- Jobleads-US (Chicago, IL)
- …Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance ... patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level… more
- US Physical Therapy (Decatur, GA)
- …our billing and claims department with collections of patient balances, managing denials and assisting the Office Manager with outstanding A/R. ... prior authorizations + Follow up with insurance companies on unpaid claims and denials . + Assist with Answer phones and scheduling new patients + Provide excellent… more
- Geisinger (Scranton, PA)
- Job Title: RN - Registered Nurse Care Manager Location: Scranton, Pennsylvania Job Category: RN - Registered Nurse, Nursing and Nursing Support Schedule: Days Work ... administrative and medical channels to avoid third party payer denials . Maintains awareness of all concurrent denials ...payer denials . Maintains awareness of all concurrent denials through interaction with payer liaison. Works with payer… more
- Stanford Health Care (Palo Alto, CA)
- …and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government ... audits and denials . This position requires strong clinical acumen, a strong...with Management: Identify and escalate denial patterns to the Manager of Government Audits and Appeals, providing detailed information… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to our ... high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the...Active participation with the physician and payer to prevent denials . Reviews cases for potential change in level of… more
- Sun Pharmaceuticals, Inc (Syracuse, NY)
- The Field Reimbursement Manager is part of the Market Access group supporting Suns family of branded products in the United States. This primary goal of this role is ... of patients to access Sun portfolio of products. The Field Reimbursement Manager will interact with access services hub, managed markets team supporting patient… more
- MVP Health Care (Rochester, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a Case Manager , Medicaid Long Term Support Program to join #TeamMVP. If you have a ... needs of medically complex Medicaid members. Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members,… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San...action when cases do not meet criteria - coordinates denials with the attending physician, and the UR physician ... + 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
- 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 ... the daily management of the denial through resolution after the appeal is filed. You will perform special chart reviews to support strategic planning initiatives, while working with multidisciplinary team and acts as a liaison to insurance carriers and staff.… 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 ... includes: hospital billing and collection experience such as clinical denials or reference to a denials management...as clinical denials or reference to a denials management department. Thorough knowledge of medical terminology and… more
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