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1-15 of 252,577 Jobs
Case Manager
AnalystsLewisville, TX
Conduct customers to confirm approval/denials of coverage, co-pays, patient assistance programs and verification of specialty pharmacy that will dispensing their medication.
Сontractor
Supervisor, Coding Hospital - Based
Phoenix Children's HospitalGlendale, AZ
Will assist Coding Manager with all Coding Denials with staff.
Full-time
RN Case Manager- WMH- .8FTE- Days
ProHealth CareWaukesha, WI
This position will proactively prevent denials through assessment and application of Milliman Care Guidelines to determine status for appropriate reimbursement and bed placement.
Denials Support Specialist
MedasourceBlue Ash, OH
Experience in hospital operations, billing, AR follow-up, denials & appeals, compliance, and provider relations.
Medical Claims Denial Specialist
Community Surgical SupplyToms River, NJ
As a Medical Claims Denial Specialist with Community, you will be responsible for monitoring denials, appeals, and resolutions from participating insurance carriers and play a key role in the collections from insurance carriers.
Full-time
Root Claims Analyst
Baylor Scott & White HealthKilleen, TX
Examines information including, but not limited to, authorizations, benefits, payments and denials.
Full-time
RN Clinical Manager
AmedisysDover, DE
Responds to Additional Documentation Requests/Denials as directed by the regulatory affairs department.
Supv - Accounts Receivable
Independence Physician ManagementPaoli, PA
The Accounts Receivable (A/R) Supervisor has day to day oversight of all insurance accounts receivable functions including outstanding insurance claims (no response), insurance denials/appeals with a primary focus on maximizing insurance revenue collection.
Full-time
Case Management Representative
Houston Methodist HospitalSugar Land, TX
Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance companies as necessary, and documentation of authorization, approvals and denials.
Insurance Representative
Penn MedicinePhiladelphia, PA
Investigate claim denials and underpayments by insurance carriers and appeal for payment or make appropriate adjustement.
Full-time
Behavioral Health Analyst
North Texas State Hospital - Wichita Falls CampusWichita Falls, TX
(20%) Reviews medical records, MCO policies, and PA/authorization criteria to determine the compliance of approvals/denials of services with PA/authorization policies and procedures and evidence-based standards of care.
Full-time
Case Manager
Memorial Hermann Health SystemCypress, TX
Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals.
Full-time
Manager, SNF Rehabilitation
Brookdale Senior LivingAustin, TX
Ensures timely response to compliance and / or Medicare claim reviews and denials in coordination with Brookdale Regional Director of Appeals.
Patient Financial Services Supervisor - Home Health
Banner HealthDallas, TX
This position is also responsible for trending issues, attending 1:1 conference calls with payers and payer meetings, monitoring A/R, completing supervisory billing functions, taking supervisor/escalated customer service calls, monitoring denials/appeals, training new staff and performance reviews for their direct reports.
Patient Advisor - Cancer Center
Lovelace Health SystemAlbuquerque, NM
Research denials for no authorization, pre-existing and appeals, obtain retro-authorization.

denials