- Molina Healthcare (WI)
- …and documents Medicaid and Medicare Advantage denial determinations for reconsiderations/ appeals in a thorough, professional and expedient manner. May include ... + Reviews, classifies, researches, and resolves member complaints (grievances and/or appeals ) and communicates resolution in writing to members and providers or… more
- Henry Ford Health System (Troy, MI)
- …for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, ... Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide root/cause analysis when… 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...Ability to join and gain exposure to a large healthcare organization and work alongside many other healthcare… more
- State of Colorado (Denver, CO)
- Electronic Case Reporting (eCR) Data Analyst - Statistical Analyst II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4779687) Apply ... Electronic Case Reporting (eCR) Data Analyst - Statistical Analyst II Salary $67,668.00...key roles in leading, implementing, and operating eCR with healthcare organizations, EHR vendors, and public health agencies. What… more
- CommonSpirit Health (Englewood, CO)
- …our hospitals and out in the community. **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report ... appeals , audit preparation and other duties related to the...and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered… more
- R1 RCM (Chicago, IL)
- …AI, intelligent automation, and workflow orchestration. As our Denials and AR Senior Analyst , you will help R1 by managing assigned accounts or clients. Every day, ... insurance companies to resolve authorization and claim denials, write appeals and letters to insurance companies to resolve denials,...will experience working as a Denials & AR Senior Analyst :** + You will be investigating and analyzing claims… more
- Robert Half Accountemps (Flint, MI)
- Description We are a healthcare organization based in Flint, Michigan, United States, currently seeking a Medical