- Premera Blue Cross (Mountlake Terrace, WA)
- …seeking an experienced **MD** to join our team as an **Assistant Medical Director (Utilization Management - Oncology)** . The AMD will leverage their specialization ... discussion process by communicating with external physicians and providers about denial determination and collect additional clinical history in each case. +… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …the general direction of the Supervisor, Professional Billing & Coding and Director , Professional Billing & Coding, this position operates from within the Revenue ... Cycle Center to address coding issues related to professional billing...The incumbent will monitor, track & report error & denial trends to Revenue Cycle Leadership. The incumbent will… more
- Baylor Scott & White Health (Phoenix, AZ)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical ... function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center...regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of… more
- City of New York (New York, NY)
- …child support enforcement, etc. Under the general direction of the Benefits Access Center Director , with wide latitude for the exercise of independent judgment ... ensuring that Agency's requirements are met for opening, reopening, denial , closing, change in case status and change in...the payment accuracy rate. - Assist the Benefits Access Center Director in directing the activities of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote** The Director , Pre Appeals Management ... pre-appeals management program. This role ensures the appropriate use of medical resources , compliance with regulatory standards, and coordination of care to improve… more
- Houston Methodist (Houston, TX)
- …cycle, and post-acute networks to ensure high-performance outcomes, efficient use of resources , and superior patient experiences. The Sr Director position has ... At Houston Methodist, the Sr Director Case Management position is responsible for providing executive leadership and strategic oversight for all hospital-based Case… more
- Mount Sinai Health System (New York, NY)
- …is responsible for hospital-based Billing and Accounts Receivable performance across the medical center . The Senior Director will report to the Vice President ... **Job Description** **Senior Director , Patient Financial Services (Backend) Corporate East 42nd...Accounts department. This includes Billing, Cash application and reconciliation; Denial management and all aspects of Third Party follow-up.… more
- HCA Healthcare (Cleveland, MS)
- …We care like family! Jump-start your career as a Patient Financial Services Director today with Bolivar Medical Center . **Benefits** Bolivar Medical Center ... pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k)...Come join our team as a Patient Financial Services Director . We care for our community! Just last year,… more
- BJC HealthCare (St. Louis, MO)
- …qualifications and relevant work experience) **Additional Information About the Role** ** Director , Revenue Cycle Management for BJC HealthCare** _Oversight of the ... and owns the core revenue cycle functions within a center of excellence across multiple hospitals. Directing day to...+ Develop and maintain processes to identify payments and denial trends and develop appropriate responses to such trends.… more
- Atlantic Health System (Newton, NJ)
- …technology, resources , education, support and follow-up care. Newton Medical Center recently achieved the American Nurses Credentialing Center 's Pathway to ... evaluates clients Psychosocial needs and initiates referrals to professional community resources . Addresses each patients problems according to their level of… more
