- RestoraCare Staffing (Houston, TX)
- …management, performance improvement, disease or population management and managed care reimbursement . Understanding of pre-acute and post-acute venues of care and ... in both areas. Refers cases and issues to Care Management Medical Director in compliance with department procedures and follows up as indicated.Communicates with… more
- Point32Health (Canton, MA)
- …. **Job Summary** Under the general direction of the VP, the Appeals and Grievances Director is responsible for management and oversight ... of the Enterprise Member Appeals and Grievances Department. The Director is...and changes and properly trained in all aspects of reimbursement related functions + Evaluate and establish performance and… more
- Diversicare Healthcare Services & Diversicare Ther (Brentwood, TN)
- …patients and residents. Join Diversicare Healthcare Services today!** **Responsibilities** As the Director of Denials and Appeals you will Develop, Implement and ... that includes medical/dental/vision coverage, an excellent 401k plan, tuition reimbursement , vacation, holiday, and sick time, long and short-term disability,… more
- State of Indiana (Indianapolis, IN)
- Appeals Operations Director Date Posted: Apr 25, 2024 Requisition ID: 442811 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... leave time off + 12 paid holidays, 14 on election years + Education Reimbursement Program + Group life insurance + Referral Bonus program + Employee assistance… more
- LA Care Health Plan (Los Angeles, CA)
- …required by clinical staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in meeting regulatory timelines by ... care related to care management. (15%) Maintain the monthly reporting responsibilities, Appeals and Grievance reporting to Department Director , ongoing referrals… more
- Glens Falls Hospital (Glens Falls, NY)
- …foundhere. **Job:** **Allied Health - Health Information Management* **Title:** *Coding Reimbursement Appeals Supervisor - Health Information Management (HIM) * ... Under the direction of the HIM Director , is responsible for compliant, complete and optimal...and DRG's that include all MCC's and CC's for reimbursement . In collaboration with Hospital External Review Team (HERT)… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management/ Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials/ appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for A/R, ... underpaid, or non-paid balances. * Refers accounts to Supervisor/Manager, or CBO Director for write-off consideration, agency or attorney referral. * Responsible for… more
- J&J Family of Companies (Columbus, OH)
- Associate Director , Field Reimbursement Oncology- Urology- National Accounts - 2406165013W **Description** **Associate Director , Field Reimbursement ... Customer Solutions (PECS) team is recruiting for an Associate Director , Field Reimbursement Oncology for the Associate...& bill benefit design, coding, billing, prior authorization, and appeals processes + 3 years of direct people management… more
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** The Director of Reimbursement directs and coordinates activities of employees engaged in back-office revenue cycle management ... including data entry, claims filing, appeals /reconsiderations, payment posting and reconciliation, physician query processes, denial...of colleagues. Do you want to work as a(an) Director of Reimbursement where your passion for… more
- Henry Ford Health System (Detroit, MI)
- …health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third-party ... shaping the financial future of Henry Ford Health! The Director of Reimbursement is responsible for setting...+ Planning and coordination of third party audits and appeals as well as quarterly and year-end financial audits… more
- Covenant Health (Lewiston, ME)
- JOB SUMMARY The Director of Finance and Administration is responsible for the management and direction of CCS's Finance and Human Resource Departments, including ... financial reporting, payroll, budgeting, reimbursement , statistical reporting, and financial planning services to ensure the attainment of corporate goals and… more
- CVS Health (Columbus, OH)
- …Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment protocols for DSNP/MMP and other complex ... UM and participate in UM front line work and appeals as needed in OH and other markets as...through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical coverage… more
- Union County College (Cranford, NJ)
- …Science and Applied Science degrees. Campus: Cranford General Description: The Associate Director of Financial Aid oversees major functional areas in a highly ... automated Financial Aid Office. The Associate Director assists the Director with the administration...federal regulations. * Analyzes and processes Satisfactory Academic Progress appeals in a timely manner. * Acts as the… more
- Sacramento County (Sacramento, CA)
- Director of Personnel Services Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4414378) Director of Personnel Services Salary ... the position and to review the full recruitment brochure: Director of Personnel Services Recruitment Brochure (https://personnel.saccounty.net/Documents/DirectorofPersonnelServicesRecruitmentBrochure.pdf) How to… more
- CVS Health (Boston, MA)
- … / Special Projects and Committee participation when needed. + The Medical Director will provide clinical, coding, and reimbursement expertise as well as ... market - hospitals, outpatient networks, and value-based care relationships. The Medical Director will be required to have a Massachusetts state medical license… more
- Armstrong McGuire (Dunn, NC)
- …so, you may be the Episcopal Farmworker Ministry's (EFWM) next Executive Director . Why Episcopal Farmworker Ministry? Episcopal Farmworker Ministry (EFWM) start in ... What will you do as Episcopal Farmworker Ministry's next Executive Director ? Reporting to the Board of Directors, the Executive Director… more
- Subaru of America (Camden, NJ)
- …parent's US companies' transfer pricing method. + Manages IRS federal tax audits and appeals processes. Oversees multi-state tax audits and appeals . Acts as an ... + Extensive experience in federal and state audits and appeals . + Extensive experience with consolidated federal and combined...5 Floating Holidays, and 5 Sick days + Tuition Reimbursement Program + Vehicle Discount Programs + Visit our… more
- Armstrong McGuire (Apex, NC)
- …needs? Why? You may be Western Wake Crisis Ministry's (WWCM) next Executive Director . For 40 years, WWCM has provided assistance to residents. What started in ... https://wwcm.org/. What will you do as Western Wake Crisis Ministry's next Executive Director ? Reporting to the Board of Directors, the Executive Director … more
