- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The system manager of denials prevention and appeals, working in a remote environment ... accuracy and appropriate reimbursement. This leader will identify root causes of denials , propose preventative measures with the use of Epic automation and ancillary… more
- Albany Medical Center (Albany, NY)
- …denials as well as work with the departments as necessary to reduce future denials . The manager will serve as the knowledge resource for all billing questions ... States of America) Salary Range: $78,773.63 - $122,099.12 The Manager of Hospital accounts receivable is responsible for all...billed to insurance for Albany Med Health System The Manager is responsible for overseeing the billing staff. The… more
- Garnet Health (Middletown, NY)
- …and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI department and ... DRG Denials appeals process. The Manager will develop, implement and evaluate processes, policies and procedures related to clinical documentation improvement… more
- Houston Methodist (Houston, TX)
- …development and implementation of the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials , and pre-bill team ... of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively or concurrently determines the… more
- University of Southern California (Alhambra, CA)
- …& state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ... 'claims denials ' and 'claims rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS,...fashion. * Performs other duties as requested/assigned by Director, Manager , Supervisor, or designee. + CODING & ABSTRACTING ACCURACY… more
- Hartford HealthCare (Farmington, CT)
- …The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials . This ... *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial reasons, and determine the appropriateness… more
- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials ... + Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into… more
- Emory Healthcare/Emory University (Decatur, GA)
- …the volume of denials . + This position reports to the Supervisor or Manager , Coding Denials Management. Employee may be responsible for other duties as ... revenue. + This position reports to the Supervisor or Manager , Revenue Cycle Operations. + Employee may be responsible...be responsible for other duties as assigned. + CODING DENIALS SPECIALIST: The primary focus of this position will… more
- Penn Medicine (East Petersburg, PA)
- …shape our future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am (8 hour ... are met in an appropriate manner. Responsibilities: + Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or patient to resolve… more
- Children's Mercy Kansas City (Kansas City, MO)
- …the lives of children beyond the walls of our hospital. Overview The Denials Prevention Analyst is directly responsible for reviewing current denial data to ... of root cause resolutions under the supervision of the Denials Prevention leadership within CMH. This position also adheres...the person hired will work with his or her manager to determine a schedule that includes both at… more
- Omaha Children's Hospital (Omaha, NE)
- **Schedule: FT, Days, denials exp required (flexible hours)** At Children's Nebraska, our mission is to improve the life of every child through exceptional care, ... for insurance and government collections to include claims, A/R follow-up, denials and appeals. This includes supervising, monitoring, and analyzing all activities… more
- US Physical Therapy (Decatur, GA)
- …our billing and claims department with collections of patient balances, managing denials and assisting the Office Manager with outstanding A/R. ... prior authorizations + Follow up with insurance companies on unpaid claims and denials . + Assist with Answer phones and scheduling new patients + Provide excellent… more
- WMCHealth (Margaretville, NY)
- …reviews to medical insurance companies as requested. + UR-Collaborates with the Health Information Manager to appeal insurance denials . Set up peer to peer if ... Case Manager D-RN Company: Margaretville Hospital City/State: Margaretville, NY...Applicant link Job Details: Summary of Job Purpose Case Manager coordinates care and service of selected patients across… more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials , appeals, and audit processes within the ... health system. This role ensures timely resolution of claim denials , effective appeal strategies, and proactive audit response. The manager leads a team of… 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 areas ... to: medical coding, insurance billing, collections, patient account resolution, appeals/ denials , customer service, cash applications, revenue integrity, etc. This… more
- Henry Ford Health System (Detroit, MI)
- Henry Ford Health is seeking a Pharmacy Manager for our Revenue Cycle team. This full-time role plays a key part in ensuring strong financial stewardship of ... Detroit, MI - Elijah McCoy Campus, Centralized Pharmacy Service Center The Pharmacy Manager reports to Director of Pharmacy and works closely with the managers and… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42720BR** **Extended Job Title:** Coding Manager ELP **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Provide oversight, training and ... to assigned multi-specialty coding inventories. + Review ETM coding denials for coding error. ETM denials assigned to the coding role that are non-coding related… more
- Amazon (Arlington, VA)
- Description Join Amazon Healthcare Finance Operations Services as a Revenue Cycle Manager focused on transforming healthcare financial operations. In this role, you ... point-of-service collections. You will drive process improvements aimed at reducing denials , accelerating cash flow, and improving net revenue. Working closely with… more
- BronxCare Health System (Bronx, NY)
- …for the staff on identified deficiencies to best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely ... Overview The Appeals Manager is responsible to assist in the analysis...tracking and trending of all denials and appeals, prepare weekly status reports, attend necessary… more
- Covenant Health Inc. (Knoxville, TN)
- …and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff ... reviews of coding/abstracting, and focusing on problem solving issues related to denials . Provides assurance that billing practices are complete, accurate, and in… more
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