- 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 ... Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding UR and the… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denials Specialist 3 role specializes in high-dollar claims, aged claims, and denied claims ... complex specialties. This role identifies and works to resolve denials to uncover the root cause and accurately appeal...practice, and user trends and makes recommendations to the Manager of Revenue System Operations and partners with the… 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 ... ACM, or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management** This role is ideal for a Manager … more
- Dana-Farber Cancer Institute (Brookline, MA)
- …of all underlying billing functions such as Accounts Receivable ("AR") resolution and denials management for all Government Payers. The Manager will lead a ... follow up activity to include posting and working of denials received by third party payors & submit to...payors & submit to include posting and working of denials received by third party payors & submit procedures… more
- Beth Israel Lahey Health (Burlington, MA)
- …involve registration error, coverage, and eligibility related front-end edits and denials for both Professional and Hospital Billing. Additional tasks for ... issues and errors as well as education to reduce errors and denials and increase professional revenue. **Job Description:** **Essential Duties & Responsibilities**… more
- Beth Israel Lahey Health (Burlington, MA)
- …needs for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and ... Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in order to… more
- State of Massachusetts (Boston, MA)
- …to serve our citizens. *_About the Role:_* The Director of Pharmacy Benefit Manager Oversight operating within the Health Care Access Bureau is authorized, pursuant ... The primary purpose of the Director of Pharmacy Benefit Manager Oversight is to assist the Commissioner of Insurance...and the processing of insured health plans' pharmacy benefit denials and appeals as overseen by OPP. * Participate… more
- Lawrence General Hospital (Methuen, MA)
- Lawrence General Hospital and Holy Family Hospital are seeking a Manager of Patient Access. Under the direction of the Patient Access Director, you will manage the ... for all assigned locations, including the emergency center. The manager is responsible for setting up and managing the...and the organization. + Optimizes front-end workflows to prevent denials and minimize write-offs. + Motivates staff to achieve… more
- Beth Israel Lahey Health (Cambridge, MA)
- …taking a job, you're making a difference in people's lives.** The Manager , Anatomical Pathology, directs the daily operations of the anatomic pathology laboratory. ... queues in Laboratory Information System to reduce insurance claim denials . + Reviews all attorney requests for slides/reports and...with the Director of the Laboratory and/or the Laboratory Manager prior to release. + Keeps abreast of developments… more
- Vitra Health (Braintree, MA)
- …key to our success. That is why we are looking for a Revenue Cycle Manager to join our team. If you're a passionate, caring, motivated professional who is looking ... resources, and caring teams of nurses and case managers. The Revenue Cycle Manager manages all activities, processes, and functions of Revenue Cycle Operations for… more