- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process ... the activities and serves as a resource for associates within the Clinical Appeals and Analysis unit. **ESSENTIAL FUNCTIONS:** + Provides direct supervision for… more
- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor ** , you will help support ... excelling in this remote position. **Here's what you will experience working as a Clinical Appeals Supervisor :** + Track and monitor the workflow of the … more
- R1 RCM (Salt Lake City, UT)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Supervisor ** , you will ... as reimbursement guidelines. **Here's what you will experience working as a Clinical Coding Appeals Supervisor :** + Track daily inventory of cases and… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data ... DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code assignment and MS-DRG/APR-DRG… more
- Catholic Health Services (Melville, NY)
- …Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and ... appeals functions to include coordination of specific process and...all insurance and regulatory audits and provides information to supervisor related to inaccurate and/or missing documentation as applicable.… more
- State of Massachusetts (Boston, MA)
- …and Bonds ("the board"), which is responsible for conducting administrative hearings for appeals of actions, rulings or decisions of the Registrar of Motor Vehicles ... a record of all proceedings before the board and shall collect data on appeals , board outcomes and key performance metrics as determined by the Commissioner of… more
- State of Colorado (CO)
- …for a smaller clinic, a shift within a larger complex facility, or a supervisor in a specialized clinical treatment unit. This position may be required ... CDOC Nurse Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4764859) Apply CDOC Nurse Supervisor Salary $8,204.00 - $11,487.00… more
- Stony Brook University (Commack, NY)
- Claims Supervisor - Commack **Required Qualifications (as evidenced by an attached resume):** Bachelor's degree (foreign equivalent or higher). In lieu of degree, ... with the WTC Health Program. **Brief description of duties:** The Claims Supervisor is responsible for ensuring that all WTC-related claims are reviewed and… more
- Hackensack Meridian Health (Edison, NJ)
- Supervisor , Care ManagementJFK University Medical CenterEdison, New Jersey Apply (https://nursing-hackensackmeridianhealth.icims.com/jobs/156014/login) + ... functions and performance improvement activities for all care managers. The ** Supervisor , Care Management** is accountable for oversight of the department's… more
- Ventura County (Ventura, CA)
- Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding ... Supervisor - Health Information Management Salary $94,952.15 - $132,946.07...Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The ideal candidate will have a… more