- WMCHealth (Hawthorne, NY)
- Denials Manager Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Professional/Non-Clinical Department: Business Office Union: No ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28373) Internal Applicant link Job Details: Job Summary: The Denials Manager 's responsibilities include identifying all … more
- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Appeals and Denials Manager ** , you will serve as an expert on clinical ... **Here's what you will experience working as a Clinical Appeals and Denials Manager ** + Responsible for the oversight of department supervisor(s) and overall… more
- 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 in a medical revenue cycle, including coding and denials . **Preferred License:** + Coding or Denial Certification or...Denial Liaison to discuss at minimum top 5 trending denials and develop and ensure each Facility has an… more
- UTMB Health (Galveston, TX)
- …under Revenue Cycle Operations (RCO) including team leads and specialists ( denials /follow-up). The Manager interacts with UTMB leadership, including clinical ... Manager , Hosp/Professional Ins Follow Up - Revenue Cycle...and accurate account resolution, including payer appeals for all denials and underpayments. + Collaborates and communicates with all… more
- Bon Secours Mercy Health (Newport News, VA)
- …acute level of care, collaborating with utilization management nurse to prevent potential denials . The care manager will address when patient is not receiving ... timely transitions across the continuum. Utilizing a collaborative process, the care manager will identify, assess, plan, implement and evaluate the options and… more
- Hartford HealthCare (Farmington, CT)
- …for the development and implementation of an effective HIM Coding denials program consistent with regulatory and healthcare revenue cycle industry standards. ... collecting data to monitor progress. *_Position Responsibilities:_* *Key Areas of Responsibility* * Denials Resolution* . Manages the HIM Coding Denial work queue and… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and prevention ... Communicates and educates on any identified coding denial trends. *_JOB RESPONSIBILITIES_* * Denials Resolution* * Works with coding staff to investigate and resolve… more
- St. Luke's University Health Network (Allentown, PA)
- …to, physicians, hospital employees and vendors. Advises Network CDI & DRG Denials Manager on issues requiring immediate attention. ADDITIONAL REQUIREMENTS: ... Per diem position is flexible upon request and with prior agreement with manager . Please complete your application using your full legal name and current home… more
- AdventHealth (Altamonte Springs, FL)
- …identifying variance causes for the identification and resolution of payer denials and expected reimbursement underpayments. Responsible for recognizing payer trends ... are equally respectful to all. Under general supervision of the Supervisor of Denials Management, will be responsible for billing and A/R follow up, denial recovery,… 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
- Guidehouse (Birmingham, AL)
- …Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the appropriate ... Record + Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals. + Assisting Supervisor/… more
- Genesis Healthcare (Seven Fields, PA)
- …expertise with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up of ... and contracted payers. The follow up includes initial assessment of the denials received to determine the appropriate process. Once determined, established policy… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # ... the creation of a new posting with the hiring manager . They need to be verifiable. ( Example: Masters...Responds to daily correspondence according to procedures * Identifies denials and underpayments for appeal * Reviews, researches and… more
- University of Miami (Miami, FL)
- …for optimal patient outcomes, while avoiding potential treatment delays and authorization denials . The Utilization Case Manager is accountable for a designated ... an exciting opportunity for a per diem Utilization Case Manager to work at Sylvester Support Services Building. The...Support Services Building. The purpose of the Utilization Case Manager is to complete ongoing reviews for clinical utilization… more
- CenterWell (Jefferson City, MO)
- …largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, ... emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to… more
- Beth Israel Lahey Health (Boston, MA)
- …front-end processes related to registration, prior authorization, and referral related denials . + Working closely with enterprise Manager , PB Revenue ... lives.** **Job Description:** Reporting to HMFP's Director, Revenue Cycle Operations, the Manager of Professional Billing Revenue Cycle will be the revenue cycle… more
- Trek Bikes (Waterloo, WI)
- …such as pre-authorization, denied claims, and billing. + Oversee the pharmacy benefit manager , and handle denials and overrides as needed. + Ensure accurate ... fitness, and employee benefits then we have the perfect job for you! As the Manager of Benefits and Wellness, you will be a key influencer on the health and… more
- Houston Methodist (Houston, TX)
- …verbal and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. ... services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment.… more
- Fresenius Medical Center (Metairie, LA)
- …resolve issues impacting a patient's admissions process. + Immediately communicates to supervisor/ manager any admissions denials from clinics or billing groups ... timely manner. Must be able to handle escalations and collaborate with supervisor/ manager as necessary. + Works closely with applicable insurance verification teams… more
- Hunterdon Health Care System (Flemington, NJ)
- …for all hospital ancillary areas. Maintains best practices with registration, billing, denials , payment posting and collection follow up processes using HFMA data. ... dropped. Oversees; the quality of registrations, timeliness of billings, reduction of denials and completion of payment posting. Ensures adequate staffing for the… more