analytics, AI, intelligent automation, and workflow orchestration. As our Complex Denials Consultant, you will represent... topics. Here’s what you will experience working as a Complex Denials Consultant: Assist recovery staff in pursuing...
Job Summary: Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders... and supports organizational alignment and prioritization of business initiatives. Manages complex projects or project components...
The Senior Revenue Cycle Consultant enables operational efficiency, effectiveness, and strategic alignment to meet... of performance reporting to conduct root cause analysis of denials and other reason for lost reimbursement; and, the advancement...
Overview: Alera Group is looking for a Senior Claims Consultant. We are seeking highly motivated colleagues who bring... us to offer national resources combined with local service. Responsibilities: The senior construction consultant will need to be well...
effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high... records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost effectiveness and impact...
to make effective business decisions; determines and carries out processes and methodologies; solves complex problems... review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost effectiveness...
complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the... through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys; ensuring...
processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress... of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys...
rates and reduce denials against those constraints. WHAT YOU'LL DO This cross-functional position will work... projects when applicable Excellent written communication skills; able to succinctly convey complex ideas through writing...
effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high... records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost effectiveness and impact...
effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high... records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost effectiveness and impact...
cord injury, orthopedic trauma, neurological disorders, amputation, or other complex illnesses. Intensive Therapy..., Clinical Consultants, and Denials Management Department. Participate in team meetings along with Medical Director, Program...
and denials. TF Consultant should utilize knowledge of Epic optimization to implement identified initiatives and workflow...GENERAL SUMMARY: The Transaction Flow (TF) Consultant is responsible for leading and supporting teams through the...
with maintaining positive relationships. Attention to Detail & Organization: Highly detail-oriented in working claim denials.... Industry-Specific Knowledge - Healthcare: Familiarity with insurance billing, denials, and EOBs. Some experience...
of a local consultant with the global resources of the world’s leading professional services firm, Marsh McLennan (NYSE: MMC... and comprehensive written responses to reservation of rights letters and coverage denials. 6. Provide educational presentations...
and alternative levels of care. The PA performs denials management and prevention in accordance with the organization’s goals... letter writing. The PA acts as a consultant to, and resource for, attending physicians regarding their decisions relative...