Denial Appeal Care Manager jobs

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Case Manager/Nurse Navigator RN
Methodist McKinney Hospital - McKinney, TX 75070
Manages the process to review and, as appropriate, appeal denials received from payors. Identifies and resolves barriers that hinder effective patient care....
Sponsored
Central Billing Office (CBO) Manager/Collections Manager - L...
Knowledge of appeals processing and denials management. Resolve outstanding payment/collection issues, including insurance appeals....
Sponsored
Medical Office Manager
Center for Adult Healthcare, SC - Bloomingdale, IL 60108
Understand acceptable insurance plans and coverage, referrals and authorization of visits, billing denials and appeals....
Easily apply
Sponsored

Registered Nurse Care Manager

Lakeland Care District - Crivitz, WI 54114  +2 locations
With the care manager, coordinate acute and primary care services provided to members. In addition to interacting frequently and directly with District members,...

Utilization Review Specialist RN - PRN or Per Diem

Strategic Behavioral Health, LLC - Las Vegas, NV  +1 location
Facilitates clinical pertinence reviews on all patient admissions and continued stays, retrospective reviews, denial appeals, completion of certifications....

Care Manager

The University of Texas Medical Branch - 377 reviews - Galveston, TX
$67,200 - $107,520 a year
Level of Care. Care Coordination of Treatment Plan:. Facilitate Patient Care conferences based on patient/family needs o Manage patient and family expectations...

Care Manager

Chambersburg Hospital - 22 reviews - Chambersburg, PA
Care Manager Department:. CARE MANAGER, CARE MANAGEMENT 14. CARE MANAGER, CARE MANAGEMENT Leadership Standards:....

Patient Accounting Manager

Doctors Hospital at Renaissance - 37 reviews - Edinburg, TX 78539
Analyzes appeal and denial codes to determine underlying causes. Analyzes trends in reimbursement delays, underpayments and insurance denials....

Case Management Specialist

Hackensack University Medical Center - 156 reviews - Hackensack, NJ
Prepares required Appeals and Denial information for processing and follows up on receipt of communication including HQSI appeal management process....

CASE MANAGER

CareOne - Concord, MA
Provides ongoing communication information to insurance case managers and primary care providers. Oversees the care provided to patients insured by Managed Care...

RN Homecare Case Management for Managed Care

Compass Healthcare Consulting & Placement - Garden City, NY
$90,000 a year
Qualified candidate will have prior experience working as a Coordinator of Care, Case Manager, Care Manager or Discharge Planner.ESSENTIAL JOB FUNCTIONS:....
Easily apply

Episodic Care Manager

Blue Cross Blue Shield of North Carolina - 3,310 reviews - Winston-Salem, NC
The Episodic Care Manager is responsible for performing medical reviews to assess, facilitate, and coordinate the delivery of care across the Health Care System...

Medical Office Manager

Center for Adult Healthcare, SC - Bloomingdale, IL 60108
Understand acceptable insurance plans and coverage, referrals and authorization of visits, billing denials and appeals....
Easily apply
Case Manager
ArchCare - New York, NY
Refers MCO denial of care/service to the medical director for appeals process. Responsible for notification of denial of services to patient/family and explains...
Sponsored
Coding Quality Coordinator Inpatient
UCHealth - 184 reviews - Denver, CO
Writing appeals if needed. Working with Finance Department, Quality Department, Denials Team, Compliance and with the Coding Manager to report any trends that...
Sponsored by University of Colorado Health

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