Manager, Denial Prevention & Process Improvement (Remote)
Adventist Health · Roseville, California, US
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years....
Job description
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Serves as a primary contact and facilitator between shared services revenue cycle operations and market operational departments for denials review and prevention coordination. Communicates to patient financial services, market revenue cycle management (MRCM) team, and market operational leadership current and historic denials metric. Provides insights into operational processes which influence initial claim denials and final account write off accounts. Works in coordination with the shared services, MRCM, utilization management, care management, and market operational leadership to develop targeted action plans to prevent claim denials. Provides quality support services to maintain a high level of operational accountability and continu...