Sr. Director, Clinical Denials - Franklin, TN

We are currently hiring for the position of full-time Account Reimbursement Specialist. This role is responsible for the resolution of insurance and/or patient account balances. · ...

The Appeal Specialist II - RN reviews and resolves insurance denials to ensure accurate reimbursement and regulatory compliance. · The role logs and reviews denials for trend reporting, provides feedback to facilities, and communicates payer updates to relevant stakeholders. · ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...

This is an excellent opportunity to make a difference in the lives of the underserved by joining our mission-driven organization with a people-first culture. · ...

We are looking for individuals who are passionate about behavioral health. This position is right for you if you are interested in growth opportunities that are second to none in the industry and making a difference in the lives of people in our community through compassion. · ...

+The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. · +Performs admission and continued stay reviews using evidence-based criteria, ...

Join our team as a PRN Court Liaison at TrustPoint Hospital. · ...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. · ...

Lensa promotes jobs on LinkedIn on behalf of its direct clients for UnitedHealth Group. · Assesses and interprets customer needs and requirements · Identifies solutions to non-standard requests and problems · ...

Ascension Saint Thomas Medical Partners is adding a full time nocturnist/critical care intensivist to our team. · ...

Job summaryThe Manager of Utilization Review oversees a team of utilization review nurses and coordinators, ensuring compliance with clinical regulatory standards, and enhancing the overall utilization review process to optimize patient care and manage resources effectively. · ...

Description · Job Summary · The Senior Director of Physician Coding Operations provides strategic and operational leadership over all physician coding functions across the enterprise. This role is responsible for ensuring accurate, compliant, and efficient coding operations while ...

The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and expected revenue for managed care, government contracts, and other payers. · This role includes analyzing contract compliance, ident ...

The Collections Specialist I - Medicaid is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. · Performs follow-up on outstandin ...

The Collections Specialist I - HMO/PPO is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. · ...

We are seeking a dynamic and results-driven Corporate Project Admissions Director to support our admissions departments across the country. The successful candidate will act as an Admissions Director at facilities with vacancies, identifying gaps in the admissions process and del ...

The Self-Pay Integrity Analyst is responsible for performing collection follow-up on outstanding insurance balances, · identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. · This role requires effective communicat ...

Ascension Saint Thomas Medical Partners is adding a full time nocturnist/critical care intensivist to our team. · Evaluate and treat patients with appropriate medical diagnostic and treatment skills. · Recommend participate in and work to ensure the success of efforts to improve ...