- Locations: California, Texas, Florida, Nevada, Nebraska
- Related Keywords: Appeals Denials Specialist, Claims Denials, Clinical Denials, Clinical Denials Specialist, Denials Appeals, Denials Coordinator, Denials Management, Denials Management RN, Medical Denials Manager, Medical Denials Specialist
- Case Manager RN (PRN)
- HCA West Florida (Largo, FL)
- ...ensuring admissions meet criteria for appropriateness of care and medical necessity. Manages the process to review and, as appropriate, appeal denials received from payors. Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with...
- Review Coordinator
- Lighthouse Career Agents (Phoenix, AZ)
- ...of all Outpatient Code Editor (OCE), National Corrective Coding Initiative (NCCI), Local Medical Review Policies (LRMP) and other denials with the Business office, HIM or ancillary department. Responsibilities: Minimum Education: Graduate of an approved Health Information...
- Appeals/ Denials RN
- Execu-Search (Queens, NY)
- In this newly created Appeals/ Denials position, the RN will be working alongside the hospital's talented Finance/Accounts Payable staff to handle all denials from a payment and medical necessity perspective. This well-established Community Teaching Hospital in Queens is currently...
- Appeals/ Denials RN
- The Execu|Search Group (Queens, NY)
- Job Title|Appeals/ Denials RNLocationCompensationExperienceJob TypeJob IDQueens$70,000-$75,000 / yr5 year(s)Full-TimeJ53647About the Opportunity This...a well-rounded and ambitious RN to fill the role of Appeals/ Denials Nurse. This is an outstanding opportunity for a driven...
- Senior Denials and Appeals Analyst
- UMC Southern Nevada (Las Vegas, NV)
- 14436 - Senior Denials and Appeals Analyst Open Date: 2009-02-06 Closing Date: 2009-12-11 Exam #: 08-19823C...provides training to faculty and staff. Identify root cause of payment denials sourced to specific revenue cycle or clinical processes (ie registration, patient...
- Denials / Medicare
- Kforce (Indianapolis, IN)
- Kforce is looking to add to our client's rapidly growing Medical Billing Team with a focus on working denials or Medicare claims. Duties Include: Denials : * Work denials , making adjustments, and Payer reimbursement * Oversee the reimbursement billing procedures of third party and...
- Manager of Claims Follow Up, Denials and Appeals
- Kaiser Permanente (Honolulu, HI)
- Title: Manager of Claims Follow Up, Denials and Appeals Location: Honolulu, HI Under indirect supervision, plans,...Medicaid, Commercial, Inter-Regional, Workers Compensation and third party liability including denials and appeals - Demonstrates knowledge in area of regulatory...
- Denials / Medicare
- Kforce Professional Staffing (Indianapolis, IN)
- Kforce is looking to add to our client's rapidly growing Medical Billing Team with a focus on working denials or Medicare claims.Duties Include: Denials : Work denials , making adjustments, and Payer reimbursement Oversee the reimbursement billing procedures of third party and private...
- Denials / Medicare
- Kforce Finance & Accounting Staffing (Indianapolis, IN)
- Kforce is looking to add to our client's rapidly growing Medical Billing Team with a focus on working denials or Medicare claims. Duties Include: Denials : Work denials , making adjustments, and Payer reimbursementOversee the reimbursement billing procedures of third party and...
- Denials / Medicare
- Kforce Finance & Accounting Staffing (Indianapolis, IN)
- Kforce is looking to add to our client's rapidly growing Medical Billing Team with a focus on working denials or Medicare claims. Duties Include: Denials : Work denials , making adjustments, and Payer reimbursement Oversee the reimbursement billing procedures of third party and...
- Denials Specialist
- Caritas Christi Health Care Systems (Boston, MA)
- Denials Specialist Caritas Physician Network - Andover Andover - Department: Revenue - 3-5 years...all outstanding claims. Review accounts to determine trends and ultimately prevent claim denials , as well as provide on-going analysis of accounts receivable. Responsible for...
- Mgr- Denials Management
- Scottsdale Healthcare (Scottsdale, AZ)
- Send this job to a friend Mgr- Denials Management Department: Denial Management Schedule: Full-Time Shift: Days Hours:...Serves as tactical point person as it relates to technical denials , technical and clinical appeals regulatory compliance,RACreviews, staff development, physician...
- RN ER Case Manager - Evening Shift (1pm-1am) at Sierra Providence East
- Tenet Health (El Paso, TX)
- ...without problem; D) Review the medical record for utilization patterns; E) Complete concurrent reviews of the medical record; F) Manage concurrent denials ; G) Review those patients with issues/special needs or extended length of stay daily with the Director of Case Management H) Complete...
- Reimbursement Specialist
- RelayHealth (Norcross, GA)
- ...determine activity on accounts to make appropriate decisions to obtain account resolution. Analyze account activity to determine trends for denials and adjustments and utilize system event codes to generate appropriate action on patient accounts. Maintain the integrity and confidentiality...