- TEKsystems (Sarasota, FL)
- Description 1. Manages workflow for Humana PPI Audits, RAC Audits, or outpatient appeals and communicates daily with Sr. Director/ Manager on trends identified 2. ... more
- WMCHealth (Hawthorne, NY)
- Denials Manager Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Professional/Non-Clinical Department: Business Office Union: No ... more
- Beth Israel Lahey Health (Plymouth, MA)
- …making a difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth ... more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and prevention ... 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
- Virtua Health (Mount Laurel, NJ)
- …payment of claims.Assists customers with denial related questions.Prepares and maintains appeals for denials .Position Responsibilities:* Identifies items to be ... 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
- Houston Methodist (Katy, TX)
- …to: medical coding, insurance billing, collections, patient account resolution, appeals / denials , customer service, cash applications, revenue integrity, etc. ... 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
- UTMB Health (Galveston, TX)
- …under Revenue Cycle Operations (RCO) including team leads and specialists ( denials /follow-up). The Manager interacts with UTMB leadership, including clinical ... 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
- Arnot Health (Elmira, NY)
- …Arnot Health departments and third party payers to discourage preventable denials DUTIES AND RESPONSIBILITIES: 1. Retrospectively determines medical necessity and ... 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
- Johns Hopkins University (Middle River, MD)
- …and insurance) as needed. + Resolves claim edits + Drafts and resolves non-standard appeals . + Research medical policies to resolve denials based on medical ... more
- Hunterdon Health Care System (Flemington, NJ)
- …codes are accounted for within the master charge master file. + Tracks AR days, denials , appeals denials , and recommends policy and procedure changes to ... 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
- MD Anderson Cancer Center (Houston, TX)
- …therapy). This includes the evaluation and appeal of both clinical and technical denials . Position ensures that all processes within HB Billing and Collections are ... more
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