- 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
- Huron Consulting Group (Van Buren, AR)
- …committed to delivering exceptional care while maintaining strong financial stewardship. The Denials Prevention and Analytics Manager plays a critical role in ... health by identifying, analyzing, and addressing the root causes of post-billing denials and avoidable write-offs across both hospital and professional claims. This… more
- Catholic Health Initiatives (Little Rock, AR)
- …findings to management. Recommends and provides education in collaboration with their manager . The Denials RN follows a standardized approach to managing ... **Responsibilities** The Denials RN is responsible and accountable for receiving,...and accountable for receiving, processing and documenting all concurrent denials for assigned facilities. The RN has an integral… 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
- WMCHealth (Hawthorne, NY)
- …and formulate denials resolution strategies + Works with the Follow-up Manager to establish and monitor accounts receivable management and cash collection goals ... Denials Specialist Company: NorthEast Provider Solutions Inc. City/State:...quality + Works under the direction of the Denial Manager to analyze denial and underpayment reports, provide feedback… more
- Hartford HealthCare (Farmington, CT)
- …The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials . This ... *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial reasons, and determine the appropriateness… more
- St. Luke's University Health Network (Allentown, PA)
- …to, physicians, hospital employees and vendors. Advises Network CDI & DRG Denials Manager on issues requiring immediate attention. ADDITIONAL REQUIREMENTS: ... Per diem position is flexible upon request and with prior agreement with manager . Original: 8/16 Revised: 1/17 Revised: 10/24 Please complete your application using… more
- AdventHealth (Altamonte Springs, FL)
- …responsibility of the Account Representative II to bill, follow-up, and manage denials to timely collect on assigned accounts receivable . Daily communicates with ... team members and manager on assigned projects in collaboration to meet prescribed...necessary information for accurate billing, collections, and correction of denials , accurately documenting the patient account. Actively prioritizes all… more
- Children's Mercy Kansas City (Kansas City, MO)
- …the lives of children beyond the walls of our hospital. Overview The Denials Prevention Analyst is directly responsible for reviewing current denial data to ... of root cause resolutions under the supervision of the Denials Prevention leadership within CMH. This position also adheres...the person hired will work with his or her manager to determine a schedule that includes both at… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: Under general supervision of the Manager , Health Information Services, the Denials Specialist performs activities to ensure appropriate ... improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working… more
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