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Coder I, ED, Remote
University of Louisville Physicians
Provides trending deficiencies to Senior Manager and Compliance Educator, as appropriate
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Patient Access Center Representative
CORP - HM Corporate Division - The Methodist Hospital
…verification of eligibility and benefits. This position assists management with ongoing observations and notifications of opportunities while providing innovative suggestions for process…
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AR Team Lead
Healthrise
…partner revenue operations. Responsible for all post-billed denials, including clinical denials, as part of the Denials Resolution team. Ensures payment is received on denied accounts,…
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Accounts Receivable Specialist- Medical Billing Experience
Netsmart Technologies, Inc.
Perform end-to-end denial management, including researching claim denials, identifying root causes, submitting appeals, and securing appropriate reimbursement.
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Manager, Specialty Therapy & Rehabilitation Services
Centene Management Company LLC
Position Purpose: Manage Specialty Therapy and Rehabilitation Services (STRS) clinical services including management and marketing of clinical services.
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Auditing & Education Consultant - IP facility or IP/OP
CorroHealth Inc
…objectives as outlined by the incumbent’s immediate supervisor or…
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Supervisor, Accounts Receivable
Ensemble RCM LLC
The Supervisor, Accounts Receivable will support the Manager (or above), Accounts Receivable in the development of department team members. The Supervisor will be responsible for assisting…
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Director, Revenue Cycle Operations - Tempus AI Diagnostics
Tempus AI, Inc.
…charge capture, coding, claims submission, payment posting, denials, appeals, patient billing, collections, and…
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Claims Manager
ID Logistics
Monitor reservations of rights, coverage questions, denials, and significant insurer disputes; coordinate with the Insurance/Risk Manager and escalate material coverage issues to Legal.
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Senior Manager, Revenue Cycle Strategy
Jobgether
The Senior Manager, Revenue Cycle Strategy will play a pivotal role in advancing healthcare financial performance through strategic planning, operational transformation, and continuous…
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Revenue Accounting & Controls Manager
Luna Physical Therapy
Luna invites a meticulous and analytically minded Revenue Accounting & Controls Manager to safeguard and optimize our financial foundations with rigor, precision, and purpose. This is a…
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Director, Qualification Engagement
Lantern
…approvals, procedure-level approvals, holds pending information, denials, and removals from the…
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Loss Mitigation Underwriting Quality Control Specialist
Carrington
…Mitigation Underwriters including the review of approvals, denials, income calculations and final conversion calculations. Incumbent will review Underwriter documentation to determine if…
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Sr Manager, Revenue Recognition
Dasco HME LLC
The Senior Manager, Revenue Recognition is responsible for the people, processes and systems that move an order from delivery to a clean, billable claim. This position owns stop and held…
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Healthcare, Release of Information Audit Abstractor
Mass General Brigham Incorporated
…limited to, responding to third party payer requests, appeals, denials, QIO, Mass Health, RAC, CMS, ADR, HEDIS, Medicare Risk Adjustment, CERT, CDAC, DPH reporting, DRG, charge audits,…
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HIM Coder II, Certified, Remote
Amberwell Health Atchison
The HIM Coder II is a key member of the HIM team. The HIM Coder II will work under the direction of the Manager of Coding. This position will review documentation in the electronic medical…
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Director, Client Coding Integration
Ensemble RCM LLC
Manager to Director AI Knowledge: Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration,…
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HIM Coder II, Certified, Remote
Amberwell Health
The HIM Coder II is a key member of the HIM team. The HIM Coder II will work under the direction of the Manager of Coding. This position will review documentation in the electronic medical…
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Coding Consultant Outpatient - Sign On Bonus - $1,000/$1,500
Datavant
…Dialysis. Experience in EPIC and 3M preferred. Also experience with Denials, NCCI edits, medical necessity and claim edits a plus. While experience in all areas is not required, candidates…
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Claims Billing Specialist (Athena EMR)
Privia Health
Under the direction of the Director or Manager of Revenue Cycle Management, the Claims Billing Specialist (official title: AR Manager) is responsible for ensuring the accurate and timely…
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Case Manager - Utilization Review Specialist
Jobgether
Join a healthcare team dedicated to improving utilization management, strengthening reimbursement outcomes, and ensuring compliance with clinical and payer requirements. In this remote…
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Claims Specialist Team Lead
PharMerica
…provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United…
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Senior Project Manager - Enterprise Revenue Cycle
University of Washington
…and projects may be in support of critical initiatives (e.g., Denials Reduction, Vendor/Expense Management), the adoption/use of new applications or functionalities of existing applications…
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Manager, Payer Rules & Revenue Cycle Optimization
RGH Enterprises, LLC
The Manager, Payer Rules & Revenue Cycle Optimization leads the operational implementation and ongoing maintenance of payer rules and contractual requirements across the revenue cycle. The…
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Clinical Denial Specialist - Diagnosis Related Grouping (DRG)
SYSTEM West Virginia University Health System
Responsible for all administrative activities surrounding management, timely review/appeal, reporting, monitoring, and analyzing hospital based clinical, coding, and diagnosis related…