- Locations: Florida, Massachusetts, Tennessee, California, North Carolina
- Senior Information Security Architect
- Salesforce.com (San Francisco, CA)
- ...& ISO 17799. Participates in the development of a disaster recovery & business continuity plan for company. Researches attempted efforts...impact on the business caused by theft, destruction, alteration or denial of access to information. Considered a senior level individual...
- Auto Damage Inside Claim Adjuster, Spanish Bilingual
- Travelers (Greenwood, CO)
- ...facts to establish negligence, determine liability, other sources of recovery and negotiate resolutions as appropriate. Manage fire, theft and...file activities in accordance with established procedures. - Write denial letters, Reservation of Rights and other routine and complex...
- UB-04 Claims Specialist
- iplacement, Inc. (Coral Gables, FL)
- ...(Non-Manager) Education: High School or equivalent Skills: Category: Healthcare - Business Office & Finance Compensation: - Position Summary: Denial Recovery Specialist The essential function of this position within the organization is to provide specified services to recover...
- Strategy & Operations Health Care Consultant
- Deloitte (Philadelphia, PA)
- ...integrity; pricing strategy development and implementation; payer discrepancy recovery including Medicare and Medicaid compliance; denial management and clinical denial recovery success. Service Operations: Our Service Operations service line works with clients across...
- System Director, Clinical Denial Management
- Holy Family Medical Center (Des Plaines, IL)
- Resurrection Health Care is hiring a System Director, Clinical Denial Management to provide leadership in the growth, development and...and appeal management including elements specific to the Medicare Recovery Audit Contractor (RAC) and or Medicaid Integrity Program (MIP)...
- System Director, Clinical Denial Management
- Resurrection Health Care (Des Plaines, IL)
- Resurrection Health Care is hiring a System Director, Clinical Denial Management to provide leadership in the growth, development and...and appeal management including elements specific to the Medicare Recovery Audit Contractor (RAC) and/or Medicaid Integrity Program (MIP) requests....
- Clinical Appeals Specialist
- Miami Children's Hospital (Miami, FL)
- ...for coordination of the denials appeals process, maintenance of a centralized denial database, aggregating denial trends, and coordinating recovery efforts. Analyzes data and prepares summaries, available as back-up for committee department meetings. The clinical appeals...
- Appeals Nurse Coordinator - Care Management
- Johns Hopkins Bayview Medical Center (Baltimore, MD)
- Job Details: Bachelors Degree in Nursing required Maryland RN license and CPR certification required Job Duties: Reduces adjusted denial rate through recovery and prevention for the Medical Center by reviewing payors' decisions to deny reimbursement to the Medical Center and...
- Appeals Coordinator Documentation Specialist
- Our Lady Of Fatima Hospital (Providence, RI)
- ...of the denials appeals process, related correspondence, maintenance of a centralized database within Meditech, aggregating denial trends, and assist with recovery efforts. This position will also concurrently facilitate physician documentation within the medical record that accurately...
- Recovery Audit Coordinator
- Martin Memorial Medical Center - Main (FL)
- This position is responsible to coordinate all activities surrounding claims denial management with government payers. Track timeliness of record requests and denial responses. Monitor denial management outcomes and prepare necessary reporting for communication to management....
- Recovery /Resolution Representative
- UnitedHealthGroup (Eden Prairie, MN)
- ...for the handling and scanning, of incoming and outgoing correspondence, investigative letters to include requests for medical records, denial letters, and provider education letters. Primary Responsibilities:Contribute to the support of commercial customers, government entities, and UHC...
- Recovery /Resolution Representative
- UnitedHealth Group (Eden Prairie, MN)
- ...for the handling and scanning, of incoming and outgoing correspondence, investigative letters to include requests for medical records, denial letters, and provider education letters. Primary Responsibilities: Contribute to the support of commercial customers, government entities, and UHC...
- Mental Health Worker, PRN
- Psysolutions Corporate (Fort Lauderdale, FL)
- ...for staff and patients; empathy toward patients; basic knowledge of 12-step treatment program; insight regarding denial and resistance to treatment; knowledge of the recovery process, including relapse and relapse prevention. This position requires working every other weekend as well...
- ~Manager Government Audits
- Rush University Medical Center (Chicago, IL)
- GENERAL SUMMARY: The Manager of Governmental Recovery Audits (Manager) is responsible for providing direction and oversight...Prior management experience leading a revenue cycle, health information management, denial management, case management, internal audit, or compliance audit team...