- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials Mitigation Manager , you will serve as the first line ... analytical skills. **Here's** **what you will experience working as a Denials Mitigation Manager :** + Gather the correct resources and delegate Charter tasks to… 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
- Texas Health Resources (Arlington, TX)
- …Arlington, TX + Core work hours: Monday-Friday 8:00a-5:00p **Summary** The Billing, Coding & Denials Manager will oversee all aspects of claim review and coding ... ** Manager Billing Coding and Denials ** _Are...** Manager Billing Coding and Denials ** _Are you looking for a rewarding career...denials management for all THPG providers and specialties. In… more
- Catholic Health Initiatives (Little Rock, AR)
- …findings to management. Recommends and provides education in collaboration with their manager . The Denials RN follows a standardized approach to managing ... **Responsibilities** The Denials RN is responsible and accountable for receiving,...and accountable for receiving, processing and documenting all concurrent denials for assigned facilities. The RN has an integral… more
- Amergis (French Camp, CA)
- Salary: $3042 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of ... resources, service delivery, and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable + TB questionnaire, PPD or chest x-ray if… more
- Houston Methodist (Sugar Land, 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
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleInsurance Denials Specialist Position LocationFort Collins, CO Work LocationPosition qualifies for hybrid/in-office work ... and a thriving arts and entertainment industry. Position Summary The Insurance Denials Specialist will provide excellent customer service and guidance to all CSU… 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
- 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 . Original: 8/16 Revised: 1/17 Revised: 10/24 Please complete your application using… more
- CenterWell (Honolulu, HI)
- …part of our caring community and help us put health first** The ** Denials Management Specialist** is responsible to respond to, monitor and analyze all governmental ... not limited to ADR's, CERTS, RAC's, ZPIC's, SMRC's, and all other revenue-driven denials and requests. Guides and coordinates with the branch staff in developing… 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
- CenterWell (Topeka, KS)
- …community and help us put health first** As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you will: + Ensure the coordination of ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- CenterWell (Atlanta, GA)
- …City, MO or Kansas City, KS markets.** As the **RCM Healthcare Claims Denials (Accounts Receivable) Supervisor** , you will: + Supervise daily billing and ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… 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 ... guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial of payment. +… 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** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons ... 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
- UPMC (Pittsburgh, PA)
- …systems support (including Care Management Technology and InterQual), management of concurrent denials , and reporting functions. The Manager leads initiatives to ... The Manager is responsible for supervising the daily operations of the Care Management department, reporting directly to the Director. Key areas of accountability… 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
- 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