About this Job: General Summary of Position The System Medical Director is responsible for strategic oversight program... program. The System Medical Director will be responsible for reviewing concurrent and retrospective cases referred by the...
Director in the training and education of the Claims department staff 5.Coordinate the generation and review of claims audit... reports 10.Interface with the Claims Director to ensure claims processing functions meet legal and contractual requirements...
Overview: Corporate Director, Patient Access, Centralized Scheduling Full Time, 80 Hours Per Pay Period, Day Shifts... “Best Employer” seven times. Position Summary: The Corporate Director of Patient Access provides strategic leadership for Patient...
denials and unreasonable reductions in allowed charges. 12. Collects past due balances from insurance companies as well... by Store Manager or Director of Genesis Pharmacies and Genesis Oxygen & Sleep Therapy. QUALIFICATIONS High school graduate...
stay review. They process payor denials and retro reviews, promote optimal health care outcomes in accordance with the... cases to manager/director of care coordination, CAO, or medical director when intensity of service or severity of illness...
denials. Mission All employees are responsible for extending the mission and values of Baltimore Washington Medical Center... Reports to the Director of Care Management. Qualifications Education:Graduation from an accredited nursing education...
eligibility and claims status on unpaid claims Review payment denials and discrepancies and take appropriate action to correct... effective claims resolution Other duties as assigned by the Patient Financial Service Director MINIMUM KNOWLEDGE, SKILLS...
and/or denials to ensure appropriate payer reimbursement · Handles calls and questions from patients, physicians, ins. carriers.... Dept. Director CUSTOMER SERVICE: Provide excellent customer service to all DHR customers. All employees...
come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process of service denials... quality improvement activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M...
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...
EMR's system monthly patient claim deposits to the general ledger accounts. Assist Director of Finance in completion... medical and dental claims. Strong problem-solving skills to address discrepancies, denials, appeals, and collections...
. Under the direction of the Managed Care Director the Revenue Cycle Reimbursement Analyst will be responsible for reviewing payor... and physician current accounts receivable for Managed Care, finding underpayments and denials and working with the insurance...
also include working with the MA DPH Registry of Vital Records and Statistics director as needed. Job Description Minimum... laws, policies and procedures necessary, including Denials, Paternity, and parent signature for completion of birth...
or computer. Under the direction of the Managed Care Director the Revenue Cycle Reimbursement Analyst will be responsible... hospital and physician current accounts receivable for Managed Care, finding underpayments and denials and working with the...
and timely payment; tracks and trends denials, escalating systemic issues to the Director. Supports AR Reserve analysis... detailed account and trend analysis to assist the Director, Revenue Analytics in decision-making. Job Requirements...
and Auditing Director regarding physician billing denials task force activities. Provide education, expert guidance and support... Shore Drive Job Description General Summary: The Director of Revenue Cycle Physician Billing provides leadership...
and staff. -Works frequently with individuals at Director level or above. Job Responsibilities: -Maintains a work knowledge... managers, central billing office, CBOE, etcetera to address operational issues that are contributing to denials. -Cox...
and Assistant Director of the analysis of all payer denials, audits and reconsideration requests. Coordinates daily activities...-Services, Registration, Charge Entry, Coding, Billing, Collections, Denials). Compiles and organizes information...
900 employees consists of the Director's Office and the following divisions and programs: Environmental Protection...; approve applications and recommend revisions or denials; coordinate review between Tax Act applicants, National Park Service...
Emergency Department. Informs Director, QI/UM of any quality issues. Attends hospitalists rounds, as required, to discuss high... and/or not covered benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials. Ensures that all denials...