- AdventHealth (Altamonte Springs, FL)
- …All while understanding that **together** we are even better. **Shift** : Full -time; Monday-Friday **Job Location** : Remote **The role you will contribute:** This ... more
- Rush University Medical Center (Chicago, IL)
- …of each case. **Summary:** This position reviews initial clinical facility and physician denials , documents appeals for clinical inpatient denials , conducts ... more
- Nuvance Health (Danbury, CT)
- …leadership and operational oversight for a team of utilization review staff, denials and appeals specialists, non-clinical support staff while partnering with ... more
- MD Anderson Cancer Center (Houston, TX)
- …to payers utilizing specified guidelines, and facilitate timely peer to peer or appeals to mitigate denials KEY FUNCTIONS Standards of Practice a₠" Utilization ... more
- University of Miami (Miami, FL)
- …of Miami Health System, "UHealth", Department of Medicine has an exciting opportunity for a Full -Time Nurse Navigator 1 to work in South Florida. The Nurse ... more
- City and County of San Francisco (San Francisco, CA)
- …Service (https://careers.sf.gov/knowledge/role-types/) + Recruitment ID: CCT-2320-H00083 + Employment Type: Full -Time *This role is in-person at ZSFG Hospital with ... 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
- Ascension Health (Baltimore, MD)
- …related to coding, medical records/documentation, precertification, reimbursement and claim denials / appeals . + Assess and coordinate discharge planning needs ... more
- Beth Israel Lahey Health (Plymouth, MA)
- **Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH team, ... more
- PeaceHealth (Vancouver, WA)
- …matter content expert and change agent with in-depth knowledge of workflow related to denials and appeals management. Performs in depth reviews of clinical DRG ... more
- Community Health Systems (Sarasota, FL)
- …years related experience; Previous healthcare financial services experience or appeals / denials experience + Education: Master's Degree + ... more
- Baylor Scott & White Health (Dallas, TX)
- …Registered Nurse in the Denial Resource Center at Baylor Scott & White Health, manage denials and appeals . Your job is to handle claim denials from all ... more
- RWJBarnabas Health (New Brunswick, NJ)
- …for obtaining insurance pre-certification and prior authorization for services. Submits appeals of coverage denials . Screens and assists the uninsured ... more
- Virtua Health (Mount Laurel, NJ)
- …open communication with management regarding billing and coding issues including documentation, denials / appeals , etc. * Follows up on assigned insurances on a ... 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
- Indian Health Service (Rosebud, SD)
- …will include; 1) Prior Authorizations/Pre-Certifications; 2) Provider Enrollment; 3) Appeals ; and 4) Accounts Receivable. Responsibilities Works closely with the ... more
- Mindful Support Services (Seattle, WA)
- …Therapy Group is a company dedicated to empowering therapists, psychologists, and nurse practitioners to dive into private practice, without doing all the leg ... more
- Hackensack Meridian Health (North Bergen, NJ)
- …workflows for utilization review activities including admission reviews, admission denials , continued stay reviews, continued stay denials , termination ... more
- HCA Healthcare (Rochester, NH)
- …+ Employee Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more about Employee Benefits ... more
- Trinity Health (Livonia, MI)
- …charge errors accordingly. Epic experience desired. Experience and knowledge of working on appeals for insurance denials and identifying root cause. Knowledge of ... more