Denials & Appeals Administrator (RN)

***: The RN Appeal Administrator will be responsible for the Pre-denial/ Denial and appeal process in addition to Utilization Review, to validate the patient’s placement to be at the most appropriate level of care based on nationally accepted admission criteria. The Appeal/ UR Administrator uses medical necessity screening tools, such as InterQual or MCG...

Job Description Required hours: Wednesday-Sunday with a flexible start time between 7am-10am. Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals....

Under the general supervision of the Administrative Manager and per the established policies and procedures, the Insurance specialist is responsible for overseeing the Radiation Oncology authorization process. Working very closely with nurses, physicians and other clinical staff members to ensure a quality-based, customer-oriented flow of work throughout the...

Administrative Coordinator / Insurance Specialist-(3286657) Description Under the general supervision of the Administrative Manager and per the established policies and procedures, the Insurance specialist is responsible for overseeing the Radiation Oncology authorization process. Working very closely with nurses, physicians and other clinical staff...

GENERAL SUMMARY/ OVERVIEW STATEMENT: Working under the general direction of the Senior Billing Manager, the Managed Care Coordinator will help ensure that all professional radiation oncology charges are processed accurately by confirming a patient's insurance requirements are in place prior to treatment delivery.It is essential for the successful operation...

DescriptionBrigham and Women’s Hospital is dedicated to: serving the needs of our local and global community providing the highest quality health care to patients and their families expanding the boundaries of medicine through research educating the next generation of health care professional Every employee plays an important role in providing a positive...

Job Summary In accordance with government regulations and hospital policies, provides positive and effective customer service that supports departmental, foundation and hospital operations Manages daily assignments using standardized protocols and work drivers. Ensures required demographic, insurance, referral/authorization and clinical, data is collected,...

74843BRJob Posting Title:Patient Accounts RepresentativeDepartment:Finance-Government PayorsAutoReqId:74843BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:In accordance with government regulations and hospital policies, provides positive and effective customer service that supports departmental, foundation and...

74096BRJob Posting Title:Senior Patient Administrative CoordinatorDepartment:Clinical Services ManagementAutoReqId:74096BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:AdministrationJob Posting Description:The Senior Patient Administrative Coordinator will be responsible for: Authorizations: Managing the authorization process for a...

**Case Review Coordinator** - (3289441) **Schedule: Full time - 40hrs; 7am-3:30pm, every other weekend** Performs the six essential activities of Case Management: Assessment, Planning, Implementation, Coordinate, Monitor and Reassess through the continuum of care to facilitate a safe cost-effective transition post discharge. Performs all aspects of audits...

Lead Billing Specialist Full-time, benefit eligibleMonday - Friday, 8:30 AM - 5:15 PMAmazing opportunity for a Lead Billing Specialist in Patient Accounts at EBNHC! The Lead Billing Specialist assists the patient financial services leadership team with department workflows ensuring prompt resolution of accounts with adequate follow up and documentation....

Job Summary The Care Management Coordinator will be responsible for the following: Independently processing referrals for care management including, but not limited to, medications, skilled and private duty nursing, infusion and enteral therapy services, durable medical equipment and supplies, Home Care Agencies: Early Intervention Program (EIP), Physical...

**Job no**: 523426 **Position Type**: Staff Full Time **Campus**: UMass Boston **Department**: Veterans' Affairs **Pay Grade**: 17 **Date opened**: 29 May 2024 Eastern Daylight Time **Applications close**: 12 Jun 2024 Eastern Daylight Time **General Summary**: The Veteran’s Affairs Assistant will provide administrative support to the Director of...

Job Description - Billing Managed Care Coordinator, Radiation Oncology (3284875) Billing Managed Care Coordinator, Radiation Oncology - ( 3284875 ) Working under the general direction of the Senior Billing Manager, the Managed Care Coordinator will help ensure that all professional radiation oncology charges are processed accurately by confirming a...

The Analyst supports general functions of the practice such as property tax assessment notice and tax bill processing, mail handling, and scanning. The Analyst performs independent research and analytical reviews in support of the Property Tax practice and maintains software databases to ensure database and report integrity. The Analyst is responsible for...

The Analyst supports general functions of the practice such as property tax assessment notice and tax bill processing, mail handling, and scanning. The Analyst performs independent research and analytical reviews in support of the Property Tax practice and maintains software databases to ensure database and report integrity. The Analyst is responsible for...

**Thank you for your interest in careers at EBNHC!**: Everywhere you turn, you can feel it. There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country. From the nurses and physicians on the front line of patient care, to the managers who shape our policies, to...

Description: Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts receivable and enhance collection performance. Utilize electronic medical billing systems as well as in depth advanced knowledge of medical billing and insurance rules and regulations to resolve accounts receivables issues. This position serves as...

Boston Chinatown Neighborhood Center (BCNC) About The Role The Development Associate will be responsible for supporting the achievement of BCNC’s annual fundraising goals through work on annual appeals, database maintenance, recordkeeping, administrative support, and stewardship. In collaboration with Development Team members, the Development Associate...

Job ID: 38081 Location: 10 Brookline Place West, Brookline, MA 02445 Category: Finance/Accounting Employment Type: Full time Work Location: Remote: 100% off site Overview The primary function of the Patient Accounting Follow-Up Specialist is the daily management of an assigned portion of the accounts receivable, typically allocated based on payer and...