Sr. Director, Clinical Denials - United States -

The Revenue Cycle Denial and Underpayment Analyst contributes to the collection of revenue through denial and underpayment appeals. · ...

The Revenue Cycle Denial and Underpayment Analyst contributes to the collection of revenue through denial and underpayment appeals. · ...

Job Title: Business Office Representative · Department: Patient Accounting · Location: United Memorial Medical Center (UMMC) - Masse Place · Hours Per Week: 1.0 FTE (40 hours per week) · Schedule: Monday - Friday, 8:00 AM - 4:30 PM · Summary: · Ensure full reimbursement is receiv ...

Job Title:   Business Office Representative · Department: Patient Accounting · Location:  Riedman Campus, 100 Kings Highway, Rochester NY 14617 · Hours Per Week: 40 · Schedule:  Full-Time, Day Shift (8 am -4:30 pm) · Position Summary: · Ensure full reimbursement is received by RR ...

Ensure full reimbursement is received by RRH for clinical services rendered including professional, long-term/home care and hospital care. · Review and accurately process claim edits in a system workqueue. · Resolve denials and payer requests for information promptly and accurate ...

Summary: · Ensure full reimbursement is received by RRH for clinical services rendered including professional, long-term/home care and hospital care, by effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary ins ...

The job entails ensuring full reimbursement for clinical services rendered by effectively and accurately managing a receivable. The ideal candidate will have at least one year of experience in a medical office environment and possess excellent problem-solving, organizational, and ...

The Manager is responsible for the day-to-day Appeals and Denials process by providing general oversight including leadership for the inpatient DRG/Coding Denials and Appeals process which includes tracking prioritizing trending and writing appeal letters identifying training and ...

Description · Job Summary · The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating pr ...

Description · Job Summary  · The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This role requires in-depth knowledge of payer guidelines, systems, and requirements to navigate complex denial ...

The academic medicine difference. At the center of Banner – University Medicine is patient care, research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today. · As an Prior Auth Collections Representative on this team you wil ...

Denials and Appeals Analyst · Singing River Health System Administrative Building - Gautier | Full-Time | Monday-Friday 8:00am-4:30pm | · 2101 US-90 · Gautier, Mississippi · United States · Position Overview · The Denials and Appeals Analyst assists in the recovery of Health Sy ...

Industry & Sector · A fast-moving organization operating in the US Healthcare Revenue Cycle Management (RCM) sector, delivering end-to-end billing, claims management, and reimbursement optimization services for provider organizations and payers. This role supports distributed, re ...

Description · Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM – 4:30 PM (flexible). · Inova is consistently ranked a national ...

Description · Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM – 4:30 PM (flexible). · Inova is consistently ranked a national ...

+The Supervisor, Clinical Appeals oversees the coordination of audit and medical necessity denial appeals for their assigned team. · + · +Associate Degree in Nursing, Healthcare Administration, or a related field preferred · 3-5 years of experience in healthcare appeals, denials ...

Clinical Financial Case Management Specialist 2East | Outpatient Care East Infusion PharmacyScope of Position · Use of clinical knowledge for the management of complex James Cancer Center ambulatory medical necessity denials through the appeals process. · ...

We are hiring a skilled LTC Utilization Management Reviewer to join our team. · Type of Opportunity: Full time · Job Exempt: Yes · Work Shift: Days (United States of America)NF LOC evaluations and determinations, · Responsible for the review of all required medical documentation ...

Seeking a Medical Director of Utilization Management Full Time: 40 hrs/wk Mon-Fri 8A-5P Serve as the clinical expert on physician practice patterns, over- and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with g ...

Utilization Review RN · Clinical Document-Coding Mgmt · Saint Peter's is among the few hospitals in the world to have earned its 7th consecutive Magnet designation and its first Magnet with Distinction designation. The Magnet with Distinction designation is an elite level of this ...