Clinical Denials - Melville, NY
1 week ago
Job summary
Reviews denial trends and identifies coding issues and knowledge gaps.
- Serves as liaison between the patient and facility/physician and the third party payer.
Job description
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.
Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.
Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Access all high-level positions and get the job of your dreams.
Similar jobs
Clinical Denials
2 days ago
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 ...
Clinical Denials
1 month ago
Reviews and responds to Corporate Compliance Audits. Reviews denial trends and identifies coding issues and knowledge gaps. · ...
Clinical Denials
3 days ago
Reviews denial trends and identifies coding issues and knowledge gaps. · ...
Clinical Denials
3 weeks ago
Reviews denial trends and identifies coding issues. · ...
Clinical Denials
1 month ago
Reviews denial trends and identifies coding issues and knowledge gaps. · ...
Clinical Denials
4 weeks ago
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. · ...
Manager, Appeals
2 weeks ago
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. · ...
Worker's Compensation Account Specialist
1 month ago
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. · ...
Manager, Appeals
2 weeks ago
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. · ...
Worker's Compensation Account Specialist
1 month ago
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 ...
Supervisor, Appeal Resolution
1 week ago
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 ...
Auditor, Clinical Documentation and Education
1 month ago
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 ...
Supervisor, Appeal Resolution
1 week ago
Supervises and oversees the operations of the centralized appeals process for the organization. · ...
Supervisor, Operations
1 month ago
+ Supervises and coordinates staff, and daily operations of practice(s) for a Department/Division or Service Line. · + Performs diversified administrative responsibilities in the areas of Business Operations, Financial Management, Human Resource Management... · Job Qualification ...
CDM Analyst
1 month ago
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 ...
Director of Internal Audits
1 month ago
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 ...
Director of EMR Systems
1 month ago
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. · ...
Supervisor, Operations
1 month ago
Supervises and coordinates staff, and daily operations of practice(s) for a Department/Division or Service Line. · ...
Director of EMR Systems
1 month ago
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. · ...
CDM Analyst
1 month ago
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. · ...