Director Program; or is establishing a new to market practice Manages staffing by interviewing, conducting departmental... and directors to achieve Key Performance Indicators (KPI) monthly Works closely with the Director of Operations to ensure A/R...
investigations and facilitates corrective action as needed in consultation with the Administrative Director and Vice President, Chief... of testing vs. billing, and follows up accordingly. 11. Monitors, investigates and resolves insurance denials originating...
a minimum of weekly & submitting it to the Center Director at the end of the day each Friday Review classroom billing daily... of classroom supplies and submits a monthly supply request to the Center Director by the 3rd week of the month, including item...
and referring requests for services to the Medical Director when guidelines are not met and reviewing residential services requiring... as a liaison between the residential program and the MCO to better facilitate the reimbursement process. Referring MCO denials...
the Center Therapy Director (CTD) and Staff Therapists, allowing them to focus on providing excellent patient care. The... to therapy referrals. Report any denials or delays to leadership as needed Must ensure all authorized visits are scheduled...
with clinical, operational, and IT stakeholders. The Manager of HIM reports to the Sr. Director of Medical Operations and is the... supervisor for the Medical Staff Office assistant who has a dual report to the Senior Director and the Manger of HIM...
Term Disability at No Cost to You! Summary: Reporting to the Director of Retail Lending, the Senior Mortgage Loan..., including approvals, denials, and returned applications. Develop and maintain strong relationships with members, provide...
and/or US mail. Provide problem solving solutions to supervisor and Division Director to improve the services or administrative... number for billing purposes, the reason code for denials, and the appeal process. Consult with the physician/medical consultant when...
standards, ensuring the organization remains compliant and proactive. Strategic Planning Assistance - Support the Director... departments handling Medicare, OIG, or non-Medicare denials. Provide expert analysis on coding, documentation, and applicable...
, and coordinated evidenced-based care. The PSR will report to and receive supervision from the Director of Operations ESSENTIAL...(s). Assist billing department in research and follow up on all denials for payment. Provide back-up for call center including...
into their communities. To assist the Director of Finance in managing all fiscal issues for the Division including but not limited... to assisting the Director of Finance in billing and collections relating to Medicaid, Managed Medicaid, Medicare, Managed Medicare...
and organizational objectives. Reports to: Clinic Market Director Essential Functions: Manages daily operations, coding and RCM..., interpret, and correct all claim denials. Some years of practical coding experience, including physician billing. Knowledge...
off requests, approvals and denials, tardiness, and missed punches in accordance with established procedures. Daily... per the direction of the Care Team Manager/ALM/BHM or Executive Director. Must be available to be on-call at least every...
your application! Responsibilities Position Summary: Under the direction of the Director of Behavioral Health, the Behavioral... designed to improve Behavioral Health quality (e.g., visit volume targets, denials management, etc.) C. Interprofessional...
to prevent errors and denials from occurring. Ensures compliance with regulatory policies and procedures. Conducts timely... control and purchasing, and payroll processing and management. Collaborates with Practice Administrator, Executive Director...
your application! Responsibilities: Position Summary: Under the direction of the Director of Behavioral Health, the Behavioral... designed to improve Behavioral Health quality (e.g., visit volume targets, denials management, etc.) C. Interprofessional...
Job Description: Under general supervision of the Director of Case Management, RN Case Manager provides support... actions to achieve continuous improvement in both areas. Refers cases and issues to Care Management Medical Director (CMMD...
, and denials. · Accurately interprets Explanation of Benefits (EOB). · Initiates and tracks all appeals and reconsiderations... policies and procedures and related legislation. · Notifies the Business Office Director of any delinquent information...
, and denials. · Accurately interprets Explanation of Benefits (EOB). · Initiates and tracks all appeals and reconsiderations... policies and procedures and related legislation. · Notifies the Business Office Director of any delinquent information...
revisions. Assists the Coding Manager with inquiries/audits and denials from third party agencies related to coding... specialized service lines. Director with development and manages departmental budgets, including making budget allocations...