, referrals, and Inpatient and Outpatient authorization/denials management in their assigned area/hospital(s) at Hackensack... Meridian Health (HMH). Responsible for researching and analyzing denials. Identifies root cause, trends and patterns...
Manager or Director of Patient Access Services. Key responsibilities of the role include leading the daily operations..., and ensuring policies and procedures are being followed. Assists the PAS Manager and/or Director with other duties...
Newport News, Virginia Overview Works under the supervision of the Manager and the Director and is responsible... and utilization criteria and issues relevant to noncoverage/possible denials. Assesses patient records of population for identifying...
, accounts receivable, denials, cash collections and credit/refunds. Develops reporting mechanisms to provide accurate updates... to clinic/site Management Team on process improvements regarding revenue related activities Works closely with Director...
utilization dilemmas and as needed uses available escalation pathways (Utilization Medical Director (s) or the Lead Utilization... utilization, denials and appeals. Participates in the development, implementation, evaluation and revision of quality utilization...
, accounts receivable, denials, cash collections and credit/refunds. Develops reporting mechanisms to provide accurate updates... to clinic/site Management Team on process improvements regarding revenue related activities Works closely with Director...
Billing office to ensure Accounts Receivable is optimally liquidated, denials are minimized, refunds are issued, and customer... summaries for the physicians and Physician Network Director as requested. Provides monthly reporting recommendations or action...
trends with denials and CIF's to provide support to providers with an opportunity to improve. Distributes provider scorecards... Coordinator, and Claims Director. Presents findings and recommendations for ongoing, long term resolutions to issues. Identifies...
and coaching, hiring and firing. Reporting: The Location Manager reports to the Director of Operations Duties: Manage... director Provide excellent customer service that minimizes loss of revenue due to refunds, leads lost, leads not called back...
denials, escalating systemic issues to the Director. Supports AR Reserve analysis and identifies trends that significantly... to assist the Director, Revenue Analytics in decision-making. Job Requirements: Education and Work Experience: Associate...
, under the direction of the Director of Bilingual and ESL Programs facilitates and maintains a systematic approach to LPAC... policies for Emergent Bilinguals Verifies Emergent Bilingual enrollment, denials, and monitored student status Assists...
Care and Denial Director, and is responsible for aspects of credentialing processes for Health System Payers. Under the... direction of the Director, processes and assists in providing Payers information regarding Health System locations and Providers...
POSITION SUMMARY Under the director of the CBO Director, the Post-Claims Denial Analyst RN is responsible... of denials. KEY RESPONSIBILITIES Review denied and underpaid claims to determine the clinical and regulatory validity...
What You Will Do: Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle... that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote...
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...
of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services...-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote. Daily...
in a timely manner to the Director of Billing Services. Why Work at Cheyenne Regional? ANCC Magnet Hospital 403(b) with 4... of denied, unpaid, underpaid and or overpaid claims. Utilizes database to prepare and monitor claim denials; performs analysis...
Certified Payment & Reimbursement Specialist works under the supervision of the Administrative Director of Health Information... Management. The Primary job duties include completing, tracking and reporting denials. Developing innovative reporting, trend...
Title: Medical Coder (ENT Specialty) Pay Rate: $24-$27/hour Reports To: Practice Manager or Director of Revenue Cycle... or documentation issues. Assist with handling coding-related denials or queries, working with billing staff to resolve issues...
to clients. The position is distinguished from higher-level manager or director positions in that it does not directly supervise... provider denials, client care, and grievances; and/or Knowledge of current technology and trends in mental health treatment...