- Guthrie (Sayre, PA)
- …and root causes; develop strategies to reduce preventable denials + Ensure appeals are written and submitted timely, with clinical accuracy and regulatory ... Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management...responsible for the oversight and management of all payer denials , appeals , and audit processes within the… more
- Highmark Health (Pittsburgh, PA)
- …all regulatory and contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials / appeals and retrospective payer audit ... lieu of a degree + 3 years in a clinical nursing role + Current State of PA RN...**Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case… more
- Amgen (Pittsburgh, PA)
- …supporting the entire reimbursement journey through payer prior authorization to appeals / denials requirements and forms + Review patient-specific information in ... and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Pittsburgh, PA** **What you will do** Let's do this. Let's change… more
- Guthrie (Towanda, PA)
- …Insurance Billing Specialists I and related support staff. Works closely with Director, Manager , Supervisor and Application Analyst on day to day priorities and to ... necessary action to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to identify potential… more