beBeeDenialManagement Jobs in United States

About This Role · The Denials Management Coordinator position requires strong analytical skills, attention to detail, and effective communication abilities. The ideal candidate will have experience working with coding systems, audits, and patient accounts. · Key responsibilities ...

Job Title · We are seeking a skilled professional to manage the denial of claims process, ensuring efficiency and accuracy in all aspects. · This role involves analyzing current audit information to identify areas for improvement and implementing strategies to optimize our proces ...

Job Summary · This Clinical Manager role involves overseeing the examination and resolution of client grievances through thorough reviews of clinical documentation. The position is responsible for leading a team to ensure clients receive quality care, identifying opportunities fo ...

Job Overview · This role involves managing and resolving claims denials related to medical necessity and authorization. The successful candidate will act as a liaison between departments, providing expertise on the denial process. · ...

Operations Manager · The role of an operations manager is crucial in healthcare, as they oversee the day-to-day activities and ensure that everything runs smoothly. This involves managing staff, resources, and budgets to achieve organizational goals. In this position, you will be ...

· Determine strength documentation criteria appeal If case viable attempt peer peer send written appeal if lacking downgrade lower care Adjust level care eg NICU levels ICU levels · Maintain working relationship payers via periodic discussions medical necessity Implement CMS Fo ...

Clinical Operations Specialist · The Clinical Operations Specialist plays a key role in ensuring the accurate reimbursement of medical claims. This involves communicating effectively with healthcare professionals to gather clinical information and facilitating direct admissions i ...

Responsibilities · The Denial Management Coordinator will be responsible for investigating and addressing claim denials in relation to medical necessity and authorization. · This individual will serve as a resource person for outside departments regarding the denials process, ens ...

Job Overview · We are seeking a Denial Prevention Specialist to join our team. · This role involves managing technical denials effectively. · The ideal candidate should possess: · <ul style= ...

Demand Management Coordinator · As a Demand Management Coordinator, you will be responsible for overseeing utilization review activities and monitoring the denial management process at our organization. You will use your expertise in commercial insurance programs to make informed ...

We are searching for a Sr. Reimbursement Specialist - someone who thrives in a dynamic managed care environment. · Key Responsibilities and Expectations · Maintains comprehensive databases to ensure timely identification of denied and underpaid accounts, facilitating improved col ...

About the Role: · The Medical Director Denial Management will oversee inpatient medical necessity denials for our network by managing direct/indirect reports. · We are seeking a qualified professional with at least 5+ years of in-patient patient care experience, MS Excel skills, ...

Job Title · A leading healthcare provider is seeking a Vice President to oversee revenue cycle processes, manage vendor relationships and ensure operational effectiveness across multiple facilities. · ...

Job Title: Healthcare Professional · Maintain the integrity of information in each appeal produced by the firm. This includes reviewing a high volume of written appeals to ensure information is medically accurate and using protected health information (PHI) only in accordance wit ...