- Granville Medical Center (Oxford, NC)
- …tasks in denials report to ensure timeliness of follow-up and appeals . Organizes denial/rejection related tasks to identify patterns and/or work most efficiently ... negative impact on their cash flow, timely claim reconsideration/filing, failed appeals , and/or increased denials and write-offs. Participates in departmental… more
- R1 RCM (Chicago, IL)
- …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 (Boise, ID)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Denials & AR Analyst ** , you will help R1 clients ... position. **Here's what you will experience working as a Denials & AR Analyst :** + Investigate and...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- RWJBarnabas Health (Oceanport, NJ)
- Associate Analyst ARS, Appeals , Remote, NJReq #:0000175741 Category:No Category Assigned Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate ... Oceanport, NJ 07757 Summary of Job Function The Associate Analyst , Appeals is primarily responsible for validating... is primarily responsible for validating clinical and technical denials to ensure appeals are accurately pursued.… more
- TEKsystems (Annapolis, MD)
- Hybrid Coding Appeals Analyst Opportunity to join one of Maryland's most renowned and established healthcare systems. This organization is committed to ... Friday (Normal Business Hours) Position Summary: As a Coding Appeals Specialist, you will be a crucial member of...as well as suggesting process improvements to reduce future denials . Benefits: + Exposure : Ability to join and… 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
- Mount Sinai Health System (New York, NY)
- …compliance standards and credible coding sources + Assist PFS with analyzing coding denials and writing appeals , as needed. + Review and distribute ... **Job Description** **Reimbursement Analyst Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The...**Responsibilities** + Responsible for resolving coding related errors and/or denials identified by CDM edits or by the Billing… 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)
- …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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …etc. - Assists with appeals to the FCC or USAC for funding denials or reductions. - Reminds public libraries of various E-rate form and compliance deadlines. - ... IT Technical Support Analyst 1-3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4782708) Apply IT Technical Support Analyst 1-3 Salary… more
- Community Health Systems (Franklin, TN)
- (Full Time, Remote) The Analyst is responsible for the maximization of reimbursement by identifying contractual variances between posted and expected reimbursement ... of payment discrepancies to internal and external departments. As a Payment compliance Analyst at PCCM/CHS Shared Service Center - Nashville, you'll play a vital… 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
- 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
- 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
- Beth Israel Lahey Health (Burlington, MA)
- …the intensity of medical care provided. This role specifically works with insurance appeals and denials , this role is onsite. **Essential Duties & ... you're making a difference in people's lives.** **Job Description:** The Utilization Analyst works with physicians, the payers and inpatient case management team to… 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
- 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
- University of Michigan (Ann Arbor, MI)
- …will include accurate claim submissions, active collections, resolving complex denials , appeals , insurance inquiries, and reimbursement issues for ... from undistributed or correct payment posting issues. + Investigate claim denials and reimbursement issues, pursuing appropriate corrective actions including status… more