Fraud Prevention Manager jobs in Fort Worth, TX

Fraud Prevention Manager manages a team of analysts responsible for the detection, prevention, and mitigation of fraudulent transactions. Develops cross-functional initiatives to proactively detect and prevent fraud from occurring. Being a Fraud Prevention Manager approves and implements recommendations for process and procedure improvements. Reviews and implements best practices in the fraud prevention industry. Additionally, Fraud Prevention Manager ensures compliance with all relevant anti-fraud regulations and standards. Creates reports outlining trends, risks, and mitigation strategies. Requires a bachelor's degree. Typically reports to a director. The Fraud Prevention Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Fraud Prevention Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Manager - Denial Prevention
  • jpshealthnet
  • Fort Worth, TX FULL_TIME
  • Job Summary: The Denial Prevention Manager is responsible for the analysis, interpretation, and identification of insurance denials and related performance variations and opportunities. This position develops mitigation strategies and oversees and coordinates the execution of prevention and reduction projects by collaborating with the Leadership of key areas including, but not limited to, Accounts Receivable, Financial Clearance, HIM/Coding/Revenue Integrity, Patient Access, and Clinical Operations. This position implements best practices to improve operational performance.

    Essential Job Functions & Accountabilities:

    1. Responsible for the development and execution of a denials prevention plan that anchors denials resolution processes in the analyses of core analytics, identifying root causes, and identify proactive and sound approaches to reducing denials.

    2. Promotes collaborative practices with revenue cycle stakeholders and management efforts. facilitates data sharing providing insight into focus areas, concentrated denial prevention, and

    3. Identifies and communicates payer-specific issues for escalation.

    4. Facilitates the dissemination of information regarding government and third-party payer regulations and requirements to clinical departments, coding, billing, revenue cycle management, and staff. (as applicable)

    5. Collaborates with managed care contracting team to identify and systematically resolve patterns of underpaid claims with managed care organizations, insurance companies, and governmental programs.

    6. Create a consolidated denial management structure with monitoring; Develop a methodology and committee structure to manage the performance of the denial management function and govern operational changes that may be necessary to prevent future denials in all areas of the pre-access, patient access, registration, coding, and billing process from occurring.

    7. Monitor, analyze, and assess denial management trends and coordinate mitigation and denial prevention activities when opportunities for improvement are identified.

    8. Devise new methods, procedures, and approaches to prevent denials across the organization and be able to introduce and gain support for process improvement.

    9. Develop departmental strategies to meet cash projection goals, reduce days in accounts receivable, and reduce denials.

    10. Manages staff and provides coaching, mentoring, and feedback. Maintains all timekeeping and payroll records and also identifies dependability issues.

    11. Participates in Leadership Development Activities; implements strategies and processes to improve employee morale and performance.

    12. Provides ongoing feedback to the team regarding productivity and quality.

    13. Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.

    14. Must be able to complete all job duties and functions of the role with or without assistive/adaptive devices, and/or reasonable accommodations.

    15. Work environments may differ based on job functions and location. Work is subject to schedule changes and/or variable work hours.
  • 1 Month Ago

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Fraud Investigations Analyst
  • Susser Bank
  • Arlington, TX FULL_TIME
  • Position Summary The position of Fraud Analyst shall be responsible for routine monitoring of bank activity and transactions to guard against and reduce financial fraud and crimes against the bank, ou...
  • 8 Days Ago

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Fraud Analyst I
  • Fort Worth Community Credit Union
  • Bedford, TX FULL_TIME
  • Work Hours: Monday – Friday 7:45am – 4:45pm. Summary: This position is responsible reviewing daily, weekly, and monthly Verafin alerts and preparing cases for management review as needed. Additional d...
  • 13 Days Ago

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Unarmed Security Flex Officers
  • THE LOSS PREVENTION GROUP, INC
  • Roanoke, TX FULL_TIME
  • Security (Flex) Officers for Corporate Site in Roanoke TX! START A NEW CAREER WITH METRO ONE LOSS PREVENTION GROUP A TOP 10 NATIONAL SECURITY FIRM Must have valid Texas level II security license. Open...
  • Just Posted

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Area Director, North Texas (Dallas, Forth Worth)
  • American Foundation for Suicide Prevention
  • Arlington, TX FULL_TIME
  • REPORTS TO: Vice President, Central Division LOCATION: Remote position; successful candidate must reside in or around Dallas or Forth Worth Texas POSITION SUMMARY Responsible for implementing AFSP’s f...
  • 1 Month Ago

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Prevention supervisor
  • HomeGoods
  • Fort Worth, TX FULL_TIME
  • JOB DESCRIPTION Come to work and be ready to think on your feet, grow your skills, and embrace the many opportunities. Our Distribution Centers are the key to getting new products out to TJ Maxx, Mars...
  • 1 Day Ago

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0 Fraud Prevention Manager jobs found in Fort Worth, TX area

Fort Worth is located in North Texas, and has a generally humid subtropical climate. It is part of the Cross Timbers region; this region is a boundary between the more heavily forested eastern parts and the rolling hills and prairies of the central part. Specifically, the city is part of the Grand Prairie ecoregion within the Cross Timbers. According to the United States Census Bureau, the city has a total area of 349.2 square miles (904 km2), of which 342.2 square miles (886 km2) is land and 7.0 square miles (18 km2) is covered by water. It is a principal city in the Dallas–Fort Worth metropl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Fraud Prevention Manager jobs
$94,536 to $125,830
Fort Worth, Texas area prices
were up 2.2% from a year ago

Fraud Prevention Manager in Lafayette, LA
Fire inspectors must clearly explain fire code violations to building and property managers.
December 10, 2019
Fraud Prevention Manager in Lincoln, NE
The balance between best experience and least fraud is tough to find.
January 29, 2020
Fraud Prevention Manager in Ventura, CA
Create and utilize Management Information System (MIS) to make process improvements, identify and counteract fraud trends, ensure the competency and efficiency of the department and manage day to day operations for 20 employees.
January 23, 2020