We have other current jobs related to this field that you can find below

  • Preventative Maintenance Technician

    3 months ago

    Montgomery, United States Morris South Full time

    Job DescriptionJob DescriptionRequisition ID#: 844AJoin a USA Today Top Workplace!Morris Group, Inc., one of the largest machine tool distribution networks in North America, is a third generation, family owned and operated business that serves manufactures of precision machined parts in the United States. Our mission is to help manufactures maintain a...

  • Preventative Maintenance Technician

    2 months ago

    Montgomery, United States Morris South Full time

    Job DescriptionJob DescriptionRequisition ID#: 844AJoin a USA Today Top Workplace!Morris Group, Inc., one of the largest machine tool distribution networks in North America, is a third generation, family owned and operated business that serves manufactures of precision machined parts in the United States. Our mission is to help manufactures maintain a...

  • Nurse Manager

    1 month ago

    Montgomery, United States Marshall Health Care and Rehabilitation Full time

    Marshall Healthcare Facility is a 64 bed skilled and long term care facility located in the beautiful coastal town of Machias, Maine. Our employees are among the most loyal and dedicated, some having worked here over 25 years. In addition to the attention provided by our highly trained and skilled staff, our residents have complete access to restorative...

  • Psychiatrist - Montgomery AL

    1 week ago

    Montgomery, United States RIVER REGION PSYCHIATRY ASSOCIATES Full time

    Job Type Full-time, Part-time Description Position: Incoming psychiatrist will work, full time, primarily outpatient with some occasional local inpatient coverage. Psychiatrist will work with and supervise at least 2 mid-level (PMHNP) providers, and take call (phone) 1 night per week and 1 weekend per month. General psychiatrist, geriatric psychiatrist, and...

  • Psychiatrist - Montgomery AL

    1 week ago

    Montgomery, United States River Region Psychiatry Associates Full time $280,000 - $350,000

    Job DescriptionJob DescriptionDescription:Position:Incoming psychiatrist will work, full time, primarily outpatient with some occasional local inpatient coverage. Psychiatrist will work with and supervise at least 2 mid-level (PMHNP) providers, and take call (phone) 1 night per week and 1 weekend per month. General psychiatrist, geriatric psychiatrist, and...

  • CNC Maintenance Specialist

    6 days ago

    Montgomery, Alabama, United States Phillips Full time

    Join Our Team at PhillipsPhillips is on the lookout for exceptional maintenance specialists in Montgomery, AL. Our commitment to our clients is to provide unparalleled maintenance and repair services for their Haas CNC machines, ensuring efficiency and quality in every interaction.Your RoleAs a vital member of our team, you will tackle a range of challenges,...

  • IT Tech I

    3 months ago

    Montgomery, United States ATS-AL Inc. Full time $12 - $18

    ATS – AL, Inc is hiring.  We offer a broad range of IT services; however, this is not your “typical” IT Tech position. Your day can range from reinstalling a PC Operating System to drilling holes and running CAT6 and fiber through entire buildings to installing racks, nodes, terminating patch panels and configuring VLANs. Please be ready to learn fast...

  • NP Primary Care

    1 month ago

    Montgomery, United States Marie Lawrence Associates Full time

    Job Title: Nurse Practitioner - Primary Care Location: Montgomery, AL Company Overview: Join a dynamic healthcare team committed to revolutionizing primary care in communities where it's needed the most. Our state-of-the-art clinics are designed to prioritize patient care over volume, ensuring each patient receives the time, attention, and comprehensive care...

  • NP Primary Care

    4 days ago

    Montgomery, United States Marie Lawrence Associates Full time

    Job Title: Nurse Practitioner - Primary CareLocation: Montgomery, ALCompany Overview:Join a dynamic healthcare team committed to revolutionizing primary care in communities where it's needed the most. Our state-of-the-art clinics are designed to prioritize patient care over volume, ensuring each patient receives the time, attention, and comprehensive care...

  • Patient Intake Coordinator

    6 days ago

    Montgomery, Alabama, United States Baptist Health (AL) Full time

    Job Title: Patient Intake CoordinatorPosition OverviewThe Patient Intake Coordinator at Baptist Health (AL) is the initial point of contact for patients entering our healthcare system. This role is essential in ensuring a smooth and welcoming experience for every patient.Key Responsibilities:Warmly greet patients upon arrival.Collect and verify patient...

  • Senior IT Tech

    3 months ago

    Montgomery, United States ATS-AL Inc. Full time $15 - $20

    ATS – AL, Inc is hiring.  We offer a broad range of IT services; however, this is not your “typical” Senior IT Tech position. Your day can range from reinstalling a PC Operating System to drilling holes and running CAT6 and fiber through entire buildings to installing racks, nodes, terminating patch panels and configuring VLANs. Please be ready to...

  • Echo Imaging Specialist Position in Montgomery, AL

    6 days ago

    Montgomery, Alabama, United States Soliant Full time

    Exciting Career Opportunity: Echo Imaging Specialist Join our committed healthcare team in Montgomery, AL, with Soliant Health as an Echo Imaging Specialist. Position Overview: Role: Echo Imaging Specialist Location: Montgomery, AL Key Responsibilities:Conduct echocardiograms and diagnostic ultrasound assessments to evaluate cardiac conditions.Prepare...

