• Project Manager , Denials Mitigation

    Cedars-Sinai (Los Angeles, CA)
    …that fuels innovation. **Req ID** : 14001 **Working Title** : Project Manager , Denials Mitigation **Department** : CSRC Support Services **Business Entity** ... **What you be doing in this role:** The Project Manager is responsible for managing assigned projects from initiation...for implementing later phase solutions, if applicable. The Project Manager will work with leadership to prioritize and drive… more
    Cedars-Sinai (12/18/25)
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  • Manager - Utilization Review…

    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 (12/14/25)
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  • Manager Patient Billing Services

    Albany Medical Center (Albany, NY)
    denials as well as work with the departments as necessary to reduce future denials . The manager will serve as the knowledge resource for all billing questions ... States of America) Salary Range: $78,773.63 - $122,099.12 The Manager of Hospital accounts receivable is responsible for all...billed to insurance for Albany Med Health System The Manager is responsible for overseeing the billing staff. The… more
    Albany Medical Center (11/08/25)
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  • Clinical Documentation Integrity Manager

    Garnet Health (Middletown, NY)
    …and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI department and ... DRG Denials appeals process. The Manager will develop, implement and evaluate processes, policies and procedures related to clinical documentation improvement… more
    Garnet Health (10/23/25)
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  • Utilization Review Specialist Nurse (RN) | Case…

    Houston Methodist (Houston, TX)
    …development and implementation of the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials , and pre-bill team ... of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively or concurrently determines the… more
    Houston Methodist (11/02/25)
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  • Senior Coding Denials Management Specialist…

    University of Southern California (Alhambra, CA)
    …& state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ... 'claims denials ' and 'claims rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS,...fashion. * Performs other duties as requested/assigned by Director, Manager , Supervisor, or designee. + CODING & ABSTRACTING ACCURACY… more
    University of Southern California (11/19/25)
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  • Denials Resolution Specialist

    Addiction Recovery Care (Lexington, KY)
    …and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials ... + Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into… more
    Addiction Recovery Care (12/04/25)
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  • Coder I, Professional Srvc

    Emory Healthcare/Emory University (Decatur, GA)
    …the volume of denials . + This position reports to the Supervisor or Manager , Coding Denials Management. Employee may be responsible for other duties as ... revenue. + This position reports to the Supervisor or Manager , Revenue Cycle Operations. + Employee may be responsible...be responsible for other duties as assigned. + CODING DENIALS SPECIALIST: The primary focus of this position will… more
    Emory Healthcare/Emory University (12/09/25)
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  • Central Denials Account Representative…

    Guidehouse (Birmingham, AL)
    …Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the appropriate ... Record + Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals. + Assisting Supervisor/… more
    Guidehouse (12/20/25)
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  • Denials Management Specialist, Lancaster,…

    Penn Medicine (East Petersburg, PA)
    …shape our future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am (8 hour ... are met in an appropriate manner. Responsibilities: + Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or patient to resolve… more
    Penn Medicine (12/05/25)
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