- 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
- Albany Medical Center (Albany, NY)
- …denials as well as work with the departments as necessary to reduce future denials . The manager will serve as the knowledge resource for all billing questions ... States of America) Salary Range: $78,773.63 - $122,099.12 The Manager of Hospital accounts receivable is responsible for all...billed to insurance for Albany Med Health System The Manager is responsible for overseeing the billing staff. The… more
- Garnet Health (Middletown, NY)
- …and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI department and ... DRG Denials appeals process. The Manager will develop, implement and evaluate processes, policies and procedures related to clinical documentation improvement… more
- University of Southern California (Los Angeles, CA)
- …& state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ... 'claims denials ' and 'claims rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS,...fashion. * Performs other duties as requested/assigned by Director, Manager , Supervisor, or designee. + CODING & ABSTRACTING ACCURACY… more
- Guidehouse (Birmingham, AL)
- …Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the appropriate ... Record + Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals. + Assisting Supervisor/… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Denials Specialist (Financial Specialist I) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/5185663) Apply Denials Specialist ... and analyze reports in automated billing/management information system. Also analyzes insurance denials to determine the reason and document the system of record… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: Under general supervision of the Manager , Health Information Services, the Denials Specialist performs activities to ensure appropriate ... improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working… more
- Houston Methodist (Houston, TX)
- …Manager and/or Supervisor. + Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. ... services. This Specialist is required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the… 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
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials , appeals, and audit processes within the ... health system. This role ensures timely resolution of claim denials , effective appeal strategies, and proactive audit response. The manager leads a team 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
- Fresenius Medical Center (Big Spring, TX)
- …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
- Henry Ford Health System (Detroit, MI)
- Henry Ford Health is seeking a Pharmacy Manager for our Revenue Cycle team. This full-time role plays a key part in ensuring strong financial stewardship of ... Detroit, MI - Elijah McCoy Campus, Centralized Pharmacy Service Center The Pharmacy Manager reports to Director of Pharmacy and works closely with the managers and… more
- BronxCare Health System (Bronx, NY)
- …for the staff on identified deficiencies to best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely ... Overview The Appeals Manager is responsible to assist in the analysis...tracking and trending of all denials and appeals, prepare weekly status reports, attend necessary… more
- Amazon (Arlington, VA)
- Description Join Amazon Healthcare Finance Operations Services as a Revenue Cycle Manager focused on transforming healthcare financial operations. In this role, you ... and implementing innovative programs to improve clean claim rates, reduce denials and improve overall collections. Working closely with cross-functional teams, you… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43358BR** **Extended Job Title:** Coding Manager ELP **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Provide oversight, training and ... to assigned multi-specialty coding inventories. + Review ETM coding denials for coding error. ETM denials assigned to the coding role that are non-coding related… more
- Amazon (Arlington, VA)
- Description Join Amazon Healthcare Finance Operations Services as a Revenue Cycle Manager focused on transforming healthcare financial operations. In this role, you ... and implementing innovative programs to improve clean claim rates, reduce denials and improve overall collections. Working closely with cross-functional teams, you… more
- Cedars-Sinai (Los Angeles, CA)
- …Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials supports post-discharge clinical reviews for Medicare Short Stay cases and ... assists with real-time management of concurrent payer denials . + This role ensures timely, accurate, and compliant...14355 **Working Title** : Registered Nurse -Utilization Review Case Manager - 8 Hour Days **Department** : Utilization Management… more
- MD Anderson Cancer Center (TX)
- …received from customer service. 4. Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. Makes ... Friday 8AM-4:30PM.* *Key Functions* 1. Manage multiple work queues for follow-up and denials by engaging payor websites and initiate calls to ensure prompt payment… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; ... Master's Degree; Certified Case Manager (CCM) - Commission for Case Manager ...organization goals including reductions in length of stay, decreasing denials , improvement of care transitions, and reduction in avoidable… more