical documentation and diagnostic ... **Here's what you will work on as a Coding Associate II** + Review and evaluate patient medical records...may impact coding, system edits, payer rejection and insurance denial trends + Contacts clients and/or submits compliant queries,… more
- Hartford HealthCare (Farmington, CT)
- …Coding (CAC) and/or encoder, coding manuals and other reference material as required. 2 . Enters charges for procedures that are not soft coded as instructed for ... coding/charging as appropriate for specific range of ICD-10-CM/CPT/HCPCS codes. 2 . Reviews accounts returned from various departments and processes corrections… more
- Hartford HealthCare (Newington, CT)
- …to determine the appropriate assignment of diagnosis and procedure codes. 2 . Analyzes medical records, interprets documentation and assigns proper International ... coding/charging as appropriate for specific range of ICD-10-CM/CPT/HCPCS codes. 2 . Reviews accounts returned from various departments and processes corrections… more
- Live Nation (Beverly Hills, CA)
- …please read on! THE ROLE Live Nation is looking for a CRM Associate to manage the operations and execution of Ticketmaster's multi-channel CRM campaigns, including ... WHAT THIS PERSON WILL BRING + Bachelor's Degree + 2 + years email marketing experience, with a proven track...grooming practices), family and medical care leave or the denial of family and medical care leave, mental or… more
- Robert Half Office Team (Bakersfield, CA)
- Description We are looking for a meticulous and dedicated Associate Clinical Administrator Coordinator to join our team in the healthcare industry, remote to ... all adverse determinations and notices including provider outreach for denial avoidance, accessibility verification and benefit validation. □ Ensures informational… more
- Catholic Health Initiatives (Grand Island, NE)
- **Overview** The Care Management Associate is responsible for ensuring appropriate communication with third party payers to authorize hospital days. They obtain ... per third party payer requirements + Upon identification of possible concurrent denial , forwards information to appropriate case manager + Notifies third party payer… more
- Catholic Health Initiatives (Council Bluffs, IA)
- …surgery maternity cancer care and diagnostic imaging. The Care Management Associate is responsible for ensuring appropriate communication with third party payers ... per third party payer requirements + Upon identification of possible concurrent denial , forwards information to appropriate case manager + Notifies third party payer… more
- City of New York (New York, NY)
- …public communications, and stronger surveillance and bridges to healthcare systems 2 ) Address and prevent chronic and diet-related disease, including addressing ... development and learning. The Bureau seeks to hire an Operations Associate to ensure compliance with legislative mandates to conduct comprehensive background… more
- Beth Israel Lahey Health (Boston, MA)
- …provides patient with final review outcome making necessary changes when errors determined. 2 . Provides Self Pay Estimates to patients for office visits and collects ... system, notifies administrative schedulers and the provider of approval or denial . 7. Works BIDMC Missing Elements Report daily obtaining missing… more
- SSM Health (Oklahoma City, OK)
- …respective region. + Accountable to the regional leadership team for denial management, medical necessity, and appropriate utilization of inpatient resources ... identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga= 2… more
- Ventura County (Ventura, CA)
- …Financial Services (PFS) and a deep understanding of medical billing guidelines, denial and appeals processes, and insurance contracts. They will possess expertise ... INCENTIVE: Incumbents may be eligible for educational incentive of 2 .5%, 3.5%, or 5% based on completion of an....5%, 3.5%, or 5% based on completion of an Associate 's, Bachelor's, or Master's degree that is not required… more
- Nuvance Health (Poughkeepsie, NY)
- …situation. Documents information in the current electronic system (such as MIDAS). 2 . Validates admission and continuing stay criteria with third party payers ... 4. Collaborates with the third party payers to anticipate denial of payment and proactively addresses issues contributing to...Requirement: 3 years experience in acute care. Must have Associate 's Degree or BSN preferred. Must have current RN… more
- University of Rochester (Rochester, NY)
- …efficiently to ensure completion of records request within allotted timeframe. 2 . Validates and coordinates the release of protected health information (PHI) ... Behavioral Health, ambulatory departments and providers. Coordinate, prepare and document denial of access to medical records following established policy. 7.… more
