- Baylor Scott & White Health (Trenton, NJ)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical ... function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center...regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of… more
- City of New York (New York, NY)
- …child support enforcement, etc. Under the general direction of the Benefits Access Center Director , with wide latitude for the exercise of independent judgment ... ensuring that Agency's requirements are met for opening, reopening, denial , closing, change in case status and change in...the payment accuracy rate. - Assist the Benefits Access Center Director in directing the activities of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote** The Director , Pre Appeals Management ... pre-appeals management program. This role ensures the appropriate use of medical resources , compliance with regulatory standards, and coordination of care to improve… more
- Mount Sinai Health System (New York, NY)
- …is responsible for hospital-based Billing and Accounts Receivable performance across the medical center . The Senior Director will report to the Vice President ... **Job Description** **Senior Director , Patient Financial Services (Backend) Corporate East 42nd...Accounts department. This includes Billing, Cash application and reconciliation; Denial management and all aspects of Third Party follow-up.… more
- City of New York (New York, NY)
- …BUT NOT BE LIMITED TO: Evaluate and assess child care programs ( center -based, residential, school-based and after-school programs) to assure compliance with local, ... other best practices within the field; Serve as a resource person for the Bureau and providers on current...notices of violation and make recommendations for issuance or denial or child care permits or licenses and/or closure… more
- Mount Sinai Health System (New York, NY)
- …the quality and consistency of their coding assessments. + Serve as an expert resource for the coding staff by performing random quality and productivity reviews and ... share findings with Director and staff for performance improvement. + Review accounts...Review accounts in various WQs to identify coding errors, denial patterns and troubleshoot root causes, if/when needed. +… more
- Mount Sinai Health System (New York, NY)
- …focused on reducing the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/clinical areas of practice and may ... the mission, vision, philosophy and goals of the Medical Center . 6. Case Management: The CM process will include:...coordination of services based on clinical needs and available resources . 10. Utilization Review: 11. Maintains a working knowledge… more
- Mount Sinai Health System (New York, NY)
- …focused on reducing the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/clinical areas of practice and may ... the mission, vision, philosophy and goals of the Medical Center . 2. Case Management: The CM process will include:...coordination of services based on clinical needs and available resources . 3. Utilization Review: a. Maintains a working knowledge… more
- CUNY (New York, NY)
- …upgrades and maintains the University's network, and operates the University's Data Center and Service Desk. Additionally, CIS manages the processes of safeguarding ... of the University's IT assets, and maintains the CUNYfirst Enterprise Resource Planning (ERP) solution that integrates student administration, financial management,… more