- R1 RCM (Boise, ID)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst II, you will help R1 clients ... companies. **Here's what you will experience working as a Denials & AR Analyst II:** + You...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely ... review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across...carrier policy and utilization of coding software applications. The appeals process may include collaboration with the Claim Editing… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The DRG Appeals Analyst - CDI Liaison is responsible for analyzing medical records, claims data, and coding on all diagnoses and procedures ... have been applied to the claim. **RESPONSIBILITIES** 1. Analyzes denials and determines when an appeal should be filed...Health Systems Physician Advisor and HIM team to review denials and coordinate the appeal process. As front-line auditor,… more
- Genesis Healthcare (Philadelphia, PA)
- …comprehensive analytical review of patient's medical records. Appeal Writer/ Reimbursement Analyst will write sound, sensible and factual arguments that clearly ... argue for payment of the services provided. Specific reasons for denials are to be addressed directly with justification for the services to be paid.… more
- TEKsystems (Flagstaff, AZ)
- Claims Analyst (Remote) Must live in PST MST State (21.00 USD/hour) (Paid Training) Highlights of the job: . Industry: Healthcare-Call Center . Start Date: 9/25 . ... extensive client base, TEK systems is searching for Claims Analyst ! Benefits of this role: . Weeklypay . Work...processes to determine reimbursement eligibility. . Ensure payments and/or denials are made in accordance with company practices and… more
- Keystone Lab (Asheville, NC)
- …claims, when necessary, after payer contact. + Ensure that goals set for claims, denials , suspensions, and appeals on aged accounts are met within the set ... awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas...daily to collect outstanding insurance balances due, resolve disputes, denials , and general non- payment issues. This position also… more
- City of New York (New York, NY)
- …from the Contract Monitoring unit, summarizing the justifications of approvals and denials , and data collected to process provider appeals for individual ... Unit. Career Services is recruiting for three (3) Staff Analyst II's to function as Budget Analysts, who will:...issues; reviews and takes the appropriate action for provider appeals related to performance-based payment and/or credit by conducting… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Management Lead Analyst -Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated clinical ... appeal assistance + Prepare and write medical necessity appeal letters for claim denials for commercial and government payers. + Support all aspects of Patient… more
- BrightSpring Health Services (Valdosta, GA)
- …balancing and reporting.* Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.* Send cash transfer & check requests to the ... within the designated timeframe.* Timely follow up on insurance claim denials , exceptions or exclusions.* Reading and interpreting insurance explanation of… more
- Health Advocates Network (Folsom, CA)
- Health Advocates Network is hiring a ** Denials Analyst ** **(2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized hospital ... denials , ADR requests, and certs, submitting and tracking appeals , noting trends, and providing monthly reports. Respond to...related to denials and opportunities for future denials . ** Denials Analyst ** ** Qualification… more
- University of Michigan (Ann Arbor, MI)
- …and coordinate all activities related to the response to external audit activities, appeals , and denials . Work with stakeholders to create proactive systems that ... will reduce the risk of future denials . Oversee the operational functions that require a comprehensive...more responsible experience in a health information management or appeals / revenue cycle billing department is required. +… more
- The Mount Sinai Health System (New York, NY)
- …entered/processed in accordance with policies and procedures. 3. Analyzes missing charges, edits, denials list and process appeals . Posts payments and denials ... **JOB DESCRIPTION** The Senior Billing Coordinator and Analyst is an experienced billing and revenue-capture individual, responsible for multiple components of the… more
- University of Michigan (Ann Arbor, MI)
- …will include accurate claim submissions, active collections, resolving complex denials , appeals , insurance inquiries, and reimbursement issues for ... from undistributed or correct payment posting issues. + Investigate claim denials and reimbursement issues, pursuing appropriate corrective actions including status… more
- Methodist Health System (Dallas, TX)
- …:** **Your Job:** The ability to manage the organization's third party payer appeals through the ability to analyze, research and successfully appeal third party ... the clinical and non-clinical areas regarding claim errors and/or denials , and for providing cross coverage for areas not...Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification through… more