- CenterWell (Tallahassee, FL)
- …via fax or telephone + Responsible for researching and updating clarifications and denials on patient profiles + Responsible for making or taking phones calls to ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- BayCare Health System (Tampa, FL)
- …assigned by the supervisor including but not limited to processing concurrent denials . + Preferred experience includes Critical Care or Emergency Nursing RN. ... RN (Registered Nurse) + Preferred ACM (Case Management) + Preferred CCM (Case Manager ) **Education:** + Required Associates in Nursing or + Required Bachelors in… more
- Sharp HealthCare (San Diego, CA)
- …MDAudit risk analyzer software, OIG Work plan, CMS, PEPPER Reports, RAC Denials , industry experts, etc. + Policy and Procedure maintenanceWorks in collaboration with ... the Director and Manager of Compliance and System Management (HIM, CDI, Case Management, Quality, etc.) in developing SHC's standardized documentation, medical… more
- SERV Behavioral Health System (Hamilton, NJ)
- …through a wide range of services. JOB SUMMARY: Reporting to the Billing Manager , the Senior Accounts Receivable Specialist will be responsible for billing and ... rates and improve reimbursement processes. + Proactively identifies issues that prevent denials for timely filing. + Follows up and escalates claims as outlined… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... work queues, including but not limited to: Insurance verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure… more