- R1 RCM (Chicago, IL)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals and Denials Manager ** , you will serve as an ... denial management. **Here's what you will experience working as a Clinical Appeals & Denials Manager :** + Serve as a leader and mentor to Clinical … more
- Prime Healthcare (Elgin, IL)
- …for UR process along with analysis, resolution, monitoring & reporting of clinical denials . Facilitate peer-to-peer communication with payers and coordinate with ... review (UR) and the denial management (DM) process. The Manager functions as an appeal/denial expert and takes an...current with emerging industry trends on utilization review and denials management in addition to maintaining and updating payor… more