- 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
- R1 RCM (Detroit, MI)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst II, you will help R1 clients ... capabilities. **Here is what you will experience working in Denials & AR Analyst II:** + You...contact payors to learn the status of previously resubmitted appeals . + You will be responsible for drafting appeal… more
- PeaceHealth (Vancouver, WA)
- …of DRG denial letters through multiple systems for receiving, processing, and finalizing denials . Provides support to HIM Coding Process Analyst in answering ... **Description** PeaceHealth is seeking a full time Denials Assistant The salary range for this job...pulls supporting documentation from electronic health record. + Faxes/Emails/Uploads appeals to various payers in a timely manner. +… 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
- 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
- TEKsystems (Indianapolis, IN)
- …billing experience (UB04 and 1500 claims) + Experience with AR follow up, claims denials , insurance appeals , and knowledge of modifiers + Medicare, Medicaid, and ... electronically or by paper. + Researches and resolves claim holds and denials . Verifies patient benefits, eligibility and coverage as needed. + Maintains strictest… 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
- Kaleida Health (Buffalo, NY)
- …Mgmt **Job Description:** The Data Analyst will support the denials and appeals team, clinical documentation team, health information management/corporate ... perform analysis, identify trends and subsequently provide meaningful information to the denials and appeals team, health information management and clinical… 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