Get new jobs for this search by email
Denials (Authorization) Coordinator (PD)
AHMC Healthcare - Riverside, California, United States, 92504 4 days ago
Overview:Performs quality improvement measures and processes in collaboration with the Case Management Department and Utilization Review Committee. In...
More...
Visual & Communications Designer
Runyon Design - Brooklyn, New York, United States, 11210 1 months ago
We're seeking a Visual & Communications Designer with a strong penchant for data visualization and synthesizing information into visually compelli...
More...
Hardware Industrial Designer
LVT Corp - American Fork, Utah, United States, 84003 1 months ago
ABOUT LVTLVT is on a mission to make the world safer and more secure through rapidly deployable security hardware that runs on our proprietary SaaS pl...
More...
Graphic Design and Production
FASTSIGNS #65001 - American Canyon, California, United States, 94503 1 months ago
FASTSIGNS #65001is hiring for a Full-time Graphic Designer to join our team!Benefits/Perks:Competitive PayPaid Vacation and HolidayPerformance BonusOn...
More...
Graphic Design and Production
FastSigns - American Canyon, California, United States, 94503 1 months ago
FASTSIGNS #65001is hiring for a Full-time Graphic Designer to join our team!Benefits/Perks:Competitive PayPaid Vacation and HolidayPerformance BonusOn...
More...
Full Time Sales Lead - Scottadale Fashion Square
PANDORA A/S - Scottsdale, Arizona, us, 85261 2 days ago
Full Time Sales Lead - Scottsdale Fashion SquareQualifications, skills, and all relevant experience needed for this role can be found in the full desc...
More...
Marketing Assistant - ACS & SC
University of New Mexico - Albuquerque, New Mexico, United States, 87101 6 days ago
Student Advanced LevelRequisition IDreq30587Working TitleMarketing Assistant - ACS & SCPay$12.00 HourlyCampusMain - Albuquerque, NMDepartmentStude...
More...
Sr Product Marketing Manager
MEDICAREMD.COM - American Fork, Utah, United States, 84003 1 months ago
This position is RemoteJob SummaryThis position is responsible for driving product marketing strategies that align the sales and marketing teams to th...
More...
Go to next pageAHMC Healthcare - Riverside, California, United States, 92504
Overview:
Performs quality improvement measures and processes in collaboration with the Case Management Department and Utilization Review Committee. Interprets medical information used in the processing of payments and claimsResponsibilities:Investigates denials by third party payers and crafts thorough appeals to justify medical necessity. Develop, establish, and implement uniform processes and procedures for the successful appeal of payer downgrades and denials in a manner that meets all payer requirements for accuracy and timeliness. Also ensures that appeals are managed within required timeframes for maximum reimbursement. Compiles reports. Prepares and assigns record review for Medical Staff Committees. Assists in determining data formatting and types of indicators and studies. Assist in staff education in preventing denials.Qualifications:Graduate from an accredited school of nursing preferred; baccalaureate degree preferred or > 5 years experience in an acute care facility with denials experience. Possesses both good oral and written communication skills. Demonstrated interpersonal relationships in a manner which enhances communication, promotes conflict resolution and facilitates staff development. Requires knowledge or understanding or integration or software and hardware. Demonstrates a willingness to learn new programs and obtain further education regarding computerization. Knowledge in ICD Coding preferred.
See details and apply
Denials (Authorization) Coordinator (PD)