- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- **_SUMMARY_** We are currently seeking a *PFS Contract Variance Analyst ** *to join our Denials Analysis team. This full-time role will work remotely (Days, M- ... F). *Purpose of this position:*The Contract Variance Analyst provides foundational support in managing appeals ...appeals related to payer contract variances and fatal denials . This role is responsible for assisting with appeal… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- **_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, ... Analyst Senior is responsible for leading the end-to-end appeals process related to contract variances and fatal ...appeals process related to contract variances and fatal denials . This role serves as a subject matter expert,… 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 ... + Experience in healthcare or revenue cycle - specifically insurance claim denials . + Strong analytical and organizational skills. + Excellent communication and… 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 ... claims with the purpose of reducing overall denials and increasing revenue. This includes interpreting payment and...be appealed. Responsible for writing timely, comprehensive and compelling appeals to third party payers in order to get… more
- BJC HealthCare (St. Louis, MO)
- …Role** BJC HealthCare is seeking a Patient Accounts Analyst ! who will be writing appeals for denials for Medicaid and Medicaid risk plans for Mo. and IL. for ... hospital side based on contract language. If you have experience writing denial appeals , apply today! **Overview** **BJC HealthCare** is one of the largest nonprofit… more
- BrightSpring Health Services (Valdosta, GA)
- …BrightSpring Health Services is seeking a highly skilled and detail-oriented Accounts Receivable Process Analyst to join our team. As an A/R Process Analyst you ... month for assigned Operations. + Timely follow up on insurance claim denials , exceptions, or exclusions. + Maintain open communication with Billing Specialist, Cash… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …and recover outstanding receivables. Identify trends in payments, underpayment/overpayments and denials . Work with respective departments to evaluate trends and be ... the revenue cycle processes. Directly manage and resolve all assigned underpayment appeals , follow-up and payer relationships. Report to management any gross payment… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …data across multiple domains, including utilization management, prior authorization, claims, denials , and appeals . Their work goes beyond extraction; it ... Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area:...us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the… 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
- Prime Healthcare (Ontario, CA)
- …of government & non-governmental payor reimbursement methodologies, coding practices, and denials & appeals protocols preferred. + Strong computer skills ... of the Corporate Director of Ambulatory Surgery Centers (ASC's), the Corporate Finance Analyst will work on various ASC projects for the medical groups team. This… more
- Albany Medical Center (Albany, NY)
- …for services provided by hospital of Albany Med Health System by competing appeals , phone calls, and account review. Qualifications: High school diploma or GED is ... and compelling appeal letters to payors regarding payment variances and denials .Able to communicate effectively and successfully with team members, providers,… 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. **Required Education:** High ... 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
- Guthrie (Sayre, PA)
- …I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of ... necessary action to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to identify potential… more
- City and County of San Francisco (San Francisco, CA)
- …+ Performs revenue analysis related to charge errors, claims submission volume, denials and trends based on claim type and/or payer, including unbilled inventory ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will… 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
- State of Colorado (Denver, CO)
- …eligible for overtime compensation. Department Contact Information Haley Thompson, HR Analyst , ###@state.co.us How To Apply Please submit an online application for ... determinations of appropriate tax collection procedures and making authorizations or denials of refunds or assessments. Moreover, the Tax Examiner provides the… more
- Huron Consulting Group (Chicago, IL)
- …variety of activities involving the coding of medical records, resolving coding related denials , and auditing of coders to ensure coding accuracy standards are met. ... report to the Huron Managed Services Domestic Coding team. The Medical Coding Analyst will report to the Domestic Business Office leadership team. **KEY JOB… more
- Huron Consulting Group (Chicago, IL)
- …support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials . * Works Inpatient claim edits and may code consecutive/combined accounts to ... (PFS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement. * Maintains CEUs as appropriate for coding credentials… more
- Huron Consulting Group (Boston, MA)
- …payer requirements, and/or initiates notifications of admission + Resolves authorization denials by providing additional information, documentation, and appeals ... currently in effect and may be implemented in the future._ **Position Level** Analyst **Country** United States of America At Huron, we're redefining what a… more