Denials Manager RN - San Gabriel

The Denials Case Manager RN appeals all denials using InterQual criteria and medical necessity. · ...

+The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. · Ensures template for appeals includes reason for denial, diagnosis codes, MCG criteria used to support appeal, · highlights of medical necessity supporting appeal, and only support ...

The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. · Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials, · maximize accurate and timely reimbursement, and perform reimbursement ...

This position combines clinical, business, and regulatory knowledge to reduce financial risk through denials management.Reviews denials for level of care, medical necessity. · Coordinates appeal strategies with physicians and payors. · ...

Come lead with us at Corporate. The Denials Management Specialist position is responsible for reviewing and coordinating the clinical denial management and appeals process in a collaborative environment. This position combines clinical, business, and regulatory knowledge to reduc ...

Take on a high-impact role within a world-class health organization. · You will play a key part in promoting high-quality, cost-effective medical care by applying clinical acumen and applicable policies and guidelines in the issuance of adverse organization determinations. · ...

Analyst coding denials for ICD-10-CM, ICD-10-PCS. · ...

The Senior HIM Coding Denials Management Specialist is responsible for triaging, analyzing and resolving inpatient and outpatient coding-related insurance claim denials. · Reviews and triages payer-denial type, prepares and submits first- and second-level coding-related appeals. ...

The Senior Coding Denials Management Specialist analyzes coding-related claims denials and rejections for Keck Medicine of USC. · ...

Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. · ...

+The Director of Case Management and Social Services is responsible for the overall administration and direction of the department. · ...

The Director of Case Management and Social Services is responsible for the overall administration and direction of the department. This includes planning, organizing, controlling, and directing all services and operations in the areas of utilization review and discharge planning. ...

This position is responsible for the overall administration and direction of the Case Management/Social Services Department, including planning, organizing, controlling, and directing all services and operations in the areas of Utilization Review and Discharge Planning. · Respons ...

We are seeking a Lead Case Manager to assist in the daily operations of our inpatient case management department at Cedars-Sinai Medical Center. · ...

We are seeking candidates with experience in hospital collections and ability to manage a caseload of accounts per day. Strong communication skills and ability to work effectively in a team environment are essential. · Calls clients to obtain payment owed to the hospital. · ...

Net Source Inc. has an award-winning total workforce solutions company recognized by Staffing Industry Analysts. We believe in providing staffing solutions to address the current talent gap Right Talent Right Time Right Place Right Price acting as a Career Coach to our consultant ...

The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays. · ...

The Professional Billing Refund Collector is responsible for accurately reviewing credit balances and processing adjustments, transfers and refunds as needed. · ...

The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines.Responsible for ensuring timely filing and guidelines are met; provided quality control chec ...

This position provides direct patient care and support activities that build and maintain outstanding outcomes of the therapy department. · ...