- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor ** , you will help support ... excelling in this remote position. **Here's what you will experience working as a Clinical Appeals Supervisor :** + Track and monitor the workflow of the … more
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals and Denials Manager** , you will serve as ... an expert on clinical appeals and denials management. Every day...Denials Manager** + Responsible for the oversight of department supervisor (s) and overall department vision. + Mentors, supports, and… more
- Rush University Medical Center (Chicago, IL)
- …may very depending on the circumstances of each case. **Summary:** The Clinical resource coordinator (CRC) applies a collaborative approach in working with ... designated support for functions including payer approval / certification communication, denial appeals , and / or level of care management processes. * In accordance… more
- Molina Healthcare (Chicago, IL)
- … and Grievances department. We are seeking a Registered Nurse with previous Appeals and Grievances experience and a clinical background. The candidate must ... 8:00am -5:00pm. Michigan RN license preferred. + Functions as a hands-on supervisor , providing direction and guidance to the auditing team to ensure implementation… more
- R1 RCM (Chicago, IL)
- …reviews, call insurance companies to resolve authorization and claim denials, write appeals and letters to insurance companies to resolve denials, and follow up ... on appeals to the point of exhaustion or payment. To...email/phone from insurance companies. + Approve cases eligible for clinical review. + Assist with training of employees and… more
- Elevance Health (Chicago, IL)
- ** Clinical Ops Associate Medical Director** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more