- NewYork-Presbyterian (Brooklyn, NY)
- …that a successful applicant will need are listed in the following description. Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days Located in Park Slope, ... care to the surrounding communities for over 135 years. The Case Manager is responsible for all aspects of discharge planning and utilization management/review… more
- Wipfli LLP (Milwaukee, WI)
- …the Provider Compliance and Reimbursement (healthcare cost reporting) area, the Senior Manager , Senior Living is a skilled nursing facility cost reporting subject ... in accordance with firm policies and procedures. The primary objective for a Senior Manager is to build leadership, leverage, and a legacy for the Firm. As a… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to our ... high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the...Active participation with the physician and payer to prevent denials . Reviews cases for potential change in level of… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- Field Reimbursement Manager Overview: The Field Reimbursement Manager is part of the Market Access group supporting Suns family of branded products in the United ... and reimbursement dynamic within payer channels. Job Scope The Field Reimbursement Manager will execute local market plans to support field based priorities. This… more
- Caris Life Sciences (Irving, TX)
- …**Position Summary** Caris Life Sciences is seeking a full-time **Billing Operations Manager ** to lead and manage the **Eligibility** function within our Billing ... eligibility processes are compliant, efficient, and patient-focused. The Eligibility Manager provides leadership, training, and performance management to staff,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …auditing the billing data for accuracy, trending and tracking A/R and denials , identifying root cause. The AR Analyst responsibilities also include project analysis ... along with daily operational issues associated with AR and denials . The Analyst supports the overall MPF business by...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …entity/general ledger account using designated adjustment codes. Processes payments and denials with the correct denial/remittance codes and applies denials ... equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is… more
- Cedars-Sinai (Los Angeles, CA)
- …that fuels innovation. **Req ID** : 14001 **Working Title** : Project Manager , Denials Mitigation **Department** : CSRC Support Services **Business Entity** ... **What you be doing in this role:** The Project Manager is responsible for managing assigned projects from initiation...for implementing later phase solutions, if applicable. The Project Manager will work with leadership to prioritize and drive… more
- Beth Israel Lahey Health (Plymouth, MA)
- …making a difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth ... Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding UR and the… more
- Albany Medical Center (Albany, NY)
- …denials as well as work with the departments as necessary to reduce future denials . The manager will serve as the knowledge resource for all billing questions ... States of America) Salary Range: $78,773.63 - $122,099.12 The Manager of Hospital accounts receivable is responsible for all...billed to insurance for Albany Med Health System The Manager is responsible for overseeing the billing staff. The… more
- Garnet Health (Middletown, NY)
- …and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI department and ... DRG Denials appeals process. The Manager will develop, implement and evaluate processes, policies and procedures related to clinical documentation improvement… more
- Houston Methodist (Houston, TX)
- …development and implementation of the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials , and pre-bill team ... of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively or concurrently determines the… more
- University of Southern California (Alhambra, CA)
- …& state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ... 'claims denials ' and 'claims rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS,...fashion. * Performs other duties as requested/assigned by Director, Manager , Supervisor, or designee. + CODING & ABSTRACTING ACCURACY… more
- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials ... + Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into… more
- Emory Healthcare/Emory University (Decatur, GA)
- …the volume of denials . + This position reports to the Supervisor or Manager , Coding Denials Management. Employee may be responsible for other duties as ... revenue. + This position reports to the Supervisor or Manager , Revenue Cycle Operations. + Employee may be responsible...be responsible for other duties as assigned. + CODING DENIALS SPECIALIST: The primary focus of this position will… 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
- Penn Medicine (East Petersburg, PA)
- …shape our future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am (8 hour ... are met in an appropriate manner. Responsibilities: + Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or patient to resolve… more
- Omaha Children's Hospital (Omaha, NE)
- **Schedule: FT, Days, denials exp required (flexible hours)** At Children's Nebraska, our mission is to improve the life of every child through exceptional care, ... for insurance and government collections to include claims, A/R follow-up, denials and appeals. This includes supervising, monitoring, and analyzing all activities… more
- WMCHealth (Margaretville, NY)
- …reviews to medical insurance companies as requested. + UR-Collaborates with the Health Information Manager to appeal insurance denials . Set up peer to peer if ... Case Manager D-RN Company: Margaretville Hospital City/State: Margaretville, NY...Applicant link Job Details: Summary of Job Purpose Case Manager coordinates care and service of selected patients across… more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials , appeals, and audit processes within the ... health system. This role ensures timely resolution of claim denials , effective appeal strategies, and proactive audit response. The manager leads a team of… more
