Clinical Denials RN - District of Columbia

MedStar Health is seeking a Physician Advisor to join our team at MedStar Washington Hospital Center in Washington DC. · ...

Come lead with us at Corporate. At Houston Methodist, the Denials Management Specialist (DMS) position is responsible for reviewing, coordinating, and monitoring the clinical denial management and appeals process in a collaborative environment with Central Business Office (CBO) m ...

We are seeking a detail-oriented healthcare professional to support our Utilization Management Team by coordinating authorizations, · managing denials and appeals, · serving as a liaison between clinical UR staff,This role is essential in ensuring accurate data tracking, · t time ...

The person in this position will be responsible to monitor and research cases that are in-house and on the discharged not final billed report to mitigate any potential denials and ensure that claims are clean before billing. Individual will work closely with Clinical Resource Man ...

The person in this position will be responsible for monitoring and researching cases that are in-house and on the discharged not final billed report to mitigate any potential denials and ensure that claims are clean before billing. The individual will work closely with Clinical R ...

Join our team and play a key role in supporting Utilization Management and payor operations. · ...

This position will manage activities and staff of the Utilization Review department. · Supervise and evaluate the daily work of these teams in accordance with departmental and organizational policies. Provide education within the departments and the organization at large on clini ...

Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. · ...

Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. Oversee complex billing processes and ensure accurate and timely reimbursement for medical services. · ResponsibilitiesOversight of all billing and collection functions, including p ...

+ Clinical Resource Management Supervisors are responsible for leading teams at pediatric centers · + Responsible for directing activities including patient care coordination · + Minimum Education: Bachelor's Degree in Health Administration or related field · + Required License ...

Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. · ...

+Job summary · The Authorization/Eligibility Specialist is assigned to the Continuous Quality Improvement Program and provides support to the CQI and Billing Teams.+QualificationsBachelor's or master's degree in social work, psychology, or relevant human services discipline or 5 ...

+ Lead coding specialists at Houston Methodist Primary Care Group.+ Abstract diagnosis and procedural services from physician records.+ Review charge review and claim edit related coding errors.<+ Mentor coding specialists,<+ Provide cross-training,+ Collaborate with management o ...

The Case Manager Hybrid I/II provides case management services to patients and their families or caregivers, · assist with assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of services. · ...

The Sr Coding Specialist position at Houston Methodist Primary Care Group is responsible for applying correct coding conventions to patient charge encounters in a clinical environment.Coding specialists abstract diagnosis and procedural services from physician records and review ...

The Talent Acquisition department hires qualified candidates to fill positions which contribute to the overall strategic success of Howard University. · At Howard University, we prioritize well-being and professional growth. · We offer competitive salary, $53,000 to $57,000, and ...

The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. · Bachelor's Degree (Required) · 5-years' experience with at least three in a pediatric setting (Required) · ...

Facilitate increasing our patient's access into the care continuum. Decrease payor related barriers and increase financial outcomes for scheduled services. · Payor Clearance Associates work directly with referring physician offices, payers, and patients to ensure full payor clear ...

'Represent MPBS to assigned clinical service lines and entities. · Provides support and guidance related to revenue cycle optimization and problem resolution.'Distills standard and ad hoc analytics into understandable findings · Communicates with all levels of associates ranging ...

The Accounts Receivable Specialist is responsible for managing the full cycle of accounts receivable processes to ensure accurate and timely collection of payments. · High school diploma or GED required · 1–3 years of experience in accounts receivable, medical billing, insurance ...