- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview Director of Clinical Denials Management and Audit supervises a team of RN/LPN clinical reviewers as well as ... to Palmetto in response to ADR's/TPE's/RCD processes across the enterprise HH and HO branches for all payor types...types striving to minimize lost revenue. Conducts analysis on denials and appeals and identifies trends that present process… more
- HCA Healthcare (Nashville, TN)
- …Payer Contracting & Analytics (PCA) to assess, define and execute Denials Management strategies for HCA. The Director will establish and lead dedicated URS ... payor relations and reduce denials . + Monitors effectiveness of Denial Management Action Teams across the enterprise through action plan development and… more
- Cleveland Clinic (Cleveland, OH)
- …while driving accountability to achieve the best outcomes. . Participate in status management , denials management and prevention, observation status ... leaders. . Support utilization management , clinical documentation integrity and denials management teams. . Monitor providers' compliance to CMS and… more
- Huron Consulting Group (Chicago, IL)
- …firm setting with a focus on hospital or physician _revenue cycle_ , and denials management . + Experience managing both onshore and offshore staff. + Team ... and drive physician, patient and employee engagement across the enterprise . Join our team as the expert you are..._revenue cycle_ -wide processes, including but not limited to denials & write-off prevention, vendor management , data… more
- Huron Consulting Group (Chicago, IL)
- …comprehensive _Physician Billing and Coding_ teams, including but not limited to denials & write-off prevention, vendor management , data insights, and systems ... healthcare experience, and drive physician, patient and employee engagement across the enterprise . Join our team as the expert you are now and create… more
- Sutter Health (Sacramento, CA)
- …Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** *The Director positions will be filled in locations throughout the Sutter ... scope and execute specific, high-impact projects related to Sutter Health's enterprise -wide revenue & revenue cycle functions, using internal and third-party vendor… more
- Huron Consulting Group (Chicago, IL)
- …a consulting firm setting with a focus on hospital or physician revenue cycle, denials management , or patient access services. + Strong leadership and ... and drive physician, patient and employee engagement across the enterprise . Join our team as the expert you are...and trust in clients, junior staff members, and Huron management . If you can lead teams, create customized solutions,… 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 ... a difference in people's lives.** **Job Description:** Reporting to HMFP's Director , Revenue Cycle Operations, the Manager of Professional Billing Revenue Cycle… more
- Virtua Health (Mount Laurel, NJ)
- …charge capture accuracy. Incumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and ... with Epic performance reporting, including assisting with Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports. Workqueue and reporting will include… more
- HCA Healthcare (Live Oak, TX)
- …analysis of managed care issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review/ ... The CMO provides senior-level leadership to the infection control, risk management , safety, and medical staff credentialing functions, ensuring the collaboration and… more
- Intermountain Health (Butte, MT)
- …of the Chief Medical Officer role is building relationships across the enterprise with leaders, key stakeholders, community partners, and physicians to move strategy ... on-going dialogue to: + Partner with system leaders on enterprise , regional, and market level clinical and operational leadership...+ Work with the Chief Nursing Officer and quality director to improve clinical outcomes and create an engaging… more
- Highmark Health (Pittsburgh, PA)
- …leadership team. The Physician Advisor is an integral part of the Utilization Management Committee and participates in hospital and enterprise -level quality and ... for level of care reviews and peer-to-peer discussions with payers if denials do arise. The role requires significant collaboration with the hospital's… more
- University of Rochester (Rochester, NY)
- …of billing office operations, including basic principles of staff management /supervision. Responsibilities Position Summary: Provides billing and charging support to ... Revenue Integrity, Medical Faculty Group, and hospital departments consistent with enterprise -wide billing models. Ensures that charges are processed per models as… more
- Baylor Scott & White Health (Dallas, TX)
- …Waco, Austin, College Station regions)** Under the direction of the BSWH System Director of Revenue Cycle Services, the Manager of Revenue Cycle Systems - Portfolio ... (HIM/coding, billing, charge capture, insurance discovery, etc), and back end (appeals/ denials , collections, bankruptcy, estate, etc). + Leads a small dynamic team… more
- University of Rochester (Strong, AR)
- …prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly ... reconcile any discrepancies and/or answer any questions. + Escalates case management when medical assessment is needed. Prioritizes referral requests using medical… more