- Health Plus Management LLC (Uniondale, NY)
- Denial Management Associate Location Uniondale Description Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical ... service and patient care).This position is primarily responsible for overseeing the Denial Management functions for our family of companies.Duties &… more
- Hartford HealthCare (Farmington, CT)
- …Collaborate with Revenue Cycle and Medical Staff teams to ensure a unified approach to denial management and appeals. . Serve as the primary contact with payers ... . Preferred: Three (3) years of progressive on-the-job experience with DRG denial management and appeals preferred. **Licensure, Certification, Registration** *… more
- Community Health Systems (Antioch, TN)
- …Abilities** + Strong understanding of payer guidelines, claim adjudication processes, and denial management strategies. + Proficiency in Artiva, HMS, Hyland, ... **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and...This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce… more
- Intermountain Health (Topeka, KS)
- …required + Three (3) years of experience in revenue cycle insurance follow up or denial management , required + Associate 's degree, preferred + Three (3) ... Reconciliation of unposted and posted cash with the cash management tools and Epic. Along with variance reporting, G/L...Log findings and provides feedback to Hospital Billing AR Management , Cash Management , and Managed Care leadership.… more
- Hartford HealthCare (Newington, CT)
- …*Education* . Minimum: High school diploma, GED or equivalent . Preferred: Associate 's degree in health care administration, business management or finance. ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Omaha Children's Hospital (Omaha, NE)
- …efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. **Essential ... payments from third party payors. Organize open accounts by denial type or payer to quickly address in bulk...to the prescribed priority and/or per the direction of management and in accordance with department expectations. Recognize when… more
- Hartford HealthCare (Farmington, CT)
- …and credit vendors as needed. *_Requirements and Specifications:_* **Education** . Minimum: Associate 's degree in health care administration, business management ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Health Plus Management LLC (Uniondale, NY)
- …School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management across multiple insurance carriers and specialties Knowledge & ... + 2+ years of experience with No-Fault & Workers Compensation AR/Collection and Denial Management across multiple insurance carriers and specialties + Must have… more
- Health Plus Management LLC (Uniondale, NY)
- …Diploma or equivalent required + 2+ years of experience with A&R & Denial Management across multiple insurance carriers and specialties Knowledge & Experience ... Associate - No Fault Location Uniondale Description Health Plus Management LLC (HPM) provides management services to...years of experience with NYS Workers' Compensation AR and Denial Management Benefits Medical, Dental, Vision, and… more
- Elevance Health (Seattle, WA)
- **Medical Management Clinician Associate ** Carelon Post Acute Solutions A proud member of the Elevance Health family of companies, **Carelon Post Acute ... and holidays as needed by the business.** The **Medical Management Clinician Associate ** is responsible for ensuring...relevant benefit plan/contract. + May process a medical necessity denial determination made by a Medical Director. + Refers… more
- BronxCare Health System (Bronx, NY)
- … Manager will assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity ... and other resources, escalates issues related to business associate interactions and department staff when prevented from completing...On the job or formal training in certified case management , denial and appeals management … more
- McLaren Health Care (Mount Pleasant, MI)
- …Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . Provides support to both ... internal and external customers for denial /appeals activities and audits. Assists with monitoring and auditing activities, reviews outcomes and communicates findings… more
- MD Anderson Cancer Center (TX)
- …throughout the revenue cycle. *Summary* The primary purpose of the PBS Associate position is to follow-up on billed claims within regulatory guidelines. The ... PBS Associate must ensure that all claims have a follow-up...patient account inquires received from customer service. 4. Identifies denial trends and notifies Supervisor and/or Manager to prevent… more
- Caris Life Sciences (Irving, TX)
- …is where your impact begins.** **Position Summary** The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid ... issues. + Identifying and communicating process errors to optimize revenue cycle management . + Utilize payor portals to gather claims status information. + Respond… more
- UNC Health Care (Hendersonville, NC)
- …The Denials Prevention Analyst plays a crucial role in identifying and mitigating denial risks for both acute and ambulatory claims within the healthcare revenue ... external departments to decrease system-wide denials. . Review adjustments based on Denial Write-Off Approval Levels, providing feedback to users. . Establish and… more
- TECO Energy (Tampa, FL)
- …network technologies such as route/switch, on-premise LAN/WAN, IPAM, Wi-Fi, ISP management , site-to-site VPNs, proxies (forward and reverse), perimeter firewall ... management , DNS, Azure cloud environments, automation, NAC/user access, hyperconverged infrastructure, and overall network security. Partners with the… more
- Penn Medicine (Plainsboro, NJ)
- …shape our future each day. Are you living your life's work? Job: Patient Access Associate - Outpatient Hours: Full Time, 5:15 am - 1:45 pm Monday thru Friday ... Media Manager. + Processes correspondence from insurance carriers, case management and other areas within one business day of...displayed on Patient and Candidate for Billing (CFB) and denial work queues. + Responsible for daily monitoring of… more
- Rochester Regional Health (Rochester, NY)
- …Therapist provides addiction diagnostic assessment, treatment planning, case management , and individual/group counseling for clients with chemical dependency. ... and residential settings, the Addiction Therapist is also responsible for oversight and management of the patient community. Treatment is provided in the context of… more
- Highmark Health (Buffalo, NY)
- …the incumbent informs the member and/or provider of the approval and/or denial of the requested authorization. **ESSENTIAL RESPONSIBILITIES** + Obtain call task from ... Utilization Management platform, perform verbal outbound call task requirement following...within the platform. + Obtain triage task from Utilization Management platform and follow a detailed desk level procedure… more
- Travelers Insurance Company (Walnut Creek, CA)
- …+ Negotiates and conveys claim settlements within authority limits. + Writes denial letters, Reservation of Rights and other complex correspondence. + Properly ... etc. as required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers… more