- 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
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The system manager of denials prevention and appeals, working in a remote environment ... accuracy and appropriate reimbursement. This leader will identify root causes of denials , propose preventative measures with the use of Epic automation and ancillary… more
- Albany Medical Center (Albany, NY)
- …denials as well as work with the departments as necessary to reduce future denials . The manager will serve as the knowledge resource for all billing questions ... States of America) Salary Range: $78,773.63 - $122,099.12 The Manager of Hospital accounts receivable is responsible for all...billed to insurance for Albany Med Health System The Manager is responsible for overseeing the billing staff. The… 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
- Houston Methodist (Houston, TX)
- …development and implementation of the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials , and pre-bill team ... of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively or concurrently determines the… more
- University of Southern California (Alhambra, CA)
- …& state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ... 'claims denials ' and 'claims rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS,...fashion. * Performs other duties as requested/assigned by Director, Manager , Supervisor, or designee. + CODING & ABSTRACTING ACCURACY… 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
- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials ... + Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into… more
- Emory Healthcare/Emory University (Decatur, GA)
- …the volume of denials . + This position reports to the Supervisor or Manager , Coding Denials Management. Employee may be responsible for other duties as ... revenue. + This position reports to the Supervisor or Manager , Revenue Cycle Operations. + Employee may be responsible...be responsible for other duties as assigned. + CODING DENIALS SPECIALIST: The primary focus of this position will… more
- Penn Medicine (East Petersburg, PA)
- …shape our future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am (8 hour ... are met in an appropriate manner. Responsibilities: + Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or patient to resolve… more
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