Clinical Denials

Job Description ECU Health About ECU Health ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers...

ECU HealthAbout ECU Health Medical CenterECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides...

ECU HealthAbout ECU Health Medical CenterECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides...

ECU Health About ECU Health Medical Center ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides...

Overview The  Director, Medical Review will: Lead tracking and coordination of all direct bill therapy appeals, ensuring thorough data compilation and analysis. Lead ALJ hearing preparation and maintain professional communication with facility and corporate personnel. Communicate effectively with public and medical personnel promoting clinical excellence....

ECU Health About ECU Health Medical Center ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and...

Overview The Vice President is responsible for the overall administration, clinical planning, development, and operations of Rehabilitation Programs within multiple client markets. Manages and directs team in the provision of rehabilitation program services to patients and clients. In conjunction with the Divisional President, establishes and meets...

Inspire health. Serve with compassion. Be the difference. Job Summary The Professional Billing Quality Coding Auditor will support the Medical Group Coding and Education department by performing routine reviews of coders to ensure accurate coding. This position will also perform specialty reviews as identified by Coding and Education leadership. Prepares a...

Job DescriptionJob Description Job Title: Managed Care Representative IFLSA Status: Non -Exempt About usPhysicians East, P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.Location & commitmentsFT/PT/Temp/PRN role based at our...

The Vice President is responsible for the overall administration, clinical planning, development, and operations of Rehabilitation Programs within multiple client markets. Manages and directs team in the provision of rehabilitation program services to patients and clients. In conjunction with the Divisional President, establishes and meets budgetary...

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Bon Secours** **_About Us_** As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being...

Full job description Overview: General Description The Director of Education collaborates with the HR, IT, operational, clinical and compliance teams to identify, develop and implement educational initiatives for the benefit of the company, clinicians and the patients we serve. This position provides support to the licensed professionals to enable them to...

Thank you for considering a career at Bon Secours!Bon SecoursAbout UsAs a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks...

Overview General Description The Director of Education collaborates with the HR, IT, operational, clinical and compliance teams to identify, develop and implement educational initiatives for the benefit of the company, clinicians and the patients we serve. This position provides support to the licensed professionals to enable them to effectively perform...

Overview: General Description The Director of Education collaborates with the HR, IT, operational, clinical and compliance teams to identify, develop and implement educational initiatives for the benefit of the company, clinicians and the patients we serve. This position provides support to the licensed professionals to enable them to effectively perform...

* SIGN -ON BONUES NOW BEING OFFERED* A Sign-on bonus of $10,000 for the successful applicant(s) of this posting.  See eligibility for Sign-on Bonus below in the Supplemental and Contact Information  section. * Per G.S. 126-5(c1) (37), this position is Exempt from all provisions of NC General Statute  Chapter 126 (State Human Resources Act) with the...

The Supervisor of Case Management Services functions as an integral member of a multidisciplinary clinical team which manages the care of ambulatory infusion patients. They are responsible for qualifying each new patient prior to service. They supervise Insurance Case Managers as assigned and serve as their primary resource while verifying patient's health...

The Supervisor of Intake Case Management Services functions as an integral member of a multidisciplinary clinical team which manages the care of ambulatory infusion patients. They are responsible for qualifying each new patient prior to service. They supervise Intake Insurance Case Managers as assigned and serve as their primary resource while verifying...

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Crossroads is a leading addiction treatment provider of outpatient medication-assisted treatment (MAT). We treat patients with opioid use disorder (OUD) using medications such as methadone and...

The Insurance Case Manager functions as an integral member of a multidisciplinary clinical team which manages the care of patients. The Insurance Case Manager will verify patient's health benefits and coverage for infusion services. The Insurance Case Manager works closely with the Intake Coordinator to process new referrals timely. Ensures accurate and...