- Beth Israel Lahey Health (Plymouth, MA)
- …making a difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth ... Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding UR and the… more
- Huron Consulting Group (Van Buren, AR)
- …committed to delivering exceptional care while maintaining strong financial stewardship. The Denials Prevention and Analytics Manager plays a critical role in ... health by identifying, analyzing, and addressing the root causes of post-billing denials and avoidable write-offs across both hospital and professional claims. This… more
- Catholic Health Initiatives (Little Rock, AR)
- …findings to management. Recommends and provides education in collaboration with their manager . The Denials RN follows a standardized approach to managing ... **Responsibilities** The Denials RN is responsible and accountable for receiving,...and accountable for receiving, processing and documenting all concurrent denials for assigned facilities. The RN has an integral… more
- Garnet Health (Middletown, NY)
- …and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI department and ... DRG Denials appeals process. The Manager will develop, implement and evaluate processes, policies and procedures related to clinical documentation improvement… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denials Specialist 3 role specializes in high-dollar claims, aged claims, and denied claims ... complex specialties. This role identifies and works to resolve denials to uncover the root cause and accurately appeal...practice, and user trends and makes recommendations to the Manager of Revenue System Operations and partners with the… more
- WMCHealth (Hawthorne, NY)
- …and formulate denials resolution strategies + Works with the Follow-up Manager to establish and monitor accounts receivable management and cash collection goals ... Denials Specialist Company: NorthEast Provider Solutions Inc. City/State:...quality + Works under the direction of the Denial Manager to analyze denial and underpayment reports, provide feedback… more
- Hartford HealthCare (Farmington, CT)
- …The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials . This ... *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial reasons, and determine the appropriateness… more
- St. Luke's University Health Network (Allentown, PA)
- …to, physicians, hospital employees and vendors. Advises Network CDI & DRG Denials Manager on issues requiring immediate attention. ADDITIONAL REQUIREMENTS: ... Per diem position is flexible upon request and with prior agreement with manager . Original: 8/16 Revised: 1/17 Revised: 10/24 Please complete your application using… more
- Dayton Children's Hospital (Dayton, OH)
- …Home - OhioDepartment:Utilization Review TeamSchedule:Full timeHours:40Job Details:Reporting to the Manager of Utilization Management and in partnership with the ... and Resource Management; supports the development and implementation of a comprehensive denials management program. This role functions as a hospital liaison with… more
- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** Responsible for billing, follow-up, and managing denials to timely collect on assigned accounts receivable. This position communicates ... preventing goal achievement. + Follows up on daily correspondence related to denials , underpayments, and billing to appropriately manage patient accounts. + Assists… more