- 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
- CenterWell (Atlanta, GA)
- …market or Kansas City, MO or Kansas City, KS markets.** As the **RCM Manager ** , you will: + Manage the collection and billing operations and develop ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- The Cigna Group (Houston, TX)
- …MDLIVE. At MDLIVE, innovative ideas in healthcare are created every day. The Denials Supervisor is responsible for monitoring all denials related aging revenue ... CPT Guidelines, and CMS directives, as related to claim denials and appeals + Pursues collection activities to obtain... experience preferred + 5+ years of supervisor or manager experience preferred + 2+ years minimum of front… more
- Guidehouse (Birmingham, AL)
- …Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the appropriate ... action needed to resolve the account balance. Review and resolve claim denials for payment or adjustment. Contact payers via phone call and portal, identify issues… more
- AdventHealth (Altamonte Springs, FL)
- …contribute:** This position is responsible for investigating and appealing post-remit denials for all Inpatient and Outpatient clinical services across the system, ... system. **The value you will bring to the team:** + Reviewing and appealing denials for all clinical services across the AH system + Researching various sources of… more
- Catholic Health (Buffalo, NY)
- …of root cause and process improvement opportunities to eliminate recurring clinical denials . The position acts as a liaison between front-end clinical areas and ... third party payers in scenarios related to denials and appeals. This position educates all members of...Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case Manager (CCM) or any other certification approved by management… 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
- Ochsner Health (Meridian, MS)
- …the daily operations of the department in collaboration with the department Manager . The Supervisor plans and organizes all operational functions including staffing ... and specific departmental operations. The Supervisor is responsible for overseeing initiatives to improve processes, maximize efficiency, serve internal and external customers and maintain high employee morale. The Supervisor is accountable to supervise and… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …credentialing, charge capture, billing, payment posting, collections and follow up, denials management, and billing audits. The manager collaborates with ... JOB DESCRIPTION JOB TITLE: Manager of Revenue Cycle Management DEPARTMENT/DIVISION: Billing STATUS:...charge capture, billing, payment posting, collections and follow up, denials management, and billing audits) to achieve optimal area… more
- Covenant Health Inc. (Knoxville, TN)
- …guidelines for Medicare, Medicaid and other insurance payers as deemed appropriate by manager in relation to denials , audit findings, and process improvement ... Integrity Department Auditors and Appeal Coordinators. Oversees audit and denials management workflow including quality and reporting. Provides departmental and… 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
- Methodist Health System (Dallas, TX)
- …Of Week :** Mon-Fri **Work Shift :** **Job Description :** Your Job: The Manager of Collections Physician Billing is responsible for overseeing the AR follow up team ... drive performance improvements and meet departmental and organizational goals. The Manager will work closely with various internal and external departments,… more
- Fresenius Medical Center (Waltham, MA)
- …resolve issues impacting a patient's admissions process. + Immediately communicates to supervisor/ manager any admissions denials from clinics or billing groups ... timely manner. Must be able to handle escalations and collaborate with supervisor/ manager as necessary. + Works closely with applicable insurance verification teams… more
- Beth Israel Lahey Health (Burlington, MA)
- …requirements. 7. Assists management with special projects as needed. 8. Works with the Manager to analyze coding denials , and patient inquiries and works in ... direction of the Director/Associate Director of Coding and the Manager of Coding, the Supervisor of Coding and Education...charge review, internal and external audits, as well as denials . 4. Provides analysis on productivity and impact of… 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
- Scottish Rite for Children (Dallas, TX)
- …to giving children back their childhood! Job Posting Title: Revenue Integrity Manager Location: Dallas - Hospital Additional Posting Details: Monday - Friday 8 ... will perform audits and reviews of departmental charge capture and reconciliation, denials management for all campuses, daily reporting and coordinated work on… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …of Boston (OCB)seeks an experienced and detail-oriented Revenue Cycle Billing Manager to oversee and manage our healthcare organization's billing and claims ... This role handles a high volume of claims processing, insurance denials , appeals, contract management, prior authorization submissions, and managing a large… more
- Trinity Health (Hartford, CT)
- …you will do** + Communicate effectively on a continual basis with the Collections Manager + Review EOB denials and identifies denial trends along with solutions ... for resolution + Run accounts receivable aging report to follow up on outstanding insurance payments that need to be reviewed for additional follow up + Identify claims that need to be appealed and process appeal in a timely manner + Establish working… more
- Arnot Health (Elmira, NY)
- …Arnot Health departments and third party payers to discourage preventable denials DUTIES AND RESPONSIBILITIES: 1. Retrospectively determines medical necessity and ... accordance with InterQual Criteria to assist with appeal of denials 2. Maintains a working knowledge of the requirements...of the requirements of 3rd party payers 3. Reviews denials from third party payers obtained from correspondence and… more
- Covenant Health Inc. (Knoxville, TN)
- …and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff ... reviews of coding/abstracting, and focusing on problem solving issues related to denials . Provides assurance that billing practices are complete, accurate, and in… more