. Review and pre-approve all delays and denials. Review all newly set up indemnity claims for adherence to Best Practices.../maintenance of logs. Provide timely excess claims reporting management to the Reinsurance Manager. Oversee Claims Examiners...
campaign-Sales/Marketing/Bus.Dev. company_name-Lifepoint-Rehabilitation industry-10460 is_manager-Lifepoint... Chief Medical Officer, Clinical Consultants, and Denials Management Department Participate in team meetings...
and paperwork, reconciling resident accounts, submitting billing and researching denials and payments for Medicaid State payers... of state/MCO refunds. Other duties as assigned based upon business need by manager/supervisor...
efforts, and assisting the Denials Manager in identifying high-priority claims for follow-up. Utilize tools like OneNote... analysis on underpayments, overpayments, denials, and workflow deficiencies impacting reimbursement. Analyze hospital accounts...
or payment denials by coordinating payor peer-to-peer reviews and gathering necessary information to support denial appeals... PTCB certification, preferred Experience working in a health plan, medical group, or pharmacy benefit manager Pharmacy...
campaign-Sales/Marketing/Bus.Dev. company_name-Lifepoint-Rehabilitation industry-10460 is_manager-Lifepoint... to management Consult with corporate Chief Medical Officer, Clinical Consultants, and Denials Management Department Participate...
: Reports to the Practice Manager, provides patient care that meets the psychosocial, physical, and general aspects of care..., nursing, and manager to meet the needs of the constant patient flow. Collects, reviews, and communicates pertinent patient...
. Review and pre-approve all delays and denials. Review all newly set up indemnity claims for adherence to Best Practices.../maintenance of logs. Provide timely excess claims reporting management to the Reinsurance Manager. Oversee Claims Examiners...
diagnosis, procedure details or authorizations and information for denials as needed. Uses medical terminology and scheduling... verification, notification, and authorization functions, follow ups on denials and no response claims. Communicates...
diagnosis, procedure details or authorizations and information for denials as needed. Uses medical terminology and scheduling... verification, notification, and authorization functions, follow ups on denials and no response claims. Communicates...
Manager will have an opportunity to work with a multidisciplinary team across the Brown University Health system to assist... BUH system. The Care Navigation Manager will work closely with the BUH Capacity Management and Access Center to review...
to: Billing Supervisor or Office Manager Job Overview: We are seeking a highly skilled and experienced Accounts Receivable... questions regarding their accounts, providing exceptional customer service. Denial Management: Review and resolve claim denials...
during the um process to the appropriate manager. To perform job duties in accordance with the medical center's purpose... professional in utilization management), ACM (accredited case manager), or CCM (certified case manager) preferred. Knowledge...
documentation requests and medical necessity denails and reviews for compliance with CMS standards; alerts ARU Program Manager... of any deficiencies noted. Coordinates appeals process for all denials and provides guidance on remittance for Medicare Part A or Part B...
standards. Maintains accurate productivity logs and provides this information to the Coding Manager in a timely fashion... related to errors and compliance issues). Communicates with the Coding Manager to find solutions and implement changes...
, working denials and following up with insurance companies and patients to ensure appropriate collection of medical claims... and Billing Manager This is a Full-Time position 1st Shift. Number of Openings for this position: 1...
for the care team department based on established guidelines under the direction of the Care Team Manager. The Scheduling... a difference by helping seniors live life on purpose! Responsibilities Under the direction of the Care Team Manager/ALM/BHM...
direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the... with incorrect documentation and software inability to complete functions to Manager or Supervisor of Hospital Coding as needed. 9...
direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the... with incorrect documentation and software inability to complete functions to Manager or Supervisor of Hospital Coding as needed. 9...
; approvals, appeals and denials and communicates these to the appropriate people (hospital staff, physicians, DCM, Case Manager... with the peer-to-peer coordination, and denials / appeals tracking. This position serves as a liaison between the Case...