- AdventHealth (Altamonte Springs, FL)
- …Monday-Friday **Job Location** : Remote **The role you'll contribute:** The Denials Management Manager is responsible for the planning, managing ... and evaluation of denials management functional areas daily including but not limited to denials management , appeals, expediting billing and payments for… more
- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** The Manager for Pharmacy Revenue Cycle reports to the Senior Director of Pharmacy Business ... development and execution of Pharmaceutical Revenue Cycle program initiatives. The Manager works with stakeholders across the broader Stanford Health Care… more
- University of Miami (Miami, FL)
- … Management , has an exciting opportunity for an Utilization Review Case Manager to work remote . The incumbent conducts initial, concurrent and retrospective ... 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)
- …a Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is the face of Revenue Cycle Operations for the clinical departments, Chiefs ... Directors of Finance & Administration (DFA's). The Revenue Integrity Program Manager is responsible for ensuring compliance with government, payer and internal… more
- Option Care Health (Des Moines, IA)
- …are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. ... time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt. + Ensures compliance with policies and… more
- Tidelands Health (Murrells Inlet, SC)
- …point of contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** + Assigns and sequences ... Data Set (UHDDS), based on the American Health Information Management Association (AHIMA) and organization-specific guidelines for reimbursement, statistical… more
- AdventHealth (Altamonte Springs, FL)
- …are even better. **Job Location** : **Monday-Friday 9:00am-5:00pm - Fully** ** Remote ** **The role you'll contribute:** AH coders will review physician's ... based on current coding guidelines for charges needing edits, reviews, and denials needing recoding. **The value you'll bring to the team:** . Responsible… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER : University Hospital (Care Management ) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and monitors ... RN Case Manager reports directly to the Manager of Care Management . The RN Case...advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials ; input into appeals; share findings with providers +… more
- UNC Health Care (Chapel Hill, NC)
- …provide training and education. This position processes and appeals insurance coding denials . This position analyzes coded records for compliance with federal, state ... and ancillary cases). 3. Faxes, tracks, and monitors coding denials and appeals on both inpatient and outpatient cases....software (eg Optum, Epic, PWC SMART, MS Office, Audit Manager etc.) to compile and validate medical information. **Other… more
- University of Michigan (Ann Arbor, MI)
- …Summary** This Clinical Documentation Integrity Specialist III (CDIS III) position is fully remote and will include Team lead role and second level reviewer. These ... expected risk of mortality, accuracy of patient outcomes, PSI90/HAC reviews, clinical denials and appeals and complexity of patient care. Serves as key resource… more
- One Health (Powell, WY)
- …coding manager will be responsible for the daily operational management of the coding department, including coding, compliance, and provider/coder education. ... **This is a remote position, but the successful candidate should live...individuals with disabilities to perform the essential job functions. Manager Duties and Responsibilities + Provides day-to-day management… more
- Fairview Health Services (St. Paul, MN)
- … team. Here are the key details: **Position Details:** + **Position:** Manager Clinical Documentation Integrity + **Location:** remote + **Employment Type:** ... **Overview** Fairview is hiring a Manager Clinical Documentation Integrity to join our Health...resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support… more
- Randstad US (Lewisville, TX)
- case manager . + lewisville , texas ( remote ) + posted 2 days ago **job details** summary + $19.99 - $20 per hour + temporary + bachelor degree + category ... management occupations + referenceAB_4625638 job details The Case Manager is responsible for managing patient cases, ensuring compliance with healthcare policies,… more
- Highmark Health (Pittsburgh, PA)
- …:** Highmark Health **Job Description :** **JOB SUMMARY** The Senior Product Manager , Claims will define the product strategy, vision, and value proposition of ... for members, improving payment integrity, and optimizing the experience of denials , appeals, and grievances. The ideal candidate outlines the strategic vision… more
- Catholic Health Services (Melville, NY)
- …Long Island's Top Workplace! Job Details Under the direction of the Manager , the Coordinator position provides operational support to departments within physician ... contractual agreements. Staying current on payer policy changes that impact charge capture, denials , and cash. Working with PRC teams and DTS on rules to increase… more
- Subaru of America (Camden, NJ)
- …call our Subaru Love Promise(R). Position Summary As the Retailer Insurance Manager , you will oversee the development, marketing, administration, and compliance of ... Shield (SES) insurance products in collaboration with the F&I Development Manager . These products, written in partnership with insurance companies and reinsured… more
- Trinity Health (Syracuse, NY)
- …needed to support accurate, consistent, and compliant professional revenue operations. The Manager will have an A2 relationship to both the Regional Vice President ... and high level of performance and accountability utilizing a participative management style to ensure colleague retention. Develops necessary infrastructure to… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …physicians, workplace, benefits administrators, and individuals from other areas. The Case Manager facilitates the case management process along the healthcare ... Referral (https://careers-connectiverx.icims.com/jobs/2476/case- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834382591) Share on News Feed LocationUS-PA-Pittsburgh ID2024-2476 Category Customer Service Position Type Full Time Remote … more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- …* Revenue Cycle Job Type Full-time Description Regional Manager of Credentialing and AuditingAffiliate Wide - Remote ... Regional Manager of Credentialing and Auditing Buffalo, NY (http://maps.google.com/maps?q=60+E.+Amherst+Street+Buffalo+NY+USA+14214)… more
- HCA Healthcare (Mcallen, TX)
- …an organization that invests in you as a(an) Supervisor Registered Nurse Case Manager ? At Rio Grande Regional Hospital, you come first. HCA Healthcare has committed ... are looking for a dedicated Supervisor Registered Nurse Case Manager like you to be a part of our... is responsible for the supervision of the Case management Staff functioning as communicator, leader, assessor, planner, implementor,… more