- Hartford HealthCare (Farmington, CT)
- …Responsible for the development and implementation of an effective HIM Coding denials program consistent with regulatory and healthcare revenue cycle industry ... Relationships:_* *This Job Reports To (Job Title):*HIM Coding Quality Manager . Follows H3W Leadership Behaviors** . Abides by...in an acute care hospital setting. . Two years denials review, auditing, management , mentoring and/or coder… more
- Dayton Children's Hospital (Dayton, OH)
- …and Resource Management ; supports the development and implementation of a comprehensive denials management program . This role functions as a hospital ... the promotion of best practice processes related to proactive denials management . This role monitors key performance...of payers and managed care contracts preferred + Previous program management and development experience preferred Skills… more
- Guidehouse (Birmingham, AL)
- …Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the appropriate ... Record + Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals. + Assisting Supervisor/… more
- University of Washington (Seattle, WA)
- …**Harborview Medical Center** ** Manager , Clinical Documentation ... managing and for providing organizational leadership for the Clinical Documentation Program (CDP) within the Harborview Medical Center (HMC). This position… more
- TEKsystems (North Charleston, SC)
- …FQHC experience preferred Knowledge of revenue cycle processes, payor billing, denials management and reporting. Knowledge of specialized reporting requirements ... to improve accounts receivable. Performs ongoing trend analysis of payer rejections and denials . Supports the billing manager to perform proactive review of all… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff ... discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for… more
- Henry Ford Health System (Troy, MI)
- …facilitation of multi-disciplinary, team based root cause analysis of edits and denials . TF Consultant should utilize knowledge of Epic optimization to implement ... and preparing recommendations for Leadership. Develop project plans and perform project management for the design and continuous evaluation of CBO insurance follow… more
- Stanford Health Care (Palo Alto, CA)
- …receivables, write-offs performance and, achieving and meeting KPI expectations. The Senior Manager is responsible for vendor management to ensure vendor ... cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational… more
- Providence (Mission Hills, CA)
- …role in leading, facilitating and managing the hospital utilization management program in the Southern California Region. The Manager assists the Regional ... **Description** The Manager of Utilization Management provides a...lieu of acute care + Previous experience working with denials and appeals in/for an acute care setting +… more
- HonorHealth (Scottsdale, AZ)
- …across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Medical Management Program Manager will be responsible for overseeing ... daily operations and processes to ensure adherence to all NCQA and Medical Management department policies and procedures. The Manager will provide oversight for… more
- University of Colorado (Aurora, CO)
- **Pediatrics Program Manager ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Orthopedics** **Job Title: Pediatrics Program ... Posted by the FREE value-added recruitment advertising agency (https://www.jobelephant.com/) Pediatrics Program Manager - 35208 University Staff The Peds … more
- Trinity Health (Mason City, IA)
- …Day Shift **Description:** **Position Purpose:** The Care Transitions Case Manager collaborates with physicians, social services, nurses, community agencies and ... quality care and to achieve optimal quality outcomes. The Care Transitions Case Manager is primarily responsible for selection of and ensuring the timely and… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following ... but not limited to: insurance billing, collections, patient account resolution, appeals/ denials , customer service, cash applications, revenue integrity, etc. The … more
- Penn Medicine (Plainsboro, NJ)
- …denials ; Credentials: + Registered Nurse - NJ (Required) + Certified Case Manager (Required) + National Case Management certification preferred; or obtained ... each day. Are you living your life's work? Summary: + The Case Manager supports the interdisciplinary team in facilitating patient care, with the underlying… more
- Fairview Health Services (St. Paul, MN)
- **Overview** Fairview is hiring a Manager Clinical Documentation Integrity to join our Health Information Management team. Here are the key details: **Position ... Details:** + **Position:** Manager Clinical Documentation Integrity + **Location:** remote + **Employment Type:** Full-time (1.0 FTE, 80 hours per pay period) +… more
- Billings Clinic (Billings, MT)
- …based on medical necessity and/or payer authorization discrepancies Communicates to Case Manager on current outliers, potential outliers, and denials Identifies ... Defined Contribution Pension Plan, Paid Time Off, employee wellness program , and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information… more
- Catholic Health Initiatives (Lexington, KY)
- …for the market(s) development, implementation, evaluation and direction of the Utilization Management Program and staff in support of the CommonSpirit Health ... procedures and processes; directs and assists with accreditation activities; efficient management of payer requirements, addressing denials effectively, and… more
- Tidelands Health (Pawleys Island, SC)
- …Receivable assets of Tidelands Health facilities by oversight for Follow-up, Quality Assurance, Denials Management and AR Analysis and will be responsible for ... supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- HCA Healthcare (Fort Lauderdale, FL)
- …communities. As a Director of Revenue with HCA Healthcare, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Healthcare, offers a ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- UNC Health Care (Rocky Mount, NC)
- …Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge planning. May facilitate the ... the continuum of care, or may concentrate on one aspect of case management , depending on the area assigned. In collaboration with the Interdisciplinary Patient Care… more