Clinical Denials - Melville, NY

Reviews denial trends and identifies coding issues and knowledge gaps. · Serves as liaison between the patient and facility/physician and the third party payer. · ...

A Clinical Denials Specialist reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. · Serves as liaison between patient and facility/physician and third party payer. · Prepares and defends level of care medical necessity for assigned ...

Reviews denial trends and identifies coding issues and knowledge gaps. · ...

Reviews and responds to Corporate Compliance Audits. Reviews denial trends and identifies coding issues and knowledge gaps. · ...

Reviews denial trends and identifies coding issues. · ...

The Clinical Denials Specialist reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. · Reviews denial trends and identifies coding issues and knowledge gaps. · ...

Catholic Health is one of Long Island's finest health and human services agencies. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time. · ...

The Workers Compensation (WC) Account Specialist is responsible for account management of applicable workers compensation cases. · Verifies and secures authorizations as required by insurance carriers. · Makes notification to adjusters to verify cases. · ...

Catholic Health is one of Long Island's finest health and human services agencies. · We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time. · ...

The Workers Compensation (WC) Account Specialist is responsible for account management of applicable workers compensation cases. · At least 2 years of experience working of medical billing, account receivable follow up, with a strong emphasis on denial management and third party ...

Supervises and oversees the operations of the centralized appeals and denial prevention process for the organization. Performs quality audits on clinical reviews and appeal letters. · Promotes Appeal Resolution department goals by selecting, motivating, and training capable team ...

The Auditor Clinical Documentation & Education is responsible for conducting clinical documentation audits to assess compliance identify revenue risks and provide targeted education to enhance documentation accuracy. This role plays a key part in ensuring CDI best practices are u ...

The Product Services & Management Analyst will report to the Manager and as an analyst within the CDM Team (Revenue Integrity Operations Department) ,will play a critical role in ensuring the accuracy completeness and compliance of patient charges. · Lead and support system devel ...

The Director of Internal Audits provides strategic oversight of the organization's internal audit function, · ensuring comprehensive, risk-based audit coverage and delivering independent, objective evaluations of governance, · risk management, and internal control systems.This ro ...

Always Compassionate Health is seeking a Director of EMR System & Workflow Optimization to own, optimize, and scale the organization's use of AlayaCare across all service lines. · ...

Always Compassionate Health is seeking a Director of EMR System & Workflow Optimization to own, optimize, and scale the organization's use of AlayaCare across all service lines. · ...

The Product Services & Management Analyst will report to the Manager and as an analyst within the CDM Team (Revenue Integrity Operations Department), will play a critical role in ensuring the accuracy, completeness, and compliance of patient charges. · ...

+Develop strategic leadership and oversight of the organization#s internal audit function.+Ensure compliance with federal and state healthcare regulations.# Lead risk assessments across operational, financial, and compliance areas to inform audit planning.+Oversee audits related ...

We are seeking a highly experienced Director, Financial Services to lead our financial services call center operations.The ideal candidate will have strategic leadership experience in healthcare revenue cycle management, medical billing processes, and call center best practices. ...

We are seeking a highly experienced and compassionate Director to lead and optimize our financial services call center operations. · We are looking for a strategic leader with a deep understanding of healthcare revenue cycle management,medical billing processes,and call center be ...