- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 14001 **Working Title** : Project Manager , Denials Mitigation **Department** : CSRC Support Services ... Best Hospitals. **What you be doing in this role:** The Project Manager is responsible for managing assigned projects from initiation to delivery, including… more
- Carrington (Columbus, OH)
- …consist of reviewing the accuracy of work performed by the Loss Mitigation Underwriters including the review of approvals, denials , income calculations ... as a leader to peers and assist supervisor and manager on special projects. **What you'll need:** + High...equivalent required + **Four (4) plus years of loss mitigation experience in either Underwriting, QC, HRD or Auditing… 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
- Carle Health (Champaign, IL)
- …This position is also responsible for tracking coding trends and assists with mitigation of coding-based denials through education of coding team members. The ... Overview The Manager over Coding Education and Quality is responsible...related to coding + Provide necessary education to mitigate denials to coding team based on review + Collaborate… more
- Huron Consulting Group (Chicago, IL)
- …team as the expert you are now and create your future. The CI&I Manager will oversee junior staff responsible for conducting A/R and metric research, identifying ... operational leaders to drive shared accountability toward A/R improvement. The CI&I Manager is expected to provide strategic thought leadership to cross functional… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities related to billing… more
- University of Washington (Seattle, WA)
- …accordance with the payer-provider contract, and works diligently toward the identification, mitigation , and prevention of clinical denials . This staff member ... uses their clinical expertise while reviewing initial clinical denials to determine next steps. Additionally, they conduct appeals as appropriate by reviewing… more
- Texas Health Resources (Arlington, TX)
- …as a content expert on the following: Compliance with program expectations Mitigation activities with all clinical partners / payors as needed. Compliance ... 44 intervention, HINN letters, IMM, Observation letter, etc. Potential denials , avoidable days, alternate level of care days, etc....Resuscitation Upon Hire Required And ACM - Accredited Case Manager Upon Hire Preferred Or CCM - Certified Case… more
- Texas Health Resources (Frisco, TX)
- …as a content expert on the following: Compliance with program expectations Mitigation activities with all clinical partners / payors as needed. Compliance ... intervention, HINN letters, Second IMM, Observation letter, etc. Potential denials , avoidable days, alternate level of care days, etc....Resuscitation Upon Hire Required And ACM - Accredited Case Manager Upon Hire Preferred Or CCM - Certified Case… more
- Covenant Health Inc. (Knoxville, TN)
- …Analyzes key performance indicators (KPIs) related to patient access, scheduling, denials prevention, and revenue cycle performance to determine Patient Access ... expectations. + Leads initiatives to reduce registration and authorization-related denials . Supervisory Responsibility + Direct activities of managers and staff… more
- Travelers Insurance Company (St. Paul, MN)
- …and subrogation. + Facilitate timely claim resolution by leveraging any mitigation opportunities. + Establish and update reserves to reflect claim exposure ... of benefits through litigation). Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical services into the… more