- WMCHealth (Hawthorne, NY)
- Denials Manager Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Professional/Non-Clinical Department: Business Office Union: No ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28373) Internal Applicant link Job Details: Job Summary: The Denials Manager 's responsibilities include identifying all … more
- 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
- 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
- Genesis Healthcare (PA)
- …expertise with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up of ... and contracted payers. The follow up includes initial assessment of the denials received to determine the appropriate process. Once determined, established policy… more
- St. Luke's University Health Network (Allentown, PA)
- …clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network. Utilizes ... coding errors and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal. Claim corrections will be made after review… 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
- Intermountain Health (Des Moines, IA)
- …the team's performance coordination and responses to commercial and government requests, denials and recoupment efforts. Additionally, the Manager will support ... **Job Description:** The Manager , RN Revenue Integrity Audit, Recovery and Appeals...specifically related to high dollar and high volume clinical denials . + Develops and maintains new policies, procedures 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
- 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