- Community Health Systems (Fort Smith, AR)
- As a ** Remote ** **Denial Support Services Manager ** at Community Health Systems - Shared Services Center- Fort Smith, you'll play a vital role in supporting our ... Experience:** + 5+ years of supervisory experience in a medical revenue cycle, including coding and denials ....and employee performance. (14%) + This is a fully remote opportunity. We know it's not just about finding… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you'll contribute:** This position is responsible for analyzing payer ... identifying variance causes for the identification and resolution of payer denials and expected reimbursement underpayments. Responsible for recognizing payer trends… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The Denials Management RN is responsible and accountable for receiving, processing and documenting all ... concurrent denials for assigned facilities. The Denials Management...management. Recommends and provides education in collaboration with their manager . Schedule (time, day requirements, etc.): Monday-Friday 8-4:30pm Physical… more
- University of Michigan (Ann Arbor, MI)
- …level of standard of coding quality goals and outcomes + Collaborate with Manager and Medical Coding Compliance Specialists to review training materials for ... Revenue Cycle Coding Supervisor - Appeals & Denials Apply Now **Job Summary** The Denial Coding...Denial Coding Supervisor provides subject matter expertise in physician medical coding, insurance billing, and follow-up activities. This position… more
- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient… more
- Stanford Health Care (Palo Alto, CA)
- …cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational ... performance of the Hospital Revenue Cycle. The PFS Senior Manager acts as a liaison between PFS operations and...and third-party payor regulations. + Assures compliance with the medical staff bylaws, rules and regulations, and hospital and… more
- Tidelands Health (Myrtle Beach, SC)
- …as set forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation to ensure accurate ... point of contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** + Assigns and sequences… more
- Community Health Systems (Franklin, TN)
- …management is the analysis of the necessity, appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the ... assessment for medical necessity, both for admission to the hospital as...in such a way that minimizes the risk of denials after discharge. The hours for this position will… more
- Community Health Systems (Franklin, TN)
- …management is the analysis of the necessity, appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the ... assessment for medical necessity, both for admission to the hospital as...the various aspects of the hospital's utilization management program, denials and appeals activities, and readmission reduction initiatives. The… more
- UNC Health Care (Chapel Hill, NC)
- …a variety of software (eg Optum, Epic, PWC SMART, MS Office, Audit Manager etc.) to compile and validate medical information. **Other Information** Other ... of the unique communities we serve. Summary: This position trains and audits medical coders, either inpatient or outpatient across all HCS entities that are owned… more
- Trinity Health (Livonia, MI)
- …and work assignments for colleagues. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and ... **Description:** **POSITION PURPOSE** At the direction of the Regional Manager , Clinical Documentation Integrity (CDI), this position supervises daily operations… more
- Monte Nido (Miami, FL)
- …providing the opportunity for people to realize their healthy selves. **Billing Manager ** **Monte Nido** ** Remote ** **Monte Nido** has been delivering proven ... and an emphasis on individual therapy and highly-individualized treatment. The Billing Manager is responsible for overseeing and managing all aspects of the billing… more
- University of Rochester (Rochester, NY)
- …and charging support to Patient Financial Services, Revenue Integrity, Medical Faculty Group, and hospital departments consistent with enterprise-wide billing ... with latitude for independent judgment: 35% For hospital billing: - Review Coverage Manager II work queues. Review payer coverage changes made at the patient… more
- Community Health Systems (Franklin, TN)
- …include the following. Other duties may be assigned. + Evaluates medical record documentation to ensure appropriate assignment and sequencing of the ... health records. + Provides training, mentoring and direction to medical coding staff in the department. + Works with...in the department. + Works with clinics to resolve denials from the clinic denial logs. + Requests additional… more
- Robert Half Finance & Accounting (Syracuse, NY)
- Description 95% Remote Job! You only need to go to the office...with one of his Syracuse clients to help hire a Medical Billing Manager . This role has a lot ... created position. This organization has amazing benefits. As a Medical Billing Manager , your primary focus will...timeliness and accuracy * Monitor the process of payments, denials , and adjustments * Ensure patient accounts are resolved… more
- CommonSpirit Health (Phoenix, AZ)
- …industry, we'll take care of you with benefits that include: Medical /Dental/Vision, FSA, Dependent Care Spending Account, Life Insurance, Short and Long-term ... Employee Assistance Program, and more! **Responsibilities** **Thi This is a remote position and incumbents must reside in California.** **Job Summary** This… more
- Guardian Life (Columbus, OH)
- …the best at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing Leave of Absence programs and individual ... Nurse and Disability Case Managers, Risk Management. The FML Claims Case Manager II recognizes the importance of compliance and regulatory adherence, customer… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …* Revenue Cycle Job Type Full-time Description Regional Manager of Credentialing and AuditingAffiliate Wide - Remote ... Revenue Cycle Leadership to evaluate Third-Party payer contracts; investigates and resolves medical claim denials related to Enrollment Credentialing, Coding, or… more
- Trinity Health (Syracuse, NY)
- …directing, and managing support and day-to-day operational tasks for Trinity Health Medical Group (THMG) Revenue Cycle in a single or combined market/Health Ministry ... patient revenue less than $100M. Collaborates with and supports Medical Group operational leadership to ensure registration, insurance verification, authorization,… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …to pay for services. Sea Mar's network of services includes more than 90 medical , dental, and behavioral health clinics and a wide variety of nutritional, social, ... a mandatory COVID-19 and flu vaccine organization Revenue Cycle Manager - Posting #26627 Annual Salary: $90,000 - $105,000...requires a skill to diagnose and root cause claim denials and rejection issues, develop action plans and training… more