- Covenant Health Inc. (Knoxville, TN)
- …to coding. + Monitors activities and findings with regards to audits and denials and subsequently adjusts to potential trends when reported. + Attends meetings and ... + Keeps current on coding guidelines and communicates to Health Information Manager . Implements corrective actions as indicated to minimize financial risk. + Works… more
- Sharp HealthCare (San Diego, CA)
- …care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual ... stay beginning with the admission review of the case manager and reviews with the Case Manager ...accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity… more
- Hartford HealthCare (Newington, CT)
- …resources, vendors, and client relations. This position reports directly to the Manager of Patient Financial Services Accounts Receivables and works closely with ... for the timely realization of payment for active inventory, resolution of denials , overseeing the effective appeals of these claims and protecting against bad… more
- HCA Healthcare (Salt Lake City, UT)
- …to Provider Enrollment for follow up. + Collaborate with Parallon's Division Account Manager and practice leadership to improve Division A/R Days (charge Lag, claims ... and Medical Office Coordinators. + Implement processes to decrease denials by focusing on top denial reasons and working...where needed. + Collaborate with the Division Regional Coding Manager (RCOM) to analyze coding reports and assist with… more
- Superior Ambulance Service (Elmhurst, IL)
- …of, but are not limited to the following: + Responsible for resolving denials /appeal (Current Denials /Correspondence) Tasks within 72 hours of receipt + ... work is being maintained by all employees by maintaining communication with Reimbursement Manager + Maintain work split and make sure workload is balanced among… more
- HCA Healthcare (Tampa, FL)
- …governmental payers and the contracted language. Knowledge of payer trends and analysis of denials with a focus on prevention of denials within the acute ... & governmental sector. + Assists hospitals with root cause analysis of denials . + Directs hospitals in developing and implementing action plans as needed.… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: This position reports to the Manager , Central Authorization Center and works directly with FCC, ASC scheduling and physician's offices to ensure ... as required. Researches and resolves reasons for insurance and Medicare claim denials , initiates needed code and billing corrections when appropriate to ensure… more
- Beth Israel Lahey Health (Charlestown, MA)
- …effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This includes interpreting payment and denial data down ... system automation. Performs ongoing analysis to determine the root cause of denials and makes well thought out recommendations for workflow, operations or systemic… more
- Albany Medical Center (Albany, NY)
- …collaboratively to support all workflows related to professional fee coding/charging/ denials follow-up. Coordinates with others as needed to ensure comprehensive ... recruitment and interview process to fill personnel vacancies. + Perform System Manager tasks for specified applications in his/her absence to include: compile and… more
- Sharp HealthCare (La Mesa, CA)
- …**Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nursing **Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED… more
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