- 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
- CenterWell (Atlanta, GA)
- …market or Kansas City, MO or Kansas City, KS markets.** As the **RCM Manager ** , you will: + Manage the collection and billing operations and develop ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- The Cigna Group (Chicago, IL)
- …MDLIVE. At MDLIVE, innovative ideas in healthcare are created every day. The Denials Supervisor is responsible for monitoring all denials related aging revenue ... CPT Guidelines, and CMS directives, as related to claim denials and appeals + Pursues collection activities to obtain... experience preferred + 5+ years of supervisor or manager experience preferred + 2+ years minimum of front… more
- AdventHealth (Altamonte Springs, FL)
- …contribute:** This position is responsible for investigating and appealing post-remit denials for all Inpatient and Outpatient clinical services across the system, ... system. **The value you will bring to the team:** + Reviewing and appealing denials for all clinical services across the AH system + Researching various sources of… more
- Catholic Health (Buffalo, NY)
- …of root cause and process improvement opportunities to eliminate recurring clinical denials . The position acts as a liaison between front-end clinical areas and ... third party payers in scenarios related to denials and appeals. This position educates all members of...Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case Manager (CCM) or any other certification approved by management… more
- CenterWell (Topeka, KS)
- …community and help us put health first** As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you will: + Ensure the coordination of ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Ochsner Health (Meridian, MS)
- …the daily operations of the department in collaboration with the department Manager . The Supervisor plans and organizes all operational functions including staffing ... and specific departmental operations. The Supervisor is responsible for overseeing initiatives to improve processes, maximize efficiency, serve internal and external customers and maintain high employee morale. The Supervisor is accountable to supervise and… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …credentialing, charge capture, billing, payment posting, collections and follow up, denials management, and billing audits. The manager collaborates with ... JOB DESCRIPTION JOB TITLE: Manager of Revenue Cycle Management DEPARTMENT/DIVISION: Billing STATUS:...charge capture, billing, payment posting, collections and follow up, denials management, and billing audits) to achieve optimal area… more
- Covenant Health Inc. (Knoxville, TN)
- …guidelines for Medicare, Medicaid and other insurance payers as deemed appropriate by manager in relation to denials , audit findings, and process improvement ... Integrity Department Auditors and Appeal Coordinators. Oversees audit and denials management workflow including quality and reporting. Provides departmental and… more
- Houston Methodist (Houston, TX)
- …verbal and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. ... services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment.… more
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