- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview Director of Clinical Denials Management and Audit supervises a team of RN/LPN clinical reviewers as ... more
- Community Health Systems (Antioch, TN)
- …and audit activities to ensure timely response for the processing of all payor denials , audit request and appeals . + Builds and analyzes management reports to ... more
- University of Utah (Salt Lake City, UT)
- …appropriate account resolution of MAC 1 & 2 team members. 3. Monitor and resolve denials and appeals to ensure timely collection. 20% 1. Maintain work queue ... more
- Community Health Systems (Franklin, TN)
- …Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report ... more
- Community Health Systems (Fort Smith, AR)
- …authorization issues related to appeals , providing necessary data for resolving inpatient/ clinical denials . + Performs other duties as assigned. + Complies ... more
- HCA Healthcare (Greenwood Village, CO)
- …limits? Our HealthONE Hospice & Family Care team is looking for a(an) Hospice Director of Clinical Services. HCA Healthcare is an advanced healthcare network ... more
- MD Anderson Cancer Center (Houston, TX)
- …implementation or enhancement that will impact billing and collections. + Responsible for clinical denials workload processing by team of RNs and oversight of ... more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... more
- Brockton Hospital (Brockton, MA)
- …external review agencies, to coordinate activities involved in medical record review, denials , appeals and reconsideration hearings. Works closely with the ... more
- AdventHealth (Maitland, FL)
- …**900 WINDERLEY PL, Maitland, 32751** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members of the Case ... more
- CaroMont Health (Gastonia, NC)
- …This is a split role between CDS workflow and DRG Denial Management and Appeals based on departmental needs. The Clinical Documentation and Denial Specialist is ... more
- CVS Health (Columbus, OH)
- …concurrent and prior authorization reviews with peer to peer coverage of denials . * Appeals - The medical director will perform appeals in their "base ... more
- Community Health Systems (Sarasota, FL)
- …years related experience; Previous healthcare financial services experience or appeals / denials experience + Education: Master's Degree + ... more
- Independent Health (Buffalo, NY)
- …coding guidelines and financial policies/contracts. + Responsible for all reconsideration clinical appeals to include review of records, consultation with ... more
- Covenant Health Inc. (Knoxville, TN)
- …Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used. ... more
- Ochsner Health (New Orleans, LA)
- …timely fashion. + Work with physicians on concurrent appeals (peer to peers)-discussions, appeals and denials + Serve as an education resource to clinical ... more
- Houston Methodist (Katy, TX)
- …to: medical coding, insurance billing, collections, patient account resolution, appeals / denials , customer service, cash applications, revenue integrity, etc. ... more
- HCA Healthcare (Live Oak, TX)
- …medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, discharge ... more
- Intermountain Health (St. George, UT)
- …Description:** Physician will provide Physician Advisor Utilization Reviewer and Central Appeals Work services. Physician shall engage, educate, and coach physicians ... more
- AdventHealth (Maitland, FL)
- …in billing for technical component of services and appeals for denials . Provides guidance to clinical questions from Utilization Management staff involved ... more