- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Denials Director ** , you will act as a strategic leader ... , improve revenue recovery, and enhance overall financial performance. The Denials Director will collaborate with senior leadership and cross-functional… more
- CVS Health (Springfield, IL)
- … will perform concurrent and prior authorization reviews with peer to peer coverage of denials . * Appeals - The medical director will perform appeals in their ... to its membership. Aetna is looking for a medical director to be part of a centralized team that...to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the… more
- Datavant (Springfield, IL)
- …Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with clinical criteria ... language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide… more
- Huron Consulting Group (Chicago, IL)
- …your future. The Continuous Improvement & Shared Services Revenue Cycle Insights Director will spearhead strategic data reporting and analytics to revenue cycle ... issues impacting A/R and metric performance, driving financial and operational improvement. The director will lead and direct team efforts in conducting denials … more
- Baylor Scott & White Health (Springfield, IL)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled...focused on appealing hospital and professional clinical and coding denials , as well as Recovery Audit Contractors (RAC) … more
- Huron Consulting Group (Chicago, IL)
- …Health employs the Revenue Cycle staff. The Hospital Patient Financial Services(PFS) Director plays a critical role in ensuring the success of billing operations ... executives, clinical leaders, and other key stakeholders. The Hospital PFS Director provides onsite leadership and strategic direction for all hospital billing… more
- Huron Consulting Group (Chicago, IL)
- …firm setting with a focus on hospital or physician _revenue cycle_ , denials management, or patient access services. + Strong leadership and management skills ... currently in effect and may be implemented in the future. **Position Level** Director **Country** United States of America At Huron, we're redefining what a… more
- Carle Health (Urbana, IL)
- Overview The Director of Patient Access Services is responsible for the management of the system's Patient Access Services processes, policies and procedures to ... and entities. + Strong knowledge of Revenue Cycle activities and denials prevention. + Ability to interact positively and effectively with multi-disciplinary… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The system director of provider education, working in a remote environment, will the provider ... and code selection to promote accuracy and foster appropriate reimbursement. The director serves as a primary resource for clinical documentation education, coding,… more
- Trinity Health (Westchester, IL)
- …companies (including Medicare/Medicaid) to resolve outstanding balances, investigate claim denials , and take corrective actions. The position requires collaboration ... inquiries, and providing additional data when needed. + Research claim rejections and denials , make corrections, and take appropriate actions or refer claims to the… more