Denials Manager

Overview The Denials Manager appeals all denials using InterQual criteria. Evaluates, tracks and trends denials and implements denial prevention programs. Works closely with Case Managers, Physicians and multidisciplinary team to ensure compliance with documentation and educates as needed. The position requires the full understanding and active...

Overview: The Denials Manager appeals all denials using InterQual criteria.  Evaluates, tracks and trends denials and implements denial prevention programs.  Works closely with Case Managers, Physicians and multidisciplinary team to ensure compliance with documentation and educates as needed. The position requires the full understanding and active...

Job DescriptionJob DescriptionThe Denials Management Specialist is responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to management, and generating appeals for denied or underpaid claims.DUTIES AND RESPONSIBILITIESInclude the following. Others may be assigned.Validate denial...

Are you an experienced healthcare revenue cycle leader that is ready to make a huge impact and put your stamp on the billing department? Do you like the variety of working with an on-site and offshore team, and working onsite and remotely? Do you get a thrill out of training your team on proper billing practices? Do you want to opportunity to earn a nice...

Are you an experienced healthcare revenue cycle leader that is ready to make a huge impact and put your stamp on the billing department? Do you like the variety of working with an on-site and offshore team, and working onsite and remotely? Do you get a thrill out of training your team on proper billing practices? Do you want to opportunity to earn a nice...

Job DescriptionJob DescriptionHybrid $3,000 Sign-on BonusPatient Account Specialist I (Hospital or Healthcare Exp Req)Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other...

Job DescriptionJob DescriptionHybrid $2,000 Sign-on BonusPatient Account Specialist I (Hospital or Healthcare Exp Req)Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other...

Job DescriptionJob DescriptionHybrid $3,000 Sign-on BonusPerforms account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental...

Job DescriptionJob DescriptionHybrid $2,000 Sign-on BonusPerforms account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental...

Planned Parenthood of Orange and San Bernardino Counties has a full-time hybrid (3 days in office) opportunity for a OHS Medical Biller in Anaheim, CA.Assures timely eligibility for appointments, working with OHS dashboard, billing and reimbursement of clean claims, corrects denied claims, appeals denied or delayed claims for OHS payers in order to receive...

Planned Parenthood of Orange and San Bernardino Counties has a full-time hybrid ( 2 days working remote 3 days in office ) opportunity for a Medical Payment Poster in Anaheim, CA. The Payment and Reconciliation Analyst at PPOSBC and Melody Women's Health is responsible for reviewing, interpreting, and analyzing explanations of benefits (EOB) from insurance...