- MedKoder (Mandeville, LA)
- …the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing and Education team. This ... staff, analyzing data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and educators, fostering… more
- Robert Half Finance & Accounting (Emmett, ID)
- …is partnering with a growing healthcare organization to hire a Revenue Cycle Manager for a high-impact leadership role based in Emmett, Idaho. This position offers ... and Hospital Price Transparency Rule + Build and maintain payer relationships to resolve issues impacting cash flow +...job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more
- Northwell Health (Staten Island, NY)
- …to the health care team regarding quality, utilization of clinical resources, payer , and reimbursement issues. + Works with on-site screeners in transitioning ... clinical course. + Ensures compliance with current state, federal, and third party payer regulations. + Identifies patients for Alternate Level Care (ALC) care list… more
- Highmark Health (Pittsburgh, PA)
- …Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates plans of action for ... management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as an educational… more
- Beth Israel Lahey Health (Plymouth, MA)
- …resolution, monitoring & reporting of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care determination ... Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth...knowledge of InterQual Level of Care Criteria. + Understands payer contractual guidelines for all third party and government… more
- Blue KC (Kansas City, MO)
- …financial assistance** **Employee discount program** **Job Description Summary:** The Manager , IT End User Experience oversees all enterprise technologies that ... of continuous improvement and service excellence. + Manage vendor relationships, service contracts , and budgets for end user experience services. + Drive digital… more
- SUNY Upstate Medical University (Syracuse, NY)
- …will include: + Facilitates the collection of earned reimbursement, reviewing payor contracts to ensure contract fees are modeled accurately in the ... Job Summary: The Revenue Cycle Manager provides leadership, management, and training for the...laws and regulations. Monitors billing compliance with all third-party payer regulations. + Maintains confidentiality in compliance with HIPAA… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The Lead Financial Case Manager under the direction of the Supervisor leads a team in the support of determining eligibility for Medicaid and other ... for transportation to meetings/appointments Key Responsibilities: + Leads a Financial Case Manager team members in doing the equivalent work, assigns work to others… more
- HCA Healthcare (Overland Park, KS)
- **Description** **Job Summary and Qualifications** The Care Manager supports the patient and primary care relationship through care delivery enhancement. Primary ... transitions of care, care management, preventive services, and self-management. The Care Manager acts as an integral member of the division Care Coordination team… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and… more