• Director Med Staff Services

    HCA Healthcare (Manchester, NH)
    …services, and play a key role in the integration of HCA Clinical Strategies and HCA systems. **Medical Staff Administration** Develop facility credentialing policies ... (in partnership with other key stakeholders to include Director of Advanced Clinical and IT&S personnel). Facilitate orientation for new officers, committee members… more
    HCA Healthcare (06/28/25)
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  • Associate Accounts Receivable Representative

    Surgery Care Affiliates (Indianapolis, IN)
    …Qualifications Requirements for our roles: + High School Diploma or GED + Denials and appeals experience + Familiarity with EOB and reading medical ... we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork...independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures + This… more
    Surgery Care Affiliates (07/15/25)
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  • Per Diem RN - Case Management - Sharp Grossmont…

    Sharp HealthCare (La Mesa, CA)
    …with providers.Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials , input into appeals , share findings with providers.Review all cases ... **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered… more
    Sharp HealthCare (07/18/25)
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  • Case Management Rep

    Houston Methodist (Houston, TX)
    …on insurance/managed care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance ... companies, coordination of peer discussions as directed by the clinical team. Documents authorization, approvals, and denials **GROWTH/INNOVATION ESSENTIAL… more
    Houston Methodist (07/18/25)
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  • Certified Coding Supervisor - Health Information…

    Ventura County (Ventura, CA)
    …rate, compliance rate with quality standards and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders ... + Description + Benefits + Questions Description Under direction from the Manager of Health Information Management, the Coding Supervisor will assist in the… more
    Ventura County (06/12/25)
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  • Patient Access Support Specialists - Remote

    Medtronic (MN)
    …healthcare payment processes, reimbursement and coverage issues including medical necessity, denials , and appeals processes. + Familiar with Medtronic ... and initiate as requested by customer. + Coordinate required paperwork and clinical notes for submission in a timely and comprehensive manner as required.… more
    Medtronic (07/31/25)
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  • Registered Nurse - Utilization Review

    Beth Israel Lahey Health (Plymouth, MA)
    … clinical knowledge with billing knowledge to review, evaluate, and appeal clinical denials related to the care provided to the hospitalized patient. ... to assess and improve the denial management, documentation, and appeals process. + Collaborates with UR Manager ...degree in healthcare preferred. + Three years recent, broad clinical experience in the hospital setting + Experience with… more
    Beth Israel Lahey Health (05/17/25)
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  • Revenue Cycle Management Specialist Remote

    Option Care Health (Oklahoma City, OK)
    …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Assists with Billing and Collection Training and completes "second level" appeals to payers. **Job Description:** ​ **Job Responsibilities:** + Submits timely,… more
    Option Care Health (08/02/25)
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  • Supervisory Health System Specialist (PBO)

    Indian Health Service (Parker, AZ)
    …alternate resources. Responds to third party requirements on post-payment reviews, exclusions, denials and appeals for Parker Service Unit. Performs daily ... in Parker, Arizona. This position is under the Supervision of the Financial Manager . The primary function of this position is to manage department with… more
    Indian Health Service (08/01/25)
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  • Director of Care Coordination

    Catholic Health Services (West Islip, NY)
    …not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals , Managed Care and Revenue Cycle and Patient Access departments to ensure ... the most advantageous clinical and financial outcomes. Supports all CH and consultant...consultant initiatives addressing activities relative to Care Management and Denials . Identifies opportunities for improvement that result in development… more
    Catholic Health Services (07/18/25)
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