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...

Overview: Founded in 1971, Dialysis Clinic, Inc. (DCI) remains the nation’s largest non-profit dialysis provider. With a team of approximately 5,000 talented and caring employees serving across the United States, DCI provides care to nearly 15,000 patients on dialysis and 3,500 patients with chronic kidney disease. We offer a variety of services including...

Overview: Insurance Services Supervisor Pay: $30.00 - $35.00 The Insurance Services Supervisor will oversee an Insurance Services team to effectively implement and complete the billing and collections processes for Embark BH programs. The primary responsibilities for this role include building a cohesively effective billing and collections team to ensure...

Overview:   Lead Utilization Review Representative Pay: $22.00 - 24.00 per hour   The primary responsibility for the Lead Utilization Review Rep is to oversee the basic daily functions of the Utilization Review Team. The Lead Utilization Review Rep is responsible to ensure all SLAs are met, KPIs are maintained, and to be a liaison between the UR Team...

Job Description Overview: Western Digital seeks a well-rounded Benefits Specialist to play a pivotal role in the administration and enhancement of our benefits programs that make an enduring impact on the health and wellness of our valued workforce. The Benefits Specialist will report to the Director, Americas Benefits. · Lead the leave of absence...

Position: Chief Financial Officer (CFO) - Healthcare Summary:The Chief Financial Officer (CFO) in healthcare is a strategic leadership role responsible for overseeing all financial activities within the organization. The CFO plays a crucial role in ensuring the financial health and sustainability of the healthcare facility while aligning financial...

Overview:   Utilization Review Supervisor Pay: $27 - $30 per hour   The Utilization Review Supervisor will oversee a Utilization Review team to effectively implement and complete the authorization processes for Embark BH programs. The primary responsibilities for this role include building a cohesively effective UR team to ensure that they are...

Overview: What You Can You Expect?   Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!   Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you’ll collaborate with hospitals...

Job DescriptionThe Revenue Cycle Analyst is responsible for the development, assessment and quantification of trends. This will require direct working relationships with management and key staff members, in addition to key members of Finance and Medical Network and Medical Center Departments. The primary duties of this role include:Analyzing trends to...

Overview: What you can expect!    Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!   Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you’ll collaborate with hospitals and...