Job Responsibilities Leader of Claim Denial Communications workstream. Tasks include: Working with Data Science and Analytics to gather background on denied claim types. Review the...
Licensed Clinical Social Worker (Virtual) at Headway summary: CVWalletExtranet.Domain.Entities.JobShortDescription " "" Licensed Clinical Social Worker (LCSW) Wage: Between $95-$12...
ATTENTION: This position requires graduation as a Doctor of Physical Therapy (or equivalent standing) and a state license as a Physical Therapist. Now Hiring: Physical Therapist- F...
Elevate your career with a role that offers up to $150,000 while making a significant impact in animal healthcare! The Hospital In the heart of an established community, this state...
This Job at a Glance Job Reference Id: ORD- -MD-FL Title: MD Dates Needed: 2+ weeks/month starting in July Shift Type: Night Shift Assignment Type: ER Call Required: No Board Certi...
About the Job: Do you have a passion for working with children and enjoy making a big impact? Dreamland Learning Center seeks dedicated staff to join a growing, fun, high-performan...
Clinical Social Worker Health Care Facility Surveyor- Rhode Island (#1276) Employee retirement plan (401k) with a generous match and immediate vesting Company-issued and company-pa...
15K BONUS FOR QUALIFIED CANDIDATES! Operating Room Experience Required, Three 12-hour shifts plus call BLS Certification Required Primary Function : Responsible for directing patie...
Encompass Health Rehabilitation Hospital of FranklinGreen Hill, RI
Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart an...
Registered Nurse | Up to $54/Hour Now more than ever before, medical professionals are taking charge of their own careers. Its your turn are you ready for something better? Hi!...
Job Summary: The care manager is a key member of a Collaborative Care team, including the patient’s primary obstetric provider, a psychiatric consultant, and other mental health pr...
Growing company/ Great Benefits/ $$$ This Jobot Job is hosted by: Billy MewtonAre you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Salary: $9...
We're recruiting experienced Class A CDL drivers for a carrier partner offering over-the-road routes across 48 states. This position is ideal for drivers who enjoy high mileage and...
Licensed Clinical Social Worker (Virtual) at Headway summary: CVWalletExtranet.Domain.Entities.JobShortDescription " "" Licensed Clinical Social Worker (LCSW) Wage: Between $95-$12...
TeamHealth has an outstanding opportunity for an experienced emergency medicine (EM) physician to step into a medical director role at Our Lady of Fatima Hospital in North Providen...
Job Summary: Safety Monitors/Security Guards are responsible for the overall security and well-being of the patients, staff, visitors, and physical facilities of Butler Hospital by...
Flat Rate Technician Pay: $42,000.00 - $125,000 Full-time : Flexible Schedules are Available Nucar Toyota of North Kingstown is currently looking for a Flat Rate Technician to join...
Submit 10x as many applications with less effort than one manual application.1
Reclaim your time by letting our AI handle the grunt work of job searching.
We continuously scan millions of openings to find your top matches.
Job Description
Job Responsibilities
Leader of Claim Denial Communications workstream.
Tasks include:
Working with Data Science and Analytics to gather background on denied claim types.
Review the data for key insights.
Use discovered insights and program tenants to help craft new explanation language.
Language is co-crafted using an existing workgroup of folks that span multiple orgs in the company. You are there to influence the right change based on your subject matter expertise using data insights.
Track denials touched and changes made across multiple applications (Excel Workbook).
Partner with broader program team to help everyone stay informed of changes (weekly meetings, IM chats, etc.).
Attending application requirements meetings as the denied claims subject matter expert.
May have to prepare or contribute to presentations.
Required Skills
At least 1 year of experience in Health Insurance is desired.
Must be passionate about making things better.
Must be able to meet deadlines (25 rewrites per quarter).
Good communication and EQ skills are critical to success.
Must be able to work as part of a diverse team know your role within the team for sphere of influence.
Lean/Six Sigma certification desired.
Knowledge of Net Promoter Score work desired.
Hands-On knowledge of Microsoft Office REQUIRED (Outlook, PowerPoint, Excel).
Experience with Miro desired.
Must be comfortable working independently Once onboarded, you are the workstream leader and have full responsibility for meeting deadlines and achieving desired results.
Benefits (employee contribution):
Health insurance
Health savings account
Dental insurance
Vision insurance
Flexible spending accounts
Life insurance
Retirement plan
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.