- R1 RCM (Salt Lake City, UT)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials and AR Senior Analyst , you will help R1 by ... reviews, call insurance companies to resolve authorization and claim denials , write appeals and letters to insurance...companies. **Here's what you will experience working as a Denials & AR Senior Analyst :** + You… more
- R1 RCM (Detroit, MI)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients ... companies. **Here's what you will experience working as a Denials & AR Analyst I:** + You...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- RWJBarnabas Health (Oceanport, NJ)
- Data Analyst , Appeals , Fulltime, Remote, NJReq #:0000176993 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:RWJBarnabas Health ... Oceanport, NJ 07757 Summary of Job Function The Data Analyst , Appeals is primarily responsible for validating... is primarily responsible for validating clinical and technical denials to ensure appeals are accurately pursued.… 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
- 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
- Sharp HealthCare (San Diego, CA)
- …/PDRs on non-clinical underpaid/denied claims.Explain new legislation impacting underpayments/ denials etc.Trend and identify underpayment/denial issues for training ... and collections to all payers through resolution of the accounts. This includes appeals and grievances with all payers and pursuit of private pay balances through… more
- City of New York (New York, NY)
- …Assurance and/or Contract Monitoring unit, summarizing the justifications of approvals and denials , and data collected to process provider appeals for individual ... Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE… more
- Mount Sinai Health System (New York, NY)
- …entered/processed in accordance with policies and procedures. + Analyzes missing charges, edits, denials list and process appeals . Posts payments and denials ... **Job Description** **Senior Billing Coordinator- Analyst MSH Adolescent Health Center FT Days** The...Health Center FT Days** The Senior Billing Coordinator and Analyst is an experienced billing and revenue-capture individual, responsible… 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
- Arkansas Children's (Little Rock, AR)
- …essential to performing job duties. Analyzes claims for payment. Resolves denials . Identifies problem trends and works to resolve. **Additional Information:** ... assure that unpaid amounts are valid and properly categorized. Appeals claims that are improperly adjudicated so they are...institution that cares for children." Linda - Information Systems Analyst "We are an organization of care, love, and… 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
- CaroMont Health (Gastonia, NC)
- …Management and Senior management as necessary. Retrospectively reviews medical record for clinical denials . Composes a detailed summary of care and sends appeals ... results. Maintains the Status Change Database. Performs retrospective clinical reviews/ appeals as part of denial process. The UR Specialist...be cross trained to work for the Commercial Resource Analyst when the need arises. Act as liaison to… 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