- Locations: California, Texas, Florida, Washington, Connecticut
- Related Keywords: Appeals, Appeals Manager, Denial, Denial Appeals, Manager
- Mgr-Denials Management
- Scottsdale Healthcare (Scottsdale, AZ)
- ...Management Department: Denial Management Schedule: Full-Time Shift: Days Hours: 8 - 4:30 Hours/PP 80 Job Details: The Scottsdale Healthcare (SHC) Manager for Denial Management assumes responsibility and accountability for overseeing the denial process for the SHC System. The ...
- Denial / Appeals Spec
- Presbyterian Health Services (Albuquerque, NM)
- DENIAL / APPEALS SPEC Requisition Number: 29194 Location: NM - Albuquerque Type of Opportunity: Regular....Refer accounts, in accordance with PHS guidelines, to Follow-up & Collection Manager for write-off, or agency or attorney referral. Refer difficult accounts to...
- Denial / Appeals Spec
- Presbyterian Health Services (Albuquerque, NM)
- DENIAL / APPEALS SPEC Requisition Number: 29194 Location: NM - Albuquerque Type of Opportunity: Regular....Refer accounts, in accordance with PHS guidelines, to Follow-up & Collection Manager for write-off, or agency or attorney referral. Refer difficult accounts to...
- Clinical Appeals Coordinator
- Centene (Brighton, MA)
- Clinical Appeals Coordinator - MA Job Type: Full-Time Location: BRIGHTON, MA Last Updated: 06/19/2009 Job Description: Position Purpose: Act as the repository for all regional denial and appeal letters and act as the liaison between Medical Management, Quality, NCQA and State...
- Insurance Appeals Specialist
- COR Specialty Association (Irving, TX)
- ...has excellent customer service skills. Successful candidates will be able to work independently. Responsibilities of Insurance Appeals Specialist includes: Assist in identifying denial trends with manager Appeal denied managed care and government claims through proper appeal...
- Clinical Appeals /Denials Analyst
- Apollo Health Street (Bloomfield, NJ)
- ...Manager will oversee all aspects of the clinical appeals process. Essential Duties & Responsibilities: | Differentiates between clinical...UM agent and hospital's managed care contract governing clinical denial . | Reviews managed care contracts against application of rates,...
- Technical Appeals /Denials Analyst
- Apollo Health Street (Bloomfield, NJ)
- ...Manager will oversee all aspects of the technical appeals process. Essential Duties & Responsibilities: | Differentiates between clinical...UM agent and hospital's managed care contract governing technical denial . | Reviews managed care contracts against application of rates,...
- Medical Billing Manager
- Healthcare Billing and Managment Association Job Board (White Marsh, MD)
- ...validity. Currently, we have an opening for a MEDICAL BILLING MANAGER . DUTIES The qualified candidate will manage the department in...& implementation of policies and procedures of all payment posting, denial posting, refunds and written insurance appeals . 4....
- Certification Manager
- Complex Staffing Solutions (Arlington, TX)
- CERTIFICATION MANAGER Jan 8, 2009 Arlington, Texas Return to Search Results|Send job to a friend...and emails throughout the certification process from initial applications to certification, and denial appeals . 3. Prepare agenda for certification committee meetings; track...
- Grievance Specialist, OptumHealth Pierce County, Tacoma, WA
- UnitedHealth Group (Tacoma, WA)
- ...and customer service to consumers and providers throughout the complaint, denial , grievance, and appeal processes. He or she will be...for all written and telephonic notifications relative to grievances and appeals as set forth in CMS requirements, WAC requirements and...
- Case/Care Manager , RN
- Geisinger Health System (Danville, PA)
- The RN Care Manager works with the attending and consulting physicians to facilitate effective and efficient transition through...to assess appropriateness of level and setting of care, assists in the denial and appeals process, assesses quality and identifies and reports potential...
- Mgr-Denials Management
- Scottsdale Healthcare (Scottsdale, AZ)
- ...Management Department: Denial Management Schedule: Full-Time Shift: Days Hours: 8 - 4:30 Hours/PP 80 Job Details: The Scottsdale Healthcare (SHC) Manager for Denial Management assumes responsibility and accountability for overseeing the denial process for the SHC System. The ...
- Claims Manager
- Health Care District of Palm Beach County (West Palm Beach, FL)
- ...personnel functions, including hiring, evaluations, training, time records, etc. Reviews provider appeals and customer service inquiries for the purpose of determining reversal or upholding of denial . Assists Customer Service and Provider Services Departments in the absence of...
- Case Manager , RN Fulltime Days
- Providence Health and Services (Torrance, CA)
- JOB TITLECase Manager , RN Fulltime DaysFACILITYLOCATION4180 W 190TH STREET TORRANCE, California 90504-0000...of emphasis. Combining clinical and case management experience, independently performsclinical appeals as appropriate for medical necessity, level of care, trauma,and...