your best work. Job Summary: Manages and has oversight of clinical denials and appeals in all assigned markets. Ensures efficient... of the clinical denials and appeals in assigned markets and oversees the clinical denials specialists and assigned care...
of denials and implement corrective actions. Review outcomes of appeals and communicate prevention strategies within CND...The Denial Prevention Manager (DPM) will lead a team of denial prevention specialists (DPS) to streamline and optimize...
to avoid these denials in the future Conducts relevant research to assist with completing the appeals process and to stay... years of experience using computer programs for tracking denials and appeals Demonstrated knowledge of: Hospital billing...
to avoid these denials in the future Conducts relevant research to assist with completing the appeals process and to stay... years of experience using computer programs for tracking denials and appeals Demonstrated knowledge of: Hospital billing...
to avoid these denials in the future Conducts relevant research to assist with completing the appeals process and to stay... years of experience using computer programs for tracking denials and appeals Demonstrated knowledge of: Hospital billing...
. Reports to: Manager of Clinical Appeals Essential Job Functions Complete the following functions below in accordance... and outpatient departments. 2+ years of clinical appeals/denials writing experience. Experience reviewing and analyzing denied...
claims as necessary via paper or electronically, file appeals, track denial trending, resolve denials, and ensure...Overview: Eyecare Services Partners is searching for a skilled, full time Remote A/R Specialist. Great work hours, No...
claims as necessary via paper or electronically, file appeals, track denial trending, resolve denials, and ensure...Overview Eyecare Services Partners is searching for a skilled, full time Remote A/R Specialist. Great work hours, No...
: Follow-up work with denials and appeals for Prior Authorizations. Efficient communication and correspondence with the Home... from the clinical areas. Provides customer service and support for the clinical areas and patients for referrals and prior...
parental leave, flexible work schedules, and remote and hybrid career opportunities. Registered Nurse Case Manager..., resource utilization, readmission rates, denials and appeals. Collects, analyzes and addresses variances from plans of care...
of Utilization Management, Appeals & Clinical Training through the provision of ongoing assessment and evaluation of hospital... patient care experience may consider in lieu of acute care Previous experience working with denials and appeals in...
to clinical and administrative denials referred to Case Management Department for appeal. You will participate in the daily... translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the...
authorizations, appeals, exceptions, denials, coding and payer payment guidelines, site of care differences and nuances. Who you’ll...Make your mark for patients This position can be remote/virtual, based in the US supporting the West Coast time zone...
and coverage, benefit design, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines, site of care...Make your mark for patients This position can be remote/virtual, based in the US supporting the East Coast time zone...
with developmental disabilities. Our behavioral health platform ( ) provides clinical, staff training and practice management tools... for professional and collaborative individuals to grow and be part of something exciting. The Billing Account Manager is responsible...
. Responsibilities: Under the general supervision of the Clinical Call Center Manager, the Prior Authorization Coordinator... correspondence with insurance companies, physicians, specialists and patients as required Manage denials and submit appeals to get...
and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team... Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members...
and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team... Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members...
. Responsibilities: Under the general supervision of the Clinical Call Center Manager, the Prior Authorization Coordinator... correspondence with insurance companies, physicians, specialists and patients as required Manage denials and submit appeals to get...
of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and JHU/ PBS billing... denials based on medical necessity. Will use a working knowledge of local coverage determinations (LCD's) to research...