• System Director Claim…

    SSM Health (MO)
    …as an individual contributor to achieve goals. Lead projects to improve denial claim performance, compliance and efficiency within the denials process and ... - Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across...cycle areas. The scope of responsibility is all post-billed denials (inclusive of clinical denials ). Engages with… more
    SSM Health (08/01/25)
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  • Remote Physician Pro Fee Coding Specialist-…

    Community Health Systems (Franklin, TN)
    …coding-related claim edits, holds, and scrubs in the electronic billing system (eg, Athena Collector), ensuring timely claim resolution and reimbursement. + ... guidelines. + Experience with electronic health records (EHR), coding software, and claim processing systems . + Ability to identify documentation deficiencies… more
    Community Health Systems (09/03/25)
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  • Executive Director Patient Financial…

    Billings Clinic (Billings, MT)
    …improvement, including increased efficiencies and cost reductions. * Co-Chair with the Director of Case Management the denials prevention committee. * Improve ... here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550… more
    Billings Clinic (08/08/25)
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  • Medical Director Aetna Duals Center…

    CVS Health (Hartford, CT)
    … 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...plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another Health Plan / Payor or… more
    CVS Health (08/31/25)
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  • Claims Research and Resolution Professional

    Humana (Springfield, IL)
    …out Humana's proactive approach to minimize claims denials through claims education and training. The Claim Research and Resolution Professional reports ... , rejections or underpayments related to high rate of claim denials , common claims errors,...impact** **Required Qualifications** + 2+ years of health insurance claims experience, with claims systems ,… more
    Humana (09/10/25)
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  • Senior Director , Patient Financial…

    Mount Sinai Health System (New York, NY)
    …process issues. + Ensures workflows align with revenue cycle best practices to reduce claim denials , improve cash collections and enhance clean claim rates. ... **Job Description** **Senior Director , Patient Financial Services (Backend Revenue Cycle) Corporate...aged Accounts Receivable + Utilize revenue cycle and EHR systems . + Organizes routine meetings with health system… more
    Mount Sinai Health System (08/12/25)
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  • Director of RCM Epic Optimization Patient…

    Mount Sinai Health System (New York, NY)
    …or exceed contractual obligations and support enterprise revenue cycle transformation initiatives. The Director will report to the System Vice President of RCM ... **Job Description** ** Director of RCM EPIC Optimization Patient Financial Services...System is one of the largest academic medical systems in the New York metro area, with more… more
    Mount Sinai Health System (08/23/25)
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  • Director of Vendor Management- Patient…

    Mount Sinai Health System (New York, NY)
    …or exceed contractual obligations and support enterprise revenue cycle transformation initiatives. The Director will report to the System Vice President of RCM. ... **Job Description** ** Director of Vendor Management- Patient Financial Services -Corporate...System is one of the largest academic medical systems in the New York metro area, with more… more
    Mount Sinai Health System (08/23/25)
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  • Director , Revenue Cycle Innovation

    Alameda Health System (San Leandro, CA)
    …in multiple plans. + Generous paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Revenue Cycle Innovation is responsible for ... Director , Revenue Cycle Innovation + San Leandro, CA...+ FTE:1 + Posted:August 20, 2025 **Summary** **Alameda Health System offers outstanding benefits that include:** + 100% employer… more
    Alameda Health System (08/21/25)
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  • Billing Specialist I

    Community Health Systems (Franklin, TN)
    …regulatory requirements. + Reviews and resolves claim errors, rejections, and denials , making necessary corrections and resubmitting claims as needed. + ... hospital or physician billing, including knowledge of payer policies and electronic claims systems preferred **Knowledge, Skills and Abilities** + Basic… more
    Community Health Systems (09/10/25)
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