- 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)
- …not just taking a job, you're making a difference in people's lives.** MANAGER ,UTILIZATION REVIEW & DENIALS MGMT **Job Description:** Beth Israel Deaconess ... regarding UR and the analysis, resolution, monitoring & reporting of clinical denials . + Maintains current knowledge of payer contract changes as they pertain… more
- UTMB Health (Galveston, TX)
- …under Revenue Cycle Operations (RCO) including team leads and specialists ( denials /follow-up). The Manager interacts with UTMB leadership, including clinical ... Manager , Hosp/Professional Ins Follow Up - Revenue Cycle...and accurate account resolution, including payer appeals for all denials and underpayments. + Collaborates and communicates with all… more
- Bon Secours Mercy Health (Newport News, VA)
- …acute level of care, collaborating with utilization management nurse to prevent potential denials . The care manager will address when patient is not receiving ... timely transitions across the continuum. Utilizing a collaborative process, the care manager will identify, assess, plan, implement and evaluate the options and… more
- Tufts Medicine (Lawrence, MA)
- …changes 26.Updates and maintains and insurance change when found in claim denials 27.Assists manager in communication to other departments' staff regarding ... health insurers about submitted claims, and performs appeals for non-clinical denials , etc. An organizational related support or service (administrative or clerical)… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and prevention ... Communicates and educates on any identified coding denial trends. *_JOB RESPONSIBILITIES_* * Denials Resolution* * Works with coding staff to investigate and resolve… 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
- Genesis Healthcare (Seven Fields, 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
- University of Michigan (Ann Arbor, MI)
- Revenue Cycle Coding Supervisor - Appeals & Denials Apply Now **Job Summary** The Denial Coding Supervisor provides subject matter expertise in physician medical ... level of standard of coding quality goals and outcomes + Collaborate with Manager and Medical Coding Compliance Specialists to review training materials for staff… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote Physician Pro Fee Coding Specialist- Denials Management provides quality review and analysis of a wide range of patient medical records and ... Corporate Compliance Program. Reports Noncompliance issues detected to the department Manager , Director and/or the Senior Director of Physician Coding and… more