umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service... AR & Denial Specialist tasks to improve operations and problem solve by developing solutions after analyzing data. Maintains...
Department Care Management Nursing Institute-Nursing Institute Job Code 0019IR Shift Days Schedule 7:30am-4:00pm... world. As a Concurrent Denial Nurse, you will support the Utilization Management Department by reviewing concurrent...
Overview: Proficient in Revenue Cycle Account Billing Specialist 2 responsibilities. Additionally, serves as an expert..., and interpreting payment remittance advice in order to post insurance payments, denials, transfers, and adjustments. Represents Carle...
Job Description: Overview Proficient in Revenue Cycle Account Billing Specialist 2 responsibilities. Additionally..., reviewing, and interpreting payment remittance advice in order to post insurance payments, denials, transfers, and adjustments...
| Work Together | Strive for Excellence. Logan Health is searching for a fully remote Utilization Management Specialist...Bring Your Clinical Expertise to Logan Health’s Utilization Management Team! Our Mission: Quality, compassionate care...
, inclusive environment that fuels innovation. Req ID : 14762 Working Title : Revenue Cycle Specialist I (Cash Management... to support our revenue cycle operations, identify denials for follow up, performing account follow up activities, updating...
The Clinical Support Specialist - Utilization Management (CSS-UM) will work in-person and remotely to perform all aspects...: Utilization Management Physical Strength: Light (L) Reports To: Utilization Management Manager Work Location Type: Hybrid...
supervision of the Assistant Manager of Claims Management and Lead Insurance Claim Specialists. The Insurance Claim Specialist... application process. Department: Claims Management Shift/schedule: Full Time (40 hrs/wk) GENERAL SUMMARY Works under the...
Summary Conduct level of care medical necessity reviews within patient’s medical records. Performs utilization management... patient chart review, and assisting with and managing of insurance coverage and denials, prior authorizations, scheduled...
with other disciplines - specifically Insurance Verification, Patient Access, Denials Management, Case Management and Social Services... at Kettering Health Network hospitals. This includes any and all follow-up with insurance companies - approvals, denials, requests...
with other disciplines - specifically Insurance Verification, Patient Access, Denials Management, Case Management and Social Services... at Kettering Health Network hospitals. This includes any and all follow-up with insurance companies - approvals, denials, requests...
. Effective communication skills to engage collaboratively with case management staff, patients/family members.../family regarding regulatory rights, maintaining consistent communication with Post-Acute Providers and Care Management staff...
with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely... authorizations; and partnering with case management teams at ScionHealth facilities to complete concurrent review authorizations...
with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely... authorizations; and partnering with case management teams at ScionHealth facilities to complete concurrent review authorizations...
with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely... authorizations; and partnering with case management teams at ScionHealth facilities to complete concurrent review authorizations...
Overview: Authorization & Billing Support Specialist, Senior - Neurology Associates of Stony Brook, UFPC Location... and procedures. Job Responsibilities: Validate patient insurance. Appeal denials, write appeal letters giving medical necessity...
rejects and denials to determine systemic or data entry issues and report irregularities to management Daily follow up...Summary The accounts receivable collections specialist will be responsible for maintaining industry standards for the...
Job Description: The Appeals Specialist is a vital member of the MYMB System of Care. The Appeals Specialist... is responsible for managing and resolving insurance claim denials by submitting timely, accurate, and compliant appeals. This role...
Description Gardant is seeking an Accounts Receivable Specialist responsible for managing Medicaid and Managed Care... of required information. Appeals denials and follow cases through approval. Tracks pending accounts, redeterminations, spenddown estimates...
completion of all routine and tasks, including but not limited to: * Resolution of rejections, denials and PA’s associated... consultant. Communicates progress toward goals and ongoing obstacles to supervisor and company management team, verbally...