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Manager Denials Management Remote Multi Facility Health System
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- The Manager Denials Management reports to the Director of Claims Admin/Follow up.
- Executes the denial appeals process which includes receiving assessing documenting tracking responding to and/or resolving denials with third-party payers in a timely manner in conjunction with applicable internal departments.
- Systematically tracks the status and progress of denials and appeals for the Lifespan affiliates.
- Receives reviews and monitors progress reports from medical records ancillary and other departments (using provider liable reports medical necessity and ABN reports written order exception reports un-coded accounts receivable reports etc) related to denials/appeals and takes the necessary steps to implement positive change.
- Provides clinical support to all members of the Denials Management staff as well as other departments.
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