more effective and affordable. The position can be remote, or on-site in our New York office. The Medical Director... of nurses, social workers, and coordinators. You will be a leader of the team making medical necessity and benefit coverage...
and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Medical Director of Hospital... Medical Director of Hospital and Ancillary Relations leverages their knowledge and experience in health care operations...
perspective on workplace flexibility. We’re Hiring: Full-time Behavioral Health Medical Director Centene Corporation...+ years of post-residency experience Position Purpose: Assist the Sr Medical Director to direct and coordinate the medical...
perspective on workplace flexibility. We’re Hiring: Full time Medical Director in North Carolina. Centene Corporation... with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical...
-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means... to be part of Mass General Brigham. GENERAL SUMMARY/ OVERVIEW STATEMENT: Under the direction of the Executive Director of the...
contracts. Investigates and prepares appeals for insurance companies, when denial of reimbursement is related to medical... would be as needed during the weekdays. Location: Remote (MUST BE LOCAL TO TULSA, OKLAHOMA AREA) Job Summary: Provides administrative...
% remote job opportunity. The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health... that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements. The ARM...
review, case management, discharge planning staff within network facilities. Coordinates with Medical Director/Associate... RN Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan...
for the Billing Director, Service Line Directors, Managers, Finance Directors, clinical support staff, Physicians, allied... and assisting with revenue operations as they relate to Epic build decisions, in-depth analysis of denials, complex appeals, audits...
review, case management, discharge planning staff within network facilities. Coordinates with Medical Director/Associate... RN Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan...
The Claims Examiner is responsible for the accurate and timely processing of medical, dental, vision and prescription... with the assistance of the Team Leader, Claims Manager and/or the Director of Claims. Assigns critically ill patients to large...
The Claims Examiner is responsible for the accurate and timely processing of medical, dental, vision and prescription... with the assistance of the Team Leader, Claims Manager and/or the Director of Claims. Assigns critically ill patients to large...
to process appeals and resolve appropriate underpayments. This includes application of appropriate contract terms, fee schedules... for assigned accounts. Review payor refund requests to resolve reimbursement discrepancies. Initiates appeals or adjustments...
+ years of experience in medical-surgical inpatient acute care Experience with working in collaboration with Medical Director... limitations Proven experience in Clinical Coverage Review, Medical Claim Review or Clinical Appeals Proven communication skills...
+ years of experience in medical-surgical inpatient acute care Experience with working in collaboration with Medical Director... limitations Proven experience in Clinical Coverage Review, Medical Claim Review or Clinical Appeals Proven communication skills...
Reporting directly to the Director, AR Reimbursement and Statutory accounting, the Sr. Analyst, Reimbursement Medicare... is responsible for providing accurate information for Medicare cost report preparation, cost report appeals, audit preparation...
Denials Management team, as requested, on Outpatient appeals such as but not limited to Medical Necessity edits/denials... Director(s) on policies and procedures to enforce compliance regulations and CMS guidelines, decision making and problem...
, but our team is at the heart of everything we do. About the Job Opportunity CAC is seeking a Director of Development who... all fundraising strategy and execution across individual giving, major gifts, annual appeals, planned and legacy giving, institutional...
Job Category: Reimbursements Job Description: The Payer Relations Director (PRD) leads payer strategy... Liaisons, Medical Affairs, and Customer Relations to support KOL physicians and institutional customers, influence payer policy...
. They are seeking a Senior Director of Philanthropy to serve as the chief architect of fundraising strategy across their multistate... opportunities Partner with Executive Director, Managing Director, and Board to embed a culture of philanthropy across the...