- Catholic Health Services (West Islip, NY)
- …limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals , Managed Care and Revenue Cycle and Patient Access departments to ensure ... Overview The Director of Care Management is responsible for providing...Provides guidance and education to the Care Coordination department, Medical Staff, and SCSH Administrative Staff. + Ensures compliance… more
- Robert Half Finance & Accounting (Carlisle, PA)
- Description We are looking for a dedicated Revenue Cycle Management Director to lead and manage all aspects of our client's revenue cycle operations. This position ... efficiency. Responsibilities: * Oversee the revenue cycle processes for Medicaid, Medicare , managed care, commercial payers, and sliding fee programs. * Establish… more
- Baylor Scott & White Health (Phoenix, AZ)
- …dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare /Medicaid audit ... **Job Summary** The Director , Denial Resource Center is responsible for the...improved utilization of appropriate patient care services. Collaborates with medical , clinical, HIM and other BSWH departments to ensure… more
- Access: Supports For Living (Middletown, NY)
- Revenue Cycle Director Location: Middletown, NY, United StatesDate Posted: Nov 26, 2025 Share: share to e-mail Apply Now Save JobSaved Description ... of behavioral health billing in New York State, particularly regarding Medicare , Medicaid, Medicaid Managed Care, and Commercial Insurance. Key Responsibilities +… more
- NHS Management, LLC (Tuscaloosa, AL)
- …to the facility Administrator, Director of Nursing, Regional Administrator, Director of Medicare and Rehabilitation and MDS/Clinical Information Consultant. ... the Administrator, Director of Nursing, Regional Administrator, Director of Medicare and Rehabilitation, and MDS/Clinical... Medicare and Rehabilitation in gathering information for Medicare and Medicaid appeals and denials as… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... on Facebook, Twitter and LinkedIn. **Brief summary or purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance with… more
- City and County of San Francisco (San Francisco, CA)
- …experience billing, claims processing, and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare , insurance, third ... service examination process is subject to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or the Civil Service… more
- Integra Partners (Troy, MI)
- …collaborating with our Medical Director to perform benefit and medical necessity reviews and appeals within an NCQA-compliant UM program. Salary: ... appeals and refer as needed to the Medical Director + Maintain compliance with all...in a managed care, payor environment + Experience with Medicare and Medicaid (not required, but highly desirable) +… more
- Corewell Health (Grand Rapids, MI)
- …+ Support the lead for expedited requests, gathering relevant information, working with Medical Director to determine if criteria is met. If expedited criteria ... payment, care management, authorizations, customer service interactions, pharmacy Rx profiles, medical policies and plan documents for Medicare product lines… more
- State of Colorado (Denver, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... Physical Therapist III - Medical Services Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148294) Apply Physical Therapist III - Medical … more