- Nuvance Health (Danbury, CT)
- …departments, team members, providers, delegates, and community partners. In addition, the Manager Denials Prevention & Appeals Operations is responsible for ... and provide coaching and feedback to team members. * Collaborate with Manager Denials Prevention & Appeals Administration to oversee UR processes for inpatient,… 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
- Huron Consulting Group (Van Buren, AR)
- …engagement across the enterprise. The Revenue Cycle Continuous Improvement & Insights Manager ( Denials Prevention) will provide strategic data reporting and ... The manager will lead and coordinate efforts for conducting denials and write-off research, identifying trends, monitoring progress towards metric goals, and… more
- UC Health (Cincinnati, OH)
- …( Denials /Charge Audits) for Patient Financial Services Under the supervision of the Manager of Denials -Charge Audits, the Denials Management (DM) nurse ... will use established criteria and policies/procedures to perform reviews on denied accounts. Utilizing knowledge of utilization management regulations, registration, claims, and payor policies the Denial Management nurse will work assigned accounts to maximize… 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
- Hartford HealthCare (Farmington, CT)
- …The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials . This ... *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial reasons, and determine the appropriateness… more
- Catholic Health (Buffalo, NY)
- …based on role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, carrying out and ... between parties. This individual provides clinical oversight to the clinical denials team, ensuring payer contracts are being appropriately followed by all… more
- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** Responsible for billing, follow-up, and managing denials to timely collect on assigned accounts receivable. This position communicates ... preventing goal achievement. + Follows up on daily correspondence related to denials , underpayments, and billing to appropriately manage patient accounts. + Assists… 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
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: Under general supervision of the Manager , Health Information Services, the Denials Specialist performs activities to ensure appropriate ... improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working… more
- Children's Mercy Kansas City (Kansas City, MO)
- …the lives of children beyond the walls of our hospital. Overview The Denials Prevention Analyst is directly responsible for reviewing current denial data to ... of root cause resolutions under the supervision of the Denials Prevention leadership within CMH. This position also adheres...the person hired will work with his or her manager to determine a schedule that includes both at… more
- Beth Israel Lahey Health (Plymouth, MA)
- …is expanding its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management** and **Utilization ... ACM, or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management** This role is ideal for a Manager … more
- AdventHealth (Maitland, FL)
- **Account Representative Manager Billing/Collections/ Denials -AdventHealth** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work at ... with Insurance payers to ensure proper follow up on billing/ denials /variances takes place on all assigned patient accounts. Compiles...and customer service for all payer and patient accounts. Manager monitors and directs the process of follow up… more
- US Physical Therapy (Decatur, GA)
- …our billing and claims department with collections of patient balances, managing denials and assisting the Office Manager with outstanding A/R. ... prior authorizations + Follow up with insurance companies on unpaid claims and denials . + Assist with Answer phones and scheduling new patients + Provide excellent… more
- Houston Methodist (Houston, TX)
- …Manager and/or Supervisor. + Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. ... services. This Specialist is required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the… 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
- McLaren Health Care (Grand Blanc, MI)
- **Position Summary:** Responsible for assisting the Corporate Director Denials Management in providing regional management of day-today operation and workflow of the ... denials management team. Builds strong partnerships with service lines,...departments/leaders to reach the goals and objectives of the denials department to ensure quality outcomes and revenue integrity.… 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
- RWJBarnabas Health (Newark, NJ)
- Manager , Charity Care - Northern Hospital Sites, Bilingual Spanish/English requiredReq #:0000207198 Category:Healthcare Operations, Revenue Cycle, and Patient Access ... 201 Lyons Avenue at Osborne Terrace, Newark, NJ 07112 Job Title: Manager Location: System Business Office Department Name: Patient Accounts Req #: 0000207198… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... to: medical coding, insurance billing, collections, patient account resolution, appeals/ denials , customer service, cash applications, revenue integrity, etc. This… more