- Stanford Health Care (Palo Alto, CA)
- …Care job.** **A Brief Overview** Reporting to the VP, Patient Financial Services, the Director , Denials Management serves as the strategic leader and leads ... denials appeals, denial and write-off analysis, and denials prevention. The Director operates as the... reduction and prevention. + Approves and facilitates complex denials management operations and appropriately escalates operational… more
- Community Health Systems (Franklin, TN)
- …and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future ... all policies and standards. + This is a fully remote position **Qualifications** + HS Diploma or GED required...related field preferred + 1-3 years of experience in denials management , insurance claims processing, or revenue… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …billing denials across the healthcare system. + Reporting to the Director of Enterprise Denial Management , this role provides critical insights into ... leadership programs + And more **Description** **RESPONSIBILITIES:** + The System Denials Analyst, is responsible for gathering, analyzing, and reporting data… 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 ... costs. The Director collaborates closely with medical staff, vendors, case management , and payers to secure payment and benefits for beneficiaries that is in… more
- Cognizant (Annapolis, MD)
- …make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. ... **Schedule:** Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse...comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …institutional compliance decisions, nationally recognized guidelines, and/or information from denials management records. + Performs related responsibilities as ... winshipcancer.emory.edu. **Winship is seeking qualified candidates for the Senior Director , Clinical Trials position.** **Position details are as follows:** JOB… more
- Growth Ortho (Nashville, TN)
- Job Title: Director , RCM Implementation Location: Remote (with limited travel as needed) Reports To: SVP, Revenue Cycle Organization: Growth Orthopedics - MSO ... Position Summary: Growth Orthopedics (GO) is seeking an experienced and dynamic Director of RCM Implementation to lead the execution of strategic Revenue Cycle… more
- Akumin (Atlanta, GA)
- We are seeking an experienced, strategic, and results-driven Senior Director of Billing and Collections to lead our end-to-end billing operations. This senior ... all facets of the billing lifecycle, including charge capture, claims management , collections, cash application, denial resolution, and system optimization. The… more
- Centene Corporation (Jefferson City, MO)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... team of medical directors and supervises MD's responsible for utilization management and appeals functions to ensure members receive medically necessary,… more
- Tufts Medicine (Burlington, MA)
- **Professional Coding Auditor and Educator - Remote ** **Job Profile** **Summary** This role focuses on activities related to revenue cycle operations such as ... this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** Reporting to the Executive Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst ... cycle integrity. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication...assigned by the SEOA to perform root-cause analysis of denials to reduce denials and manual rework… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and ... + Analyzes contract reimbursement, identifying variances, trends in underpayments/overpayments, denials , and revenue leakage to support maximization of reimbursement.… more
- Trinity Health (Livonia, MI)
- …(CDI) activities for the Health Ministries (HM) in their defined region and day-to-day management of the CDI programs. Works with Director , CDI to ensure the ... Chief Medical Officers, HM Executive Leadership, clinical staff, coding and denials teams to facilitate documentation within the medical record and supports… more
- Community Health Systems (Antioch, TN)
- …accounting systems, and collections software. + Knowledge of insurance contracts, denials management , and accounts receivable workflows. + Excellent ... all policies and standards. + This is a fully remote position. **Qualifications** + HS Diploma or GED required...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- University of Utah (Salt Lake City, UT)
- …11/17/2025 **Job Summary** **University Medical Billing ( UMB )** is a fully remote department that is viewed as the premier billing office for the University ... and/or departments. + Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials … more
- Ventura County (Ventura, CA)
- …Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding Supervisor ... - Health Information Management Salary $94,952.15 - $132,946.07 Annually Location Ventura and...(1) Regular vacancy that may be considered for a hybrid/ remote work option. TENTATIVE SCHEDULE OPENING DATE: 4/4/25 CLOSING… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …and recover outstanding receivables. Identify trends in payments, underpayment/overpayments and denials . Work with respective departments to evaluate trends and be ... all assigned underpayment appeals, follow-up and payer relationships. Report to management any gross payment discrepancies by payers. Contact payer to resolve… more
- Texas Health Resources (Arlington, TX)
- …Texas Health Resources + Core work hours: Monday - Friday; 8:00a-5:00p; Remote opportunity Position Summary Under general direction of the PBO Revenue Integrity ... Director , the PBO Payment Integrity Manager is responsible for...to the following: AR days, aged AR, cash collections, denials , avoidable write-offs, staff productivity and work quality. All… more
- Saint Francis Health System (Tulsa, OK)
- …note: This position is onsite in Tulsa, Oklahoma is NOT eligible for remote work._** Job Summary: The Senior Revenue Cycle Analyst leads advanced analytics, ... staff. Collaborates cross-functionally to drive improvements in billing, collections, denials , and financial performance. Minimum Education: High School Diploma or… more
- CommonSpirit Health (Salt Lake City, UT)
- …Advisor/UR and is responsible for maintaining a collaborative partnership with the Medical Director CDI, Enterprise Director Case Management , UM Hub ... position is a hybrid role requiring a mix of remote and on-site work at the five CommonSpirit Hospitals...sites. This position provides support to the facility Utilization Management Committees, medical staff, UM Hub, and care coordination… more
