- R1 RCM (Boise, ID)
- …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
- Stanford Health Care (Palo Alto, CA)
- …Care job.** **A Brief Overview** Reporting to the VP, Patient Financial Services, the Director , Denials Management serves as the strategic leader and leads all ... follow-up, denials appeals, denial and write-off analysis, and denials prevention. The Director operates as the enterprise expert and spokesperson for … more
- Community Health Systems (Franklin, TN)
- …on reason for the denial and appeal status. + Consults with Coordinator and/or Director , Coding Denials and Appeals during any audit discrepancies. + Attends ... quality monitoring and evaluation of work products by the Coordinator and/or Director , Coding Denials and Appeals. + Partners with peers and Director to… more
- CVS Health (Des Moines, IA)
- … 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
- 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,...timely fashion. * Performs other duties as requested/assigned by Director , Manager, Supervisor, or designee. + CODING & ABSTRACTING… more
- WMCHealth (Valhalla, NY)
- Denials and Appeals Mngmt Cord Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical ... Job Summary: Decrease the monies lost to insurance companies due to denials . Generate appropriate appeals, both retrospective and concurrent, based on medical… more
- Community Health Systems (Franklin, TN)
- …and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future ... denials , and ensure compliance with payer guidelines. As a...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …more **Epic Certification required.** **Description** **RESPONSIBILITIES:** + The System Denials Analyst, is responsible for gathering, analyzing, and reporting data ... related to both hospital and professional billing denials across the healthcare system. + Reporting to... across the healthcare system. + Reporting to the Director of Enterprise Denial Management, this role provides critical… more
- Datavant (Nashville, TN)
- …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
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Director , Patient Financial Services (Backend) Corporate East 42nd Street-Full-Time Days** The Senior Director Patient Financial ... Billing and Accounts Receivable performance across the medical center. The Senior Director will report to the Vice President Patient Financial Services of the… more
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