- 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
- Trinity Health (Maywood, IL)
- …Counselor initiates recommendations on the creation of new edits to reduce registration denials . They monitor monthly registration denials and daily claim form ... work files to ensure completion. Reviews volume of return claims, denials , re-verification requests, analyzes possible trending issues, communicates issues to… 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
- Covenant Health Inc. (Knoxville, TN)
- …ability to interpret guidelines is required. Ability to create reports related denials , errors and other related work sheets. Recruiter: Suzie McGuinn || ... updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so information can be distributed to proper departments/staff. + Maintains… more
- Mount Sinai Health System (New York, NY)
- …collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager /Revenue Cycle Manager . *Please note that this is NOT a ... payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials ...+ Mentors less experienced billing staff and assists Billing Manager /Revenue Cycle Manager in staff training. +… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The manager of provider education, working in a remote environment will lead the provider ... and code selection accuracy along with appropriate, compliant reimbursement. This manager serves as a resource for clinical documentation education, coding,… more
- Masonicare (Wallingford, CT)
- …claims processing. Brings problems and delinquent responses to the attention of Manager . Process- corrections - and generate- claims for re-processing. - - Reviews ... denials and zero pay claims from payor remittance advices,...receive- payment from payor. Work- under the direction of Manager to oversee timely collection- - -. - Maintains… more
- Texas Health Resources (Bedford, TX)
- …Code 44 intervention, HINN letters, Second IMM, Observation letter, etc. Potential denials , avoidable days, alternate level of care days, etc. Medical necessity ... financial data (eg, LOS data, avoidable days, adverse determinations, and denials /appeals) and makes recommendations to improve performance. Achieves and maintains… more
- Guthrie (Sayre, PA)
- …Insurance Billing Specialists I and related support staff. Works closely with Director, Manager , Supervisor and Application Analyst on day to day priorities and to ... and skills for the position. Essential Functions: 1. Identifies and evaluates denials for assigned payers and/or specialties to determine specific issues and… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of payer performance. ... The Manager facilitates a unified and accurate presentation of data...major payers via monthly payer scorecards reconciliation reports, payment denials , claims projects, claim events, and senior leadership payer… more