Clinical Denial Lead

The Clinical Denial Specialist writes and submits professionally written appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language. Appeals are submitted timely and tracked through final outcome.

Denials Process ConsultantRequirements: At least 3 years of experience in Denial Management 5+ years of experience working with RCM hospitals and operations or clinical professionals 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement 5+ years of experience creating presentations demonstrating...

Denials Process ConsultantMinimum 3 years of experience in Denial Management 5+ years of experience collaborating with RCM hospitals and operations or clinical professionals 5+ years of experience analyzing substantial data sets to detect patterns, establish baselines, and monitor progress 5+ years of experience crafting presentations showcasing results and...

Join our dedicated team at HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This position is ideal for those who excel in analytical thinking and have a strong...

QualificationsAt least five years of supervisory/managerial experience working in Clinical services, such as Clinical Authorization, Utilization Management/Review, and Clinical Denials & Appeals.Prior experience Management experience with Clinical Documentation Integrity (CDI) a strong advantage but not required.Preferably a PHRN/USRN or MD.Primary Job...

Senior Quality Manager, GxP Auditor - open to all Asian locationsHR Manager, East Asia at George ClinicalAn opportunity has arisen for an experienced, adaptable and committed Senior Quality Manager/ GxP Auditor to join our dynamic team in any of the following locations - Hong Kong, Malaysia, Taiwan, Philippines or Singapore.We have many new ground-breaking...

Accesshealthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Qualifications : Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...

Accesshealthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Qualifications : Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...

Accesshealthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Qualifications :Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...

Job DescriptionFacilitate customer product application training in support of conversion or retention of key customers.Develop clinical and product application training modules that will help increase the competence of internal and external sales teams.Decide scientific/medical subject matter appropriateness of materials used to support internal/external...

Full time Add expected salary to your profile for insights We are seeking a dynamic and experienced Clinical Education Manager to oversee our educational programs. The Clinical Education Manager will work closely with the Chief People Officer, the Manager of Human Resources and the Clinical Operations Managers to develop and implement educational...

JOB DESCRIPTION:To contribute to the delivery of Quality Patient Care and Safety consistent with SLMC Vision, Mission and Values and the organization's strategic objectives.To provide technical and administrative support to the Associate Director and Vice President & Chief Quality Officer in the management of SLMC's Quality and Patient Safety Program,...

JOB DESCRIPTION:To contribute to the delivery of Quality Patient Care and Safety consistent with SLMC Vision, Mission and Values and the organization's strategic objectives.To provide technical and administrative support to the Associate Director and Vice President & Chief Quality Officer in the management of SLMC's Quality and Patient Safety Program,...

As a Clinical Marketing Specialist, you will play a pivotal role in promoting our specialty diagnostics products and solutions. Your expertise in clinical marketing, combined with your understanding of the Biomarkers portfolio within the Pharma space, will contribute to our growth and success.Key Responsibilities:Strategic Messaging and Positioning:Utilize...

Team Lead PHRN w/ healthcare background.PHRN license with strong healthcare background and clinical hospital experience (preferably UMR experience)Can start asap. can work onsite. amenable working graveyard shift. 60k with HMO and 20 night diff and Bonus.

Work ScheduleOtherEnvironmental ConditionsOfficeJob DescriptionAt Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers to make the world healthier, cleaner and safer. We provide our teams with the resources needed to achieve...

PHRN license Team Lead strong healthcare background and clinicalCompany: BPO-services Company Description:Customer Interaction: Handle inbound and outbound customer calls, emails, and chats with professionalism and empathyIssue Resolution:Address customer concerns, troubleshoot problems, and provide effective solutions to ensure a positive customer...

A billion dollar global pharmaceutical companyLead 2 portfolios - BioPharma and OncologyAbout Our ClientA global, science-led, patient-focused biopharmaceutical company that focuses on the discovery, development and commercialisation of prescription medicines for some of the world's most serious diseases.Job DescriptionResponsible for the development,...

Primary Duties and Responsibilities: Ensure that training and assessments happen as per statutory requirements. Give feedback and coach trainees on key job capabilities. Update and develop content as per client and business requirements. Ensure that all relevant information is updated on to the MIS trackers regularly. Conduct regular TNA / TNI to ensure that...

Friday, March 15, 2024 Are you ready for the Most Impactful Work of Your Life? Signant Healthis a global evidence generation company. We're helping our customers digitally enable their clinical trial programs, meeting patients where they are, driving change through technology and innovations and reimagining the path to proof. Working at Signant Health...