- Children's Hospital Boston (Boston, MA)
- …knowledge of payor contracts and relevant documents to payor reimbursement , coverage and authorization policies. The Financial Analyst I for Payor ... 77613BRJob Posting Title:Financial Analyst I for Payor Contracting (Remote)Department:Finance...payments. Assists with data mining and performing managed care contract analyses for various clients on a regular basis,… more
- Guthrie (PA)
- …quality testing for various rate schemes as they are installed. + Participates in payor contract meetings and payor discussions regarding third party ... third party contract management. Conducts audits, monitors, and reports payor performance. Analyzes billing and collection data and develops management reports.… more
- Abbott (Livermore, CA)
- …contribute by bringing a comprehensive knowledge in the specific area of commercial payor contract support by executing highly complex and specialized projects, ... people in more than 160 countries. **Job Title** **Senior Contract Support Analyst ** **Working at Abbott** At...respond to competing high priority tasks effectively + Commercial payor contract review experience + Managed Medicare… more
- UTMB Health (Galveston, TX)
- …Perform financial analysis utilizing the contract management system to review overall payor reimbursement as compared to costs. + Facilitate contract ... Senior Revenue Integrity Analyst - Revenue Integrity & Reimbursement ...reimbursement . + Provide frequent updates to leadership on contract performance, including risks to payor compliance… more
- CommonSpirit Health (Englewood, CO)
- …and is a focus of the financial audit. **Key Responsibilities** + Reimbursement Calculation/ Contract build/modeling - (Business critical maintenance) - Input and ... maintenance of Payor contracts to calculate net expected reimbursement ...reimbursement methodologies in order to correctly create the contract modeling calculation. + Ensure thorough testing of all… more
- Sanford Health (Grand Forks, ND)
- …Hours:** 40.00 **Salary Range:** $27.50 - $44.00 **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement related ... final Medicare and Medicaid regulation changes. Coordinates the impact analysis of payor contract changes during negotiations and finalizations of contracts.… more
- Mount Sinai Health System (New York, NY)
- …by provider, to specified payor and monitors progress for proper reimbursement through established follow-up protocols. 5. Provides contract rate analysis to ... **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for...Outlook **Responsibilities** 1. Monitors and reports the accuracy of contract reimbursements per payor , for both under… more
- RWJBarnabas Health (Oceanport, NJ)
- …, strongly preferred. + Experience solving difficult problems relating to reimbursement , contract modeling and revenue cycle functions, strongly preferred. ... Senior Analyst (Remote) - Oceanport, NJReq #:0000150834 Category:Professional /...language review and communication with insurance companies. + Evaluate payor performance relating to profitability, benchmarking, denials, contract… more
- Baptist Memorial (Jackson, MS)
- …as subject matter experts and resources on interpretation of payor contract language to ensure appropriate reimbursement by insurance companies. + Identify, ... Summary The Payment Reimbursement Analyst is responsible for identifying payer accounts to determine compliance with payer contracts. The analyst will audit… more
- Scripps Health (San Diego, CA)
- … reimbursement practices of third-party payors. Develops reports to evaluate the reimbursement effect of third-party payor contract proposals as requested ... billing reimbursement regulations. Reviews Medicare intermediary and other third-party payor bulletins to keep current on billing requirements. Reimbursement … more
- UTMB Health (Galveston, TX)
- …Perform financial analysis utilizing the contract management system to review overall payor reimbursement as compared to costs. + Facilitate contract ... Revenue Integrity Analyst - RCO, UTRGV **Galveston, Texas, United States**...modeling and reimbursement impact analyses of proposed contract changes to support negotiations. + Assess opportunities to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and accurate capture of all Lahey Health System revenue. The Revenue Integrity Analyst seeks to improve workflow, efficiency, accuracy, reimbursement and overall ... Director or Manager of Revenue Integrity, the Revenue Integrity Analyst serves as a primary point of contact for...9. Responsible for keeping abreast of all government and payor level coding, billing, reimbursement rules, regulations,… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …(EMR). + Prior work with underserved populations. + Experience in healthcare reimbursement or third-party payor requirements. + Ability to work independently, ... Management Analyst III - Health Services Management Analyst...contacts and provides guidance and direction about management of contract information. Responsible for performing project-type assignments. + Provides… more
- Premier Health (Dayton, OH)
- DEPT: CLINICAL DENIALS ADMIN Full-Time / DAY SHIFT The Denials Management Clinical Analyst (DMCA) is a registered professional nurse with knowledge and expertise in ... in care delivery and their impact on third party reimbursement . The DMCA has clinical expertise either as generalist...customers. The DMCA is responsible for resolving third party payor denials and identifying denial trends by payer. The… more
- RWJBarnabas Health (West Orange, NJ)
- …Service Line performance, Strategic Planning initiatives, Compliance, Managed Care Payor performance, Regulatory reporting, Purchasing Contract initiatives, and ... Road, West Orange, NJ 07052 Position Summary: The Decision Support Senior Analyst provides financial and operational analysis, to enable management to make informed… more
- Healthfirst (NY)
- …or reimbursement model design + Experience with Govt and proprietary payor reimbursement methodologies and unit cost management + Strong understanding of ... Responsibilities: + Develop tools and processes for efficient operational and reimbursement management of hospital and physician partners. + Evaluate Medical Trend… more
- Sharp HealthCare (San Diego, CA)
- …appeal efforts on underpayment/denials with highest propensity for recovery, considering payor appeal timeframes, contract reimbursement , underpaid/denied ... current quarterly, monthly, yearly insurance rates are obtained and loaded into the contract module for accurate and expected rate analyzation. + ProductivityFocus… more
- Banner Health (AZ)
- …that all patient charges are included, accurate, and complete. Communicates government payor reimbursement information for related charges to managed care for ... growth at Banner Health! In this **Charge Description Master Analyst ** position we work as a chargemaster, which includes...and/or coding. Must possess a knowledge of managed care contract and government payor compliance and reporting… more
- Spectrum Billing Solutions (Skokie, IL)
- …100% fully remote. Your Responsibilities: + Complete provider credentialing and contract applications with third-party carriers and government health plans. + Review ... in credentialing and contracting. + Knowledge of Commercial Insurance and Government Payor guidelines. + Ability to plan, organize, and complete work with competing… more