- Bozeman Health (Bozeman, MT)
- …executive team in collaboration with the Patient Financial Services (PFS) manager . Oversees and coordinates the insurance billing function for Bozeman Health ... more
- University of Rochester (Rochester, NY)
- …multiple specialties. Key Functions and Expected Performances With general direction of the Manager / Assistant Manager and in addition to the duties outlined ... more
- Hartford HealthCare (Farmington, CT)
- … manager of changes. Maintains log of missed prior authorizations and assists manager with monthly audit follow up for denials . Collaborates with various ... more
- Houston Methodist (Houston, TX)
- …includes identification of opportunities for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of care. ... more
- Penn Medicine (Woodbury Heights, NJ)
- …changes to billing policies. + Reviews, processes and challenges all rejections and denials escalating notable trends to the Practice Manager + Identifies issues ... more
- University of Rochester (Rochester, NY)
- …with latitude for independent judgment: 35% For hospital billing: - Review Coverage Manager II work queues. Review payer coverage changes made at the patient ... more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …procedures on ER medical records. FUNCTIONAL DEMANDS Reports to: Coding Manager and/or HIM Director Inclement Weather: Non-essential Organizational Expectations . ... more
- Dartmouth Health (Lebanon, NH)
- …as * Length of stay (LOS) * Avoidable days * Readmissions * Payer denials * Other care coordination related outcomes * Manage, interpret and share Care Coordination ... more
- Help at Home (Chicago, IL)
- …**Job Summary:** The RCM Specialist, AR reports to the RCM Supervisor or Manager . This position performs general data entry, keying, and bookkeeping tasks for the ... more
- Northern Light Health (Ellsworth, ME)
- …Week Work Schedule: 7:00 AM to 5:30 PM Summary: Reports to the Practice Manager , provides patient care that meets the psychosocial, physical, and general aspects of ... more
- Ellis Medicine (Schenectady, NY)
- …accurate reimbursement. Reports findings, irregularities or trends to their direct manager /director and other relevant department heads. Activities will include the ... more
- Northern Light Health (Ellsworth, ME)
- …No Hours Assigned Work Schedule: Variable Summary: Reports to the Practice Manager , provides patient care that meets the psychosocial, physical, and general aspects ... more
- HCA Healthcare (San Antonio, TX)
- …of Clinical Services with Methodist Hospice & Family Care, you can be a manager in an organization that is devoted to giving! **Benefits** Methodist Hospice & Family ... more
- Providence (Torrance, CA)
- **Description** Appeals RN - Care Manager to join our Utilization Management group for Providence Little Company of Mary in Torrance, CA. This is a Remote Per-Diem ... more
- South Middlesex Opportunity Council (Framingham, MA)
- …applicable; + Communicate with property owners and managers regarding approvals and denials of rent increase requests. + Work closely with Rental Assistance Program ... more
- Great River Health (West Burlington, IA)
- …for hospital and clinic services. The Supervisor collaborates with the Patient Access Manager and Director to oversee work flow, staffing, and operations for areas ... more
- AdventHealth (Bolingbrook, IL)
- …Clinical Social Worker, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered ... more
- CenterWell (Lansing, MI)
- …following: clinical and survey metrics, clinical operations metrics, claims denials , AO/state survey results, risk mitigation, clinical compliance, QAPI adherence ... more
- Henry Ford Health System (Flint, MI)
- …ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible ... more
- South Middlesex Opportunity Council (Framingham, MA)
- …+ Post insurance checks and EOBs and reconcile posted totals. + Review denials and partially paid claims and resolve discrepancies + Reconcile cash payments in ... more