- NTT America, Inc. (Plano, TX)
- …and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a **Medicare ... to interpret medical records, documenting recommendations to uphold or overturn denials + Excellent analytical and problem-solving skills + Strong communication and… more
- Robert Half Accountemps (Sacramento, CA)
- Description We are looking for an experienced Billing Supervisor/ Manager to join our team in Sacramento, California. This contract to hire position involves ... billing and collections, including supervisory roles. * Expertise in handling medical denials , payer issues, and reimbursement rates. * Proficiency in using billing… more
- Rush University Medical Center (Chicago, IL)
- …with physicians and Medical Director regarding Case issues and concurrent denials as indicated. 6. Applies pathways/guidelines, assesses variances, and proposes ... disability, veteran status, and other legally protected characteristics. **Position** Social Work Care Manager Per Diem **Location** US:IL:Chicago **Req ID** 23388 more
- Bozeman Health (Bozeman, MT)
- …and referring clinics regarding pre-authorizations. + Collaborates with staff regarding denials . + Reviews patient assistant program guidelines for potential patient ... enrollment. + Communicates and collaborates with Clinical Operations Manager . Knowledge, Skills, and Abilities + Demonstrates sound judgement, patience, and… more
- UNC Health Care (Rocky Mount, NC)
- …in accordance with utilization review guidelines. Tactfully and effectively informs Manager of physicians' impact days and constructively offers more cost-effective ... and reports losses incurred due to extended stay and admission denials . Differentiates and reports internal, external, patient/family origin for delayed discharges.… more
- University of Southern California (Arcadia, CA)
- …mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials , and appeals. + Collaborates and communicates with multidisciplinary team in ... maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for this position… more
- Hartford HealthCare (Farmington, CT)
- …timely and accurate care authorization, response to, and resolution of care denials . *_Working Relationships:_* *This Job Reports To:* Senior Director, Revenue Cycle ... **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Regional Revenue Manager / PA Administration* **Location:** *Connecticut-Farmington-9 Farm Springs Rd… more
- University of Washington (Seattle, WA)
- …works diligently toward the identification, mitigation, and prevention of clinical denials . This staff member uses their clinical expertise while reviewing initial ... clinical denials to determine next steps. Additionally, they conduct appeals...review (or utilization management or healthcare management), certified case manager , certified documentation specialist, certified coder, certified professional medical… more
- UNC Health Care (Goldsboro, NC)
- …and compliance guidelines Processes all assigned government and nongovernment accounts and denials for complex financial appeals, with a goal of bringing the ... to applicable regulatory, legal, and compliance guidelines. Assists the Manager and Director in all aspects of claims processing....from follow up work queues in Epic. 3. Works denials in Epic towards resolution. 4. Coordinates with other… more
- Healthfirst (Enfield, NY)
- …configuration issues by identifying root causes in order to prevent claims denials and to ensure claims are paid correctly. + Facilitate meetings ... cross-departmentally to achieve positive outcomes in management of ancillary provider network. + Create contracts in HF contract software and review credentialing documents submitted by Provider//facility via Universal Credentialing Data Source, The Council… more