- ManpowerGroup (Columbia, SC)
- Our client, a leader in the healthcare industry, is seeking an Analyst , Appeals to join their team. As an Analyst , Appeals , you will be part of the ... which will align successfully in the organization. **Job Title:** Analyst , Appeals **Location:** Columbia, SC **Pay Range:**...Working knowledge of managed care and various forms of healthcare delivery systems. **What's in it for me?** +… more
- Elevance Health (Richmond, VA)
- **Title: Grievance/ Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The **Grievance/ Appeals Analyst I** is an entry level...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- UCLA Health (Los Angeles, CA)
- Description As the Appeals and Grievances (A&G) Analyst , you will be responsible for assisting with all operational aspects of appeals and grievances, in ... Medicare appeals and grievances. + Collaborates closely with beneficiaries, healthcare providers, and insurance companies to ensure that complaints, appeals ,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures ... collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the...to Five years of financial analysis experience in a hospital/ healthcare environment is required. Advanced knowledge of Epic, Contract… more
- Kelsey-Seybold Clinic (Houston, TX)
- …provider adjustments, and complete provider invoices received. **Job Title: Claims Appeals & Adjustment Analyst ** **Location: Remote** **Department:** **Claims** ... PPO, or TPA environment. Preferred: 3 years experience as Claims Payment Analyst with KSC and demonstrated ability to process complex medical claims. **License(s)**… more
- Catholic Health Services (Melville, NY)
- …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... Details Position Summary: Performs extensive data analytics, documents findings and recommendations to meet department and corporate goals. Builds, documents and maintains workflows related to all phases of department processes and systems. Able to act as an… more
- LA Care Health Plan (Los Angeles, CA)
- …auditing ( Appeals & Grievances, Call Center, Enrollment) in a healthcare environment required. Previous experience with Medi-Cal and Medicare in a managed ... Appeals & Grievances Regulatory Audit Readiness Specialist II...continuous process improvements. Collaborates with Customer Solution Center Business Analyst to track, trend, and analyze results of Quality… more
- The Cigna Group (Nashville, TN)
- … appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals and will coordinate and ... **Cigna Medicare Appeals Reviewer:** We will depend on you to...as well as Part B drugs. The Case Management Analyst will be responsible for analyzing and responding appropriately… more
- CommonSpirit Health (Englewood, CO)
- …our hospitals and out in the community. **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report ... appeals , audit preparation and other duties related to the...and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered… more
- CommonSpirit Health (Phoenix, AZ)
- …out in the community. **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report ... appeals audit preparation and other duties related to the...and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered… more
- State of Colorado (Denver, CO)
- Quality Specialist HFEMS (Statistical Analyst ) - FAA90975 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4822856) Apply Quality Specialist ... HFEMS (Statistical Analyst ) - FAA90975 Salary $67,668.00 - $77,818.20 Annually Location...statutes and regulations applicable to a wide variety of healthcare facilities and services in Colorado, including hospitals, clinics,… more
- Family Service Association - Fall River (Fall River, MA)
- …Family Service Association is seeking to hiring a full time, 40 hours per week, Revenue Cycle Analyst . Hours are Monday - Friday from 8 am to 5 pm The Revenue Cycle ... Analyst , reporting to the Director of Financial Services, plays...resolving billing issues, managing denials, and ensuring compliance with healthcare regulations and payer requirements. Duties and Responsibilities: +… more
- WMCHealth (Valhalla, NY)
- Payment Resolution Analyst Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Patient Accounts-WMC Health ... Internal Applicant link Job Details: Job Summary: The Payment Resolution Analyst processes all out of network insurance claims to ensure appropriate… more
- Medtronic (Minneapolis, MN)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... in the Life** We are looking for a **Senior** **Payer Policy and Relations Analyst ** to join our Health Economics, Policy, and Reimbursement (HEPR) team. The primary… more
- Elevance Health (Grand Prairie, TX)
- **Dental Services Analyst ** **Work schedule: Monday - Friday 8:00am to 4:30pm depending on time zone.** **Location: This is a virtual position, but candidates must ... miles of a Elevance Health Pulse Point location.** The **Dental Services Analyst ** is responsible for the analysis of dental claims, radiographs, patient histories… more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information so that ... you will experience working as a Denials & AR Analyst I:** + You will be investigating and analyzing...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- Robert Half Accountemps (Flint, MI)
- Description We are initiating a search for a Medical Claims Analyst in Flint, Michigan. This role operates within the healthcare industry and is focused on ... of experience in the role of a Medical Claims Analyst . * Familiarity and proficiency with Cerner Technologies is...* The applicant should have a strong background in Appeals . * Knowledge of Billing Functions is essential for… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and ... revenue opportunities, and communicating discrepancies to relevant departments. The PCCM Analyst collaborates with financial and clinical teams to improve revenue… more
- Lawrence General Hospital (Lawrence, MA)
- As the Denial Analyst , you will contribute to the Hospital's mission by coordinating the analysis and effective resolution of denied claims with the purpose of ... and distributes reports to management on the success of appeals and root cause analysis. + Serves as a...revenue cycle. + Maintains a current working knowledge of healthcare related issues and regulations including but not limited… more
- Elevance Health (Durham, NC)
- …PulsePoint office **Shift:** Monday - Friday; 8:00am - 5:00pm The **Claims Coding Analyst ** is responsible for the audit and review of medical record documentation ... specific coding edits. + Reviews and renders decisions on appeals to claim clinical coding denials for improper coding...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more