. About the Job: Under the direction of the Director of Care Coordination, the Utilization Review RN (UR RN) is responsible... managers to prevent denials by ensuring timely clinical reviews. Address potential denials proactively, working...
Coordinator, under the direction of the Director of Radiology and Assistant Director of Radiology, is responsible for planning...-related claim edits and denials; correct and resubmit as needed. Collaborate with billing teams to reduce AR days and improve...
to the Director of the Enterprise CDM. Responsibilities Build, maintain, and update the Professional Charge... or needed for departmental monitoring. Utilize advanced analytics to monitor revenue cycle performance and identify trends related to denials...
specialist within the department. Trains Insurance Billing Specialists I and related support staff. Works closely with Director... and maintain the knowledge and skills for the position. Essential Functions: 1. Identifies and evaluates denials for assigned...
to date of service. Minimizes third party payer denials by verifying authorization of service prior to forwarding patients to service... collection goals as determined collaboratively by Department Director/Manager. Maintain registration accuracy by meeting...
direction of the Care Management Team Lead, the Director of Care Management, and through coordination with nursing, social work... of care to achieve optimal outcomes. Under the direction of the Care Management Team Lead, the Director of Care Management...
, serves as medical director, and provides supervision in accordance with state practice, rules and regulations. The Health... of Recommendation of Denials for applicants in which the center cannot meet their healthcare needs. Offer all currently...
Position Summary: Under the direction of the Revenue Cycle Operations Manager and Revenue Cycle Director, the Revenue Cycle... during the audit process and recommends changes to improve outcomes. Monitors upfront collections, work queues, denials...
more about us at venicefamilyclinic.org Under the direction of the Revenue Cycle Director, this position: Codes, diagnoses, and procedures for a multi... on paper claims; processes tracers, denials, and related correspondence; Initiates appeals; drafts, composes, and submits...
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...
necessity denials, communicating and updating staff on changes as they relate to HCPCS and revenue code updates, additions... to Department Director and Administrative Director Responsible for maintaining ,tracking, trending and communicating audit results...