Director of Revenue Cycle Appeals and Denials
2 weeks ago
Job Responsibilities:Reporting to the Executive Director of Revenue Cycle Management, this position is responsible for directing and administering the operations, programs and activities of the Central Business Office (CBO) ensuring that processes and data meet regulatory requirements and policies. Working through a management team and staff, the incumbent is responsible for providing guidance, leadership and direction to all of those who are involved or responsible for obtaining accurate and timely insurance benefit verification and authorization, and the timely billing and collection of accounts receivables in order to achieve and exceed cash collection goals in the most cost effective manner. Additionally, the incumbent is responsible for mentoring and coaching to produce optimum work habits and achieve highest level of competency of leadership and staff. This position is responsible for managing components of the Revenue Cycle for multiple entities, and, as such, must establish relationships at all facilities and be familiar with each institution’s computer environment and payer contracts, although they may not be under direct control of the incumbent. Qualifications:Bachelor’s Degree in Accounting, Business Administration, Finance, or a related field. A Master’s Degree in Business Administration, Health Administration, or Information Management is preferred.A minimum of ten (10) years of hospital receivables/operations management experience within a large academic medical center or health system, with at least six (6) of those years in a management capacity.Prior work experience must include revenue cycle management projects and/or responsibilities, and a significant role in a redesign project and/or management experience working in a highly automated, centralized business office environment.Experience in using team building and quality management concepts to positively influence the work environment.CRCE/CMPA/CHFP certification preferred, leadership role in industry organizations such as HFMA, AAHAM, or MHA strongly encouraged
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Associate Director, Denials and Appeals
4 weeks ago
Baltimore, United States Natera Full timeAssociate Director, Denials And AppealsThe Associate Director of Denials and Appeals will effectively lead the billing, collection and accounts receivable team while maintaining a full understanding of Natera's billing information system and all aspects of revenue cycle management. The Associate Director also manages the activities of the Denials and Appeals...
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Baltimore, United States Johns Hopkins Medicine Full timeJob Responsibilities:Reporting to the Executive Director of Revenue Cycle Management, this position is responsible for directing and administering the operations, programs and activities of the Central Business Office (CBO) ensuring that processes and data meet regulatory requirements and policies. Working through a management team and staff, the incumbent...
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Director of Revenue Cycle Appeals and Denials
2 weeks ago
Baltimore, United States Johns Hopkins Medicine Full timeJob Responsibilities:Reporting to the Executive Director of Revenue Cycle Management, this position is responsible for directing and administering the operations, programs and activities of the Central Business Office (CBO) ensuring that processes and data meet regulatory requirements and policies. Working through a management team and staff, the incumbent...
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Director of Revenue Cycle Appeals and Denials
2 weeks ago
Baltimore, United States Johns Hopkins Medicine Full timeJob Responsibilities:Reporting to the Executive Director of Revenue Cycle Management, this position is responsible for directing and administering the operations, programs and activities of the Central Business Office (CBO) ensuring that processes and data meet regulatory requirements and policies. Working through a management team and staff, the incumbent...
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Baltimore, MD, United States Johns Hopkins Medicine Full timeJob Responsibilities: Reporting to the Executive Director of Revenue Cycle Management, this position is responsible for directing and administering the operations, programs and activities of the Central Business Office (CBO) ensuring that processes and data meet regulatory requirements and policies. Working through a management team and staff, the incumbent...
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Director of Revenue Cycle Appeals and Denials
2 weeks ago
Baltimore, MD, United States Johns Hopkins Medicine Full timeJob Responsibilities: Reporting to the Executive Director of Revenue Cycle Management, this position is responsible for directing and administering the operations, programs and activities of the Central Business Office (CBO) ensuring that processes and data meet regulatory requirements and policies. Working through a management team and staff, the incumbent...
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Director of Revenue Cycle Appeals and Denials
2 weeks ago
Baltimore, MD, United States Johns Hopkins Medicine Full timeJob Responsibilities: Reporting to the Executive Director of Revenue Cycle Management, this position is responsible for directing and administering the operations, programs and activities of the Central Business Office (CBO) ensuring that processes and data meet regulatory requirements and policies. Working through a management team and staff, the incumbent...
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Manager, Revenue Cycle
2 weeks ago
Baltimore, United States Forge Health Full timeManager, Revenue CycleForge Health is a mission-driven outpatient mental health and substance use provider dedicated to providing the highest quality, affordable, and effective care to individuals, families, and communities in need. As the first and only behavioral healthcare provider with a proven, national payer-validated ability to drive clinical outcomes...
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Senior Director, Revenue Cycle Payer Management
2 weeks ago
Baltimore, MD, United States Mercy Medical Center Full timeSummary Join Our Team at Mercy Medical Center - Now Hiring a Senior Director, Revenue Cycle Payer Management & SBO! Mercy Medical Center is honored to be recognized by Newsweek as one of America's Most Trustworthy Companies for three consecutive years (2023-2025) and as one of America's Greatest Workplaces for Women in 2025. Additionally, we are proud to be...
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RN Appeals Management Nurse
2 weeks ago
Baltimore, MD, United States MedStar Health Full time***Experience in hospital utilization review strongly preferred*** General Summary of Position Job Summary Responsible for coordinating and monitoring the denial management and appeals process. Combines clinical, business and regulatory knowledge and skill to reduce significant financial risk and exposure caused by concurrent and retrospective denial of...
