- Elevance Health (Cerritos, CA)
- Title: Grievance/ Appeals Analyst I Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... by law. * Shift hours: Tuesday - Saturday 8:30am - 5:00pm EST The Grievance/ Appeals Analyst I is an entry level position in the Enterprise Grievance & Appeals… more
- CGI Technologies and Solutions, Inc. (Falls Church, VA)
- Management Analyst II (EOIR/BIA) Category: Administration Main location: United States, Virginia, Falls Church Position ID: J1125-1883 Employment Type: Full Time ... Position Description: CGI Federal is seeking a Management Analyst II with experience in Cognos, SharePoint, and Business...Executive Office for Immigration Review - Board of Immigration Appeals (EOIR/BIA) in Falls Church, VA. The position supports… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives. The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied ... be appealed. Responsible for writing timely, comprehensive and compelling appeals to third party payers in order to get...denial overturned. Responsible for timely follow up on filed appeals via telephone, writing, or the payer website. Organizes,… more
- BJC HealthCare (St. Louis, MO)
- …experience) Additional Information About the Role BJC HealthCare is seeking a Patient Accounts Analyst ! who will be writing appeals for denials for Medicaid and ... hospital side based on contract language. If you have experience writing denial appeals , apply today! Overview BJC HealthCare is one of the largest nonprofit health… more
- Molina Healthcare (Lexington, KY)
- …and contractual guidelines. Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. ... continuous improvement. Skills & Competencies Proven experience handling provider disputes, appeals , and overpayment recoveries in a managed care or payer… more
- Point32Health (MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- Point32Health (Canton, MA)
- …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- Elevance Health (Tampa, FL)
- …for system edits. + Coordinates research and responds to system inquiries and appeals . + Conducts research of claims systems and system edits to identify ... adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates. + Trains customer service staff on… more
- Ochsner Health (New Orleans, LA)
- …make a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and ... Collaborate with clinical staff and coding teams to obtain necessary documentation for appeals + Track and monitor appeal status, maintaining detailed records in the… more
- Elevance Health (Mason, OH)
- **Grievance and Appeals Analyst II (Executive Concierge Analyst )** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... an accommodation is granted as required by law. The **Grievance and Appeals Analyst II** is responsible for providing support services for multiple states,… more
- MTA (Long Island City, NY)
- … Analyst Series (Paratransit) Department: Paratransit Division/Unit: No-Show/Late Cancellation Appeals Reports To: Sr. Dir Paratransit SVC Eligibility Appeals ... - Represented by TWU): Min: $71,203 - Max: $84,295 No-Show/Late Cancellation Appeals As a Staff Analyst , you'll support the appeals process for no-show and… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Benefits Analyst you want with your current employer? We have an exciting opportunity for ... caring group of colleagues. Do you want to work as a Vendor Relations Analyst where your passion for creating positive patient interactions is valued? If you are… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …will work remotely (Days, M- F). *Purpose of this position:*The Contract Variance Analyst provides foundational support in managing appeals related to payer ... **_SUMMARY_** We are currently seeking a *PFS Contract Variance Analyst ** *to join our Denials Analysis team. This full-time role… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Contract Variance Analyst Senior is responsible for leading the end-to-end appeals process related to contract variances and fatal denials. This role serves as ... **_SUMMARY_** We are currently seeking a *PFS Contract Variance Analyst Senior** *to join our Denials Analysis team. This full-time role will work remotly (Days, M-… more
- City and County of San Francisco (San Francisco, CA)
- …Francisco and UC Law San Francisco. Under direction, the 1813 Senior Benefits Analyst performs complex benefits work for the City's health, dental, vision, Flexible ... an assigned benefit program. Additionally, the 1813 Senior Benefits Analyst directly oversees a team of Benefits Analysts and...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- CalSTRS (Sacramento, CA)
- Job Posting: Legal Analyst State Teachers' Retirement System JC-500501 - Legal Analyst ASSOCIATE GOVERNMENTAL PROGRAM ANALYST $6,031.00 - $7,547.00 per Month ... is seeking a motivated individual to work as an Analyst II on the Operations team. Under the direction...CalSTRS legal program, and represents the System in litigation, appeals , and other legal matters. The Office of the… more
- City and County of San Francisco (San Francisco, CA)
- …and County of San Francisco has to offer. As a Senior Administrative Analyst , you will be responsible for directing and performing challenging, complex, and ... operations. + Providing a real-world example, a Senior Contracts Analyst could assist with procurement and contract administration related...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …grants, contracts, budgets, finance, and/or program evaluation and planning. As an Administrative Analyst , you may work with a manager to perform research to develop ... the department. + Providing a real-world example, a Policy Analyst for the Office of the Treasurer & Tax...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …that may impact the department. + Providing a real-world example, a Junior Policy Analyst for the Office of the Treasurer & Tax Collector could involve working to ... partners. + Providing a real-world example, a Junior Budget Analyst may have the opportunity to learn about the...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …years of verifiable professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas of activity: recruitment ... Additional qualifying work experience as a professional human resources analyst may be substituted for up to two years...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
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