- 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 ... Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs...Reviews and determines appropriate strategy in response to reimbursement denials . + Responsible for appeals and follow… more
- CenterWell (Boston, MA)
- …responding to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials . Works with branch staff to gather required ... to develop appropriate and timely responses. + Responsible for constructing response to denials and appeals , utilizing any federal guidelines or local coverage… more
- Beth Israel Lahey Health (Plymouth, MA)
- …is expanding its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management** and **Utilization ... for level of care and continued stay * Lead appeals of clinical denials and collaborate with...or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management**… more
- Children's Hospital Boston (Boston, MA)
- …authorizations for the appropriate level of care for admissions and with post-discharge appeals of payer denials . They identify and implement initiatives to ... 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard Hours per… more
- Beth Israel Lahey Health (Burlington, MA)
- …Manages UM department in the context of other Revenue Cycle functions such as Denials & Appeals , Patient Access, Authorization Management & review, HIM, Coding & ... Billing. Close collaboration with the Physician Advisors, Collaborates and helps facilitate the Utilization Review Committee. Continuously monitors processes for opportunities for improvement within an interdisciplinary team and integrated Revenue Cycle… more
- Baystate Health (Springfield, MA)
- …Accounts Receivables Manager , Supervisor and Team Lead; identifies denials / appeals , makes appropriate system changes, completes balance adjustments, ... documents work-in-process, obtains materials to complete the collection and/or appeals process and mentors' colleagues. Other related duties as required.… more
- Cognizant (Boston, MA)
- …manage appeals , working with various departments to prevent future denials . + Review documentation to code diagnosis and procedures specific to cardiovascular ... Coding Professional you will be responsible for reviewing/resolving coding denials in the cardiovascular specialty. You will be a...a team in a fast-paced environment. + Interacting with manager /team members on scheduled time off and breaks and… more
- Beth Israel Lahey Health (Plymouth, MA)
- …multidisciplinary team to assess and improve the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor ... clinical knowledge with billing knowledge to review, evaluate, and appeal clinical denials related to the care provided to the hospitalized patient. + Conducts… more
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