- Stanford Health Care (Palo Alto, CA)
- …Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials . This position requires ... and opportunities for improvement. + Maintains accurate records of appeals and denials for tracking and reporting...with Management: Identify and escalate denial patterns to the Manager of Government Audits and Appeals , providing… more
- Sun Pharmaceuticals, Inc (Syracuse, NY)
- …expertise in access and reimbursement issues encompassing coverage, prior authorizations, appeals , exceptions, denials , coding and payer payment guidelines , ... The Field Reimbursement Manager is part of the Market Access group...to access Sun portfolio of products. The Field Reimbursement Manager will interact with access services hub, managed markets… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San Leandro Hospital + SLH Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour + Req #:42605-31625 ... + FTE:0.7 + Posted:August 6, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management services to clients… more
- Jobleads-US (Chicago, IL)
- …contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to ... Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …will be responsible for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in ... + Work with insurance carriers and MSKCC billing departments to initiate appeals and acquire authorizations for treatment **Key Qualifications:** + Current NYS… more
- Emanate Health (Covina, CA)
- …Specialist is responsible for denial and AR management as defined by Denial Manager . The Denial Specialist will possess and apply thorough knowledge of collections ... of a patient account that is involved in the audit and appeals process to accurately complete accounts receivable reconciliation. **Minimum Education Requirement:**… more
- Stanford Health Care (Palo Alto, CA)
- …variances and pursuing underpayments to payers + Reviewing and resolving payer rejections, denials , and performing appeals as necessary + Electronic or hardcopy ... - Payer clerical and technical denial review and request processing including basic appeals - Payment posting and batch reconciliation - Credit balance review and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Degree 2 years of experience - hospital billing, processing claim edits, denials , appeals and managing accounts receivable. Experience with Epic Resolute ... CHFP (Certified Healthcare Financial Professional) CPAM (Certified Patient Account Manager ) CPAT (Certified Patient Account Tech) **The current salary range… more
- Nuvance Health (Danbury, CT)
- …departments, team members, providers, delegates, and community partners. In addition, the Manager Denials Prevention & Appeals Operations is responsible ... and provide coaching and feedback to team members. * Collaborate with Manager Denials Prevention & Appeals Administration to oversee UR processes for… more
- Garnet Health (Middletown, NY)
- …is responsible for the day to day operation of the CDI department and DRG Denials appeals process. The Manager will develop, implement and evaluate ... overall quality, completeness, and accuracy of medical record documentation. The Manager will evaluate denials and work closely with the outcomes manager and… more
