- Spectraforce Technologies Inc (Atlanta, GA)
- …as regional experts regarding payer trends and reports any reimbursement trends/delays to management team (eg billing denials , claim denials , pricing errors, ... drug assistance. Position Summary: Under the general supervision of an Operations Manager , the Customer Access Specialist will be providing advanced services to… 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
- HCA Healthcare (El Paso, TX)
- …will proactively initiate an expedited appeals process with payers and communicates with denials management regarding anticipated or verified denials and ... Las Palmas Medical Center team is looking for a(an) Manager of Case Management RN. HCA Healthcare...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- Huron Consulting Group (Chicago, IL)
- …utilization management processes and patient care outcomes. + Lead UM Denials Team Meetings to address denial management strategies. + Manage Budgeting ... for Healthcare IQ and MCG Tools and oversee UM Denials Database Management for accurate documentation +...also eligible to participate in Huron's annual incentive compensation program , which reflects Huron's pay for performance philosophy and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …environment where associates want to work and help communities thrive. **SUMMARY** The Program Manager of Revenue Applications is responsible for the creation ... data extraction, and adhoc reporting business and clinical information needs. The Program Manager of Revenue Applications ensures that the whole portfolio… more
- Trinity Health (Mason City, IA)
- …and negotiates appropriate reimbursement. The role integrates and coordinates utilization management , care facilitation and discharge planning functions. The role is ... heavily involved in denials for medical necessity and denials requiring...of the multidisciplinary team to effect timely, appropriate patient management . + Serves as the primary information resource for… more
- Bozeman Health (Bozeman, MT)
- …*Updated Remote States to Align with Business Needs Position Summary: The System Manager of Coding is responsible for assisting other leaders and supervisors with ... team discipline for all elements of established standard processes (work management , tools, team briefings, metrics tracking, and prompt resolution of issues,… more
- Beth Israel Lahey Health (Burlington, MA)
- …denied claims for complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful ... on workflows to help optimize denial processing and prevent future denials . **Job Description:** **Essential Duties & Responsibilities** including but not limited… more
- Beth Israel Lahey Health (Danvers, MA)
- …denied claims for complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful ... on workflows to help optimize denial processing and prevent future denials . **Job Description:** **Essential Duties & Responsibilities including but not limited… more
- Trinity Health (Silver Spring, MD)
- …MD **Description:** + Full-Time 8am - 4:30pm + Reporting to the Director of Care Management + The RN Manager is responsible and accountable for the operational ... Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Manager Care Mgt & Util Review **Employment Type:** Full...while supporting the HCH mission. + Assists with the denials prevention and management staff to ensure… more
- Trinity Health (Mason City, IA)
- …Full Time **Shift:** Days **Position Purpose:** The Care Transitions Case Manager collaborates with physicians, social services, nurses, community agencies and other ... 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
- Stanford Health Care (Palo Alto, CA)
- …**This is a Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is the face of Revenue Cycle Operations for the clinical ... of Medicine Directors of Finance & Administration (DFA's). The Revenue Integrity Program Manager is responsible for ensuring compliance with government, payer… 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
- 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
- Lancaster General Health (Lancaster, PA)
- …Works closely with the administrative and physician leadership in the development and management of the programs and services for which they oversee. This ... management position will be responsible for oversight of the...+ Oversees the strategic planning as it relates to program services along with program development, forecasting… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... clinical case management to assure that patients are being treated at...care outcomes, efficient utilization of health services and minimized denials of payment among a patient population with complex… more
- Sharp HealthCare (San Diego, CA)
- …Qualifications** + Other : Graduate of an accredited Licensed Vocational Nurse (LVN) program . + California Licensed Vocational Nurse (LVN) - CA Board of Vocational ... care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual… 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
