- Locations: California, Texas, Florida, New York, Illinois
- Senior Systems Analyst
- North Broward Hospital District (Fort Lauderdale, FL)
- ...reports via Ad-hoc Wizard. Experience with HDX, ERS, and denial management preferred. Experience with Contract Management a plus. Must...communication, customer service skills and will be expected to manage multiple projects at various levels of complexity. Bachelor's degree...
- Claim Representative
- Travelers (Tampa, FL)
- ...1st and 3rd party Personal Insurance and Business Insurance claims. Manage claims for automobiles, a variety of heavy, specialty and...documenting claim file activities in accordance with established procedures. Write denial letters, Reservation of Rights and other routine and complex...
- System Director, Clinical Denial Management
- Holy Family Medical Center (Des Plaines, IL)
- ...best practices to respond to denials and RAC audits. Advises RHC facilities and other providers on the resources necessary to effectively manage the denial appeals. Develops and maintains policies & procedures specific to denial management and denial prevention. Audits the...
- System Director, Clinical Denial Management
- Resurrection Health Care (Des Plaines, IL)
- ...best practices to respond to denials and RAC audits. Advises RHC facilities and other providers on the resources necessary to effectively manage the denial appeals. Develops and maintains policies & procedures specific to denial management and denial prevention. Audits the...
- Analyst - Denial Management - Team Evergreen ( Tacoma , WA )
- DaVita (Tacoma, WA)
- Title: Analyst - Denial Management - Team Evergreen ( Tacoma , WA ) Location: Washington-Tacoma This position...on root cause findings and analysis by Revenue Reimbursement Managers (RRMs) * Manage denials tracking tool; maintain central repository, appending data, updated format and...
- Denial & Client Outreach Supervisor
- University of California - San Francisco (San Francisco, CA)
- Req Number 30562BR Job Title Denial & Client Outreach Supervisor Job Code and Payroll Title 7247 :...analytical skills in a healthcare Accounts Receivable environment . Ability to manage priorities while meeting objectives, time frames and budget constraints, while...
- AVP, Regional Underwriting Officer, D&O, Epli, Fidelity
- Zurich NA (New York, NY)
- ...manage an underwriting unit that underwrites a book of Management Liability business for the Mid-Atlantic region. He/she will manage the selection/ denial of new and renewal Corporate D&O, EPLI and Fidelity business. He/she will administer and monitor underwriting rules and...
- Director of Rehab/Physical Therapist/PT
- Unknown (Los Angeles, CA)
- ...the Rehab staff. Plan and implement clinical programs; conduct in-service programs and train Rehab Coordinators on safety-related issues. Manage the Medicare denial process in conjunction with the Area Manager for Rehab. Monitor the financial performance of facilities and develop plans...
- Regional Vice President Property
- Zurich NA (Glendale, CA)
- ...Regional Vice President Large Account Property will provide leadership and management for the Southwest Region. Select candidate will manage the selection/ denial of new and/or renewal business. Underwrite and analyze new and renewal business. Administer and monitor underwriting rules...
- Admissions Director
- Genesis Health Care (Flourtown, PA)
- ...needed and as directed by Administrator? Manage ongoing relationships with referral sources, and ECL / ECCs? Manage customer rejection and denial process? Ensure highest possible level of customer satisfaction? Review customer survey results, analyze Post Admission Surveys, Snap...
- Associate Claims Case Manager
- Liberty Mutual (Irving, TX)
- ...complete claim process from inital conversation with claimant to eviewing medical/injurgy reports to determine whose reponsible to denial or payment of the claim * Manage an inventory of Commerical Auto and/or Liability claims Qualifications: * Bachelor's degree or equivalent * 3.0 or...
- Patient Access Associate - The Grove ( Irvine, CA )
- DaVita (Irvine, CA)
- ...aggregation to healthcare processes. The Patient Access Associate will manage a book of business to understand and test new...Operations, Insurance Management, and other teams to conduct effective denial review sessions and support monthly leadership reporting. Collects, analyzes,...
- VP of Billing Services
- Alliance Search Solutions (Cleveland, OH)
- ...management to include billing, coding, collections, bad debt management, denial management managed care contract performance and compliance with Medicare...as it relates to billing and reimbursement. Negotiate and manage the relationship with all outsourcing partners and hold vendors...
- First Party Medical Claim Representative
- Travelers (Lake, OR)
- ...coverage provided. Determine causality by investigating injury claim. Properly manage medical process, determine the nature and extent of injury,...medical necessity and causal relationship to the loss.) Write denial letters, Reservation of Rights and other routine and complex...