- Stanford Health Care (Palo Alto, CA)
- …Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to ... health of the organization. There are three (3) career banded levels within the Denials Management family. Positions are flexibly staffed at any of the three… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …requirements, and regulatory changes + Participate in clinical validation denials review and value measurement/financial sustainability projects **Role Overview - ... and other teams to facilitate accurate clinical documentation + Assists CDI manager with ongoing quality assurance reviews of clinical documentation staff, ad hoc,… more
- AdventHealth (Altamonte Springs, FL)
- …you will contribute:** Responsible for planning, managing, and evaluating daily denials management functions, including appeals, billing, payments, customer ... audits and manages denials to minimize errors, rejections, and avoidable denials . + Ensures follow-up and denial management activities align with standards,… more
- Banner Health (AL)
- …improving to make Banner Health the best place to work and receive care. As an Associate Manager of RN Denials Management , you will be an integral part of ... In this role you will have 10-12 direct reports who will be working centralized denials management for our 31 Banner facilities. A typical day would include… more
- Beth Israel Lahey Health (Charlestown, MA)
- …denied claims for complex specialties. This role identifies and works to resolve denials to uncover the root cause and accurately appeal claims to ensure successful ... on workflows to help optimize denial processing and prevent future denials . **Job Description:** **Essential Duties & Responsibilities** including but not limited… more
- Beth Israel Lahey Health (Burlington, MA)
- …needs for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and ... Identifies, reviews, and interprets third-party payments, adjustments, and coding denials for all professional services. Reviews provider documentation in order… more
- Trinity Health (Livonia, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position Responsible for directing Clinical Documentation Integrity (CDI) activities ... for the Health Ministries (HM) in their defined region and day-to-day management of the CDI programs. Works with Director, CDI to ensure the program is in alignment… more
- Arnot Health (Elmira, NY)
- Job Description Remote work available! Up to $10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will ... Arnot Health departments and third party payers to discourage preventable denials DUTIES AND RESPONSIBILITIES: 1. Retrospectively determines medical necessity and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This includes interpreting payment and denial data down ... system automation. Performs ongoing analysis to determine the root cause of denials and makes well thought out recommendations for workflow, operations or systemic… more
- AdventHealth (Altamonte Springs, FL)
- …are even better. **Shift** : Monday- Friday Full time **Job Location** : Remote **The role you will contribute:** The Executive Director Revenue Cycle provides ... as follows: Practice Operational Performance Implement processes, procedures, tools and management structures within the practices to achieve the PE Revenue Cycle… more
Recent Jobs
-
Clinic Manager (Cardiology) - #Staff
- Johns Hopkins University (Baltimore, MD)
-
Senior SAP Basis Engineer
- NTT America, Inc. (Southfield, MI)
-
PT Fabric Specialist Taking care of our Valued Customers in our new Fabric Department
- Michaels (Monroeville, PA)
-
Food Service Worker - Virginia Tech Athletics
- ARAMARK (Blacksburg, VA)