- SSM Health (Jefferson City, MO)
- …PRIMARY RESPONSIBILITIES + Directs managers and team responsible for identifying denial and disputed payment process breakdowns. Creates a culture in alignment ... as an individual contributor to achieve goals. Lead projects to improve denial claim performance, compliance and efficiency within the denials process and… more
- SSM Health (Jefferson City, MO)
- …Type:** Regular **Job Summary:** Manages, coordinates, and supervises the day-to-day denial activities within the Hospital or Medical Group revenue cycle. The ... and conflict management. + Monitors final adjustments on completed denial accounts (either paid or final denied), and review...findings from colleagues, and report findings to the Denials Director and others as needed. + Monitor communication and… more
- HCA Healthcare (Denver, CO)
- …Denial reduction and NCD/LCD knowledge in collaboration with the Continental Division Denial Director and programs consistent with HCA and facility strategy ... HCA denial reduction or government compliance processes. Performs quality improvement activities to ensure data integrity relative to denial reduction… more
- AdventHealth (Maitland, FL)
- …**The role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members of the Case ... Medical Staff of specific updates, statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The Medical … more
- Catholic Health Services (Centereach, NY)
- …along with development and implementation of corrective action plans for denial mitigation and performance improvement activity. Identifies problems impacting ... Island's Top Workplace! Job Details POSITION SUMMARY: The Assistant Site Director provides leadership, direction, and ongoing administration and management for all… more
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** The Director of Reimbursement directs and coordinates activities of employees engaged in back-office revenue cycle management ... filing, appeals/reconsiderations, payment posting and reconciliation, physician query processes, denial analysis, coding analysis, fee schedule analysis and maintenance,… more
- Scripps Health (San Diego, CA)
- …for over 10 years. * Primary job responsibilities to include:* * The Director of Revenue Integrity is responsible for oversight and leadership of the activities ... assigned areas. * Directs standards of practice and process improvement activities. * Oversees staffing matrices and possesses authority...* The ideal candidate:* * We are seeking a director level leader with deep expertise in both Hospital… more
- Diversicare Healthcare Services & Diversicare Ther (Brentwood, TN)
- …and residents. Join Diversicare Healthcare Services today!** **Responsibilities** As the Director of Denials and Appeals you will Develop, Implement and Maintain ... Trend data gathered from ADRS and Denials for process improvement 8. Prepare regular reports regarding number of ADRS,...financial impact. 9. Teach and train on ADR and Denial process. 10. Collaborate with all departments regarding quality… more
- Hartford HealthCare (Mansfield Center, CT)
- …to participate in their own care and recovery. Position Summary: The Director of Ambulatory Services has responsibility for the operations and clinical programing ... PHP, IOP, OP levels of care as well as the psychology department. The Director is responsibility for the planning, management and oversight of Ambulatory services as… more
- Tidelands Health (Pawleys Island, SC)
- …and help people live better lives through better health!** **POSITION SUMMARY:** The Director , Revenue Cycle works independently and in support of the VP Revenue ... Billing and Follow-up, Cash Posting and Reconciliation, Vendor Management and Denial Management. **ESSENTIAL FUNCTIONS:** + Serves as the leader for back-end… more
- Outreach Development Corporation (Richmond Hill, NY)
- …health services and training. For more information, please visit www.opiny.org. The Sr. Director of Finance will serve a key member of the financial leadership team, ... is $125,000 - $150,000. Job Scope Working closely with the CFO, the Sr. Director for Finance will provide Financial Leadership and Strategy + Collaborate to provide… more
- Scripps Health (San Diego, CA)
- …open to change, go ahead and unlock your potential. Join Scripps asSenior Director , Revenue Cycle where you will have primary accountability for the oversight of ... Documentation Integrity (CDI) and Health Information Management HIM. The Senior Director manages the staff responsible for hospital and professional fee coding… more
- Penn Medicine (Philadelphia, PA)
- …opportunity for an experienced nurse to join the leadership team as a Senior Director to lead the Case Management and Social Work departments. In this key leadership ... through actively engaging multiple disciplines and professional staff. As the Senior Director , you will lead a team of 60 professionals, developing relationships and… more
- CDI (St. Louis Park, MN)
- …formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Director , RCM Coding Process and Compliance to join our team. We are challenging ... diagnosis and proper treatment. Come join us and shine brighter together. As a Director , RCM Coding Process and Compliance, you will manage and supervise the charge… more
- Molina Healthcare (Detroit, MI)
- … activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... of nurse reviewers; reviews cases requiring concurrent review, and manages the denial process. + Monitors appropriate care and services through continuum among… more
- Baylor Scott & White Health (TX)
- **JOB SUMMARY** Under the direction of the BSWH System Director , Revenue Cycle Clinic Optimization, the Regional Director Revenue Cycle Clinic Optimization will ... revenue cycle liaison for clinic leadership in their assigned region. The Regional Director Revenue Cycle Clinic Optimization will lead a team that will provide… more
- Abbott (Orlando, FL)
- …people to restore their health and get on with their lives. The Director , Revenue Cycle Management is the overall management responsibility for optimizing all VOB, ... to work effectively with both internal and external customers. The Director will provide business analysis for critical information requests, process re-engineering,… more
- CVS Health (Overland Park, KS)
- …five (5) years clinical experience with Geriatrics and LTSS population. + The LTSS Medical Director must live in the state of Kansas or be willing to relocate to ... Kansas and obtain a Kansas medical license. The LTSS Director will be required to spend a majority of...cases from concurrent review and prior authorization processes, including denial decisions for cases that do not meet established… more
- Live Nation (Houston, TX)
- …so if this sounds like you then please read on! THE ROLE The Payroll Director will plan, organize, lead and evaluate the execution of multi-state U. S. and ... multi-province Canadian payroll functions for Live Nation Entertainment. The Director will oversee a direct payroll staff of 8 and an additional indirect staff of… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- POSITION TITLE: Director of Social Services REPORTS TO (TITLE): Chief Executive Officer DESCRIPTION OF POSITION: Along with the Director of Clinical Services ... and implementation of department services. Compiles data for ongoing Quality Improvement activities within the department. Assists DCS by arranging coverage and… more