successful applicant's duties will include but is not limited to the following: Manage two (2) supervisors and a team of clinical denials... specialists. Responsible for the management of clinical denials, across all payors Will work to assure optimal reimbursement...
Description & Requirements Maximus is hiring a Clinical Program Manager to support the DE PASRR program. The Program... - Review clinical documentation including pending denials for each assigned staff member in real-time - Collect QA information...
! JOB SUMMARY The Revenue Cycle Project Manager leads system-level projects and process improvement initiatives to optimize... with stakeholders across clinical, operational, and IT teams to deliver projects on scope, on time, and within budget. The ideal...
cases not meeting medical appropriateness criteria, you'll alert relevant teams and coordinate actions during denials..., and applying detailed clinical care documentation. Computer literacy, especially in Microsoft Office and medical documentation...
strongly preferred CHAA - Certified Healthcare Access Associate preferred CHAM - Certified Healthcare Access Manager... for reviewing patient account errors and denials that pertain to the Insurance Verification's Department. Also providing guidance...
cases not meeting medical appropriateness criteria, you'll alert relevant teams and coordinate actions during denials..., and applying detailed clinical care documentation. Computer literacy, especially in Microsoft Office and medical documentation...
Management Support: Research coding, documentation and reimbursement inquiries submitted by physicians, clinical departments... understanding documentation requirements to promote billing compliance Clinical Department Education: Develop and conduct...