necessity and authorization payer denials rationales and provides appropriate medical necessity appeal services. The Appeals.... Job Requirements: Review payer denial response letters in comparison to medical records Prioritize denials based on expiration dates...
, tracks and appeals clinical denials. Supports and facilitates the design, development and implementation of Utilization... care companies, including appealing denials. General: * Excellent written and verbal communication skills. Ability...
Responsibilities Processes, tracks and appeals clinical denials. Supports and facilitates the design, development... with managed care companies, including appealing denials. General: * Excellent written and verbal communication skills. Ability...
of Resident Care in Tennessee or Georgia- RN Required The Regional Director of Resident Care is responsible for activities... compliance Reviews all potential move-outs. Reviews all potential move-in denials prior to any communication with prospective...
and analyzing data such as charge lag, late charges, denials and/or wRVU volumes. Collaborate with other Northside departments... of a bachelor’s degree. Must have a coding or nursing credential (RHIA, RHIT, CCS, RN) or a financial background...
revenue by trending, troubleshooting and analyzing data such as charge lag, late charges, denials and/or wRVU volumes..., RN) or a financial background. Must have minimum of 5 years hospital Charge master experience. Demonstrated...