- Nuvance Health (Danbury, CT)
- …members, providers, delegates, and community partners. In addition, the Manager Denials Prevention & Appeals Operations is responsible for supervising ... coaching and feedback to team members. * Collaborate with Manager Denials Prevention & Appeals Administration to oversee UR processes for inpatient,… more
- Hartford HealthCare (Farmington, CT)
- …related to denial turnaround times, appeal success rates, and denial reduction targets. * Denials Prevention * . Analyze denial patterns to identify root causes ... review of medical records, coding, and clinical documentation to validate or appeal payer denials . . Prepare, document, and submit appeals for DRG denials ,… 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 ... Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs...Reviews and determines appropriate strategy in response to reimbursement denials . + Responsible for appeals and follow… more
- BronxCare Health System (Bronx, NY)
- Overview Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute ... to patients. Assist in development of strategies for denial prevention based on identification of patterns and trends identified...improve outcomes. - Maintains an excel log related to denials / appeals activities in order to monitor successful… 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 ... for level of care and continued stay * Lead appeals of clinical denials and collaborate with...or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management**… 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
- Omaha Children's Hospital (Omaha, NE)
- …management for insurance and government collections to include claims, A/R follow-up, denials and appeals . This includes supervising, monitoring, and analyzing ... practices, policies, regulatory, and legal requirements. + Assisting the department manager in the implementation of the strategic direction within the department… more