- HCA Healthcare (Manchester, NH)
- …staff services, and play a key role in the integration of HCA Clinical Strategies and HCA systems. 1. Medical Staff Administration Develop facility credentialing ... (in partnership with other key stakeholders to include Director of Advanced Clinical and IT&S personnel). Facilitate orientation for new officers, committee members… more
- AdventHealth (Tampa, FL)
- …claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with developing and implementing strategies and procedures to ... also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience,...reduce denials , maximize reimbursements, and promote faster payment. Resolves claim… more
- Avera (Sioux Falls, SD)
- …strategic decision-making, operational efficiency, and compliance. The analyst collaborates with clinical , billing, coding, IT, and payer relations teams to identify ... will do** + Design, maintain, and enhance dashboards and scorecards for denials , write-offs, payer performance, and charge activity. Analyze trends and translate… more
- BrightSpring Health Services (Valdosta, GA)
- …the month for assigned Operations. + Timely follow up on insurance claim denials , exceptions, or exclusions. + Maintain open communication with Billing Specialist ... patients, and providers. + Works in Waystar to identify denials and timely resolution. + Timely follow up of...Billing Portal sites, preferred. + Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement… more
- Huron Consulting Group (Chicago, IL)
- …Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new ... partnerships, clinical services and technology is not enough to create...code and MS-DRG, APR DRG assignments to potentially decrease denials . * Works Inpatient claim edits and may code… more
- UnityPoint Health (Cedar Rapids, IA)
- …S + Shift: 0900-1700 + Job ID: 174223 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in ... utilization of health care resources, provision of high-quality health care, optimal clinical outcomes and patient and provider satisfaction. The UM Specialist … more
- University of Rochester (Rochester, NY)
- …referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non- clinical staff, identifying barriers to appointment ... company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which… more