  • Patient Services Representative

    6 days ago

    Montgomery, Alabama, United States Baptist Health (AL) Full time

    Job Overview - Patient Registration SpecialistLocation: Baptist Health (AL)Position Summary:Baptist Health stands as the foremost healthcare provider in central Alabama, delivering extensive hospital-based and outpatient services to a significant portion of the local population. The role of the Patient Registration Specialist is crucial in ensuring a...

  • IT Infrastructure Specialist

    5 days ago

    Montgomery, Alabama, United States ATS-AL Inc. Full time

    ATS-AL Inc. is seeking a skilled and versatile IT Infrastructure Specialist to join our growing team. We offer a diverse range of IT services, encompassing everything from traditional desktop support to complex network installations and configurations. This role demands a proactive and adaptable individual who thrives in a dynamic environment.Your...

  • Restaurant Manager

    3 months ago

    Montgomery, United States HHB Restaurant Recruiting Full time

    Job DescriptionJob DescriptionAre you a hardworking, service-minded leader with a real passion for the hospitality industry?Are you looking to take a step towards building your restaurant manager career, instead of just working a job?We need extraordinary leaders like you to apply for thisfull-servicerestaurant management position inMontgomery, ALAs...

  • Dermatologist needed in Montgomery, AL

    2 months ago

    Montgomery, United States The Stembridge - Salient Agency Full time

    The largest dermatology practice in the country with over 150 locations, including Montgomery, AL, is seeking a board certified/board eligible Dermatologist to join this practice to offer traditional office and hospital based Dermatologic services. The practice specializes in the diagnosis and treatment of the skin, hair and nails. Additional areas of...

  • Retail/ Specialty Per-DIem Pharmacist

    1 month ago

    Montgomery, United States Soliant Full time

    Minimum 1+ years pharmacy experience required.Soliant is seeking a per diem pharmacist to work at a specialty retail pharmacy in Montgomery, AL. This position offers flexible hours and requires an initial 4-hour training shift prior to starting. The ideal candidate will have experience with specialty medications and managing various disease states. Position:...

  • Property Accountant

    3 weeks ago

    Montgomery, United States FutureRecruit Full time

    Property Accountant - Full-timeLocation: Montgomery, AL Required Qualifications: Bachelor's or Associate degree in Accounting or Business Administration Proficient with Microsoft Office products and computer accounting systems One year experience in accounting Experience with Yardi Job Description Reconcile bank statements monthly Responsible for...

  • Delivery Driver at Culinary Management Solutions

    1 month ago

    Montgomery, United States Culinary Management Solutions Full time

    Job DescriptionJob DescriptionCulinary Management Solutions in Montgomery, AL is looking for one delivery driver to join our 80 person strong team. We are located on 5345 Atlanta Highway. Our ideal candidate is self-driven, motivated, and engaged.BenefitsWe offer many great benefits, including health, dental and life insurance, savings program, competitive...

  • Safety Manager

    1 day ago

    Montgomery, United States Surf Search Full time

    Safety ManagerSafety Champion Needed!Location: Montgomery, AL (full relocation provided)Industry: Food ManufacturingSummary:Join a renowned food manufacturer with a strong legacy of success, now expanding operations in Montgomery, AL. We are seeking a Safety Manager to lead safety initiatives for a new facility. Become a key player in a progressive team...

Management and Prevention- AL

3 months ago

Montgomery, United States American Consultants Full time

Director of Denials Management and Prevention- AL

American Consultants is looking for a permanent Director of Denials Management and Prevention for a facility in Alabama.

 

Summary:

The Director, Denials Management & Prevention shall oversee the centralized operations of denial review appeal, recovery and management of payer contracts. The Director will collaborate with leadership on the planning and strategic initiatives around technical and clinical denials, payer relations, and hospital collaboration while ensuring regulatorycompliance. This individual shall develop and maintain an organized and structured process for facilitating appeals and recoveries to ensure denials and underpayments are appealed in a timely manner in accordance with payer and regulatory requirements. The Director will audit, monitor, and trend denials and recoveries, identify performance and areas of opportunities including system, chargemaster, coding, and manual input. This individual will collaborate with key stakeholders identifying, developing, and implementing process improvement opportunities. The Director will partner with leadership to review existing payer contracts, identify potential pitfalls, and contract language barriers based on the review and analysis of current denial trends and underpayments. This individual will collaborate and assist in contract review and negotiations to ensure contract language will promote and enforce positive outcomes and resolution of claims.

 


Qualifications

 

Education / Experience: Bachelor’s degree in a business or healthcare related field or equivalent education and experience. Minimum of at least 7 years’ experience in revenue cycle in a healthcare system. Minimum of 3 years management experience required. Must have managed care experience. Director level experience at a sizeable hospital.

Knowledge, Skills, and Abilities:

  • Experience in managing a large volume of accounts while maintaining a high accuracy and positive outcomes.
  • Strong knowledge of various types of payer denials, appeals, and underpayment management to ensure denials are appealed and resolved timely.
  • Advanced knowledge of CPT, ICD-10 coding and billing, UB and 1500 billing.
  • Advanced knowledge of Medicare, Medicaid and third party payment methodologies.
  • Advanced knowledge of CMS Medicare regulations.
  • Advanced knowledge of reading and understanding managed care contracts and federal and state regulations.
  • Maintain professionalism working and collaborating with internal and external partners to promote positive outcomes.
  • Intermediate PC experience required with knowledge of Excel and Word applications.
  • Excellent verbal and written communication skills.
  • Strong critical thinking and analytical skills.
  • Self-motivated.
  • Demonstrated ability to drive positive results and change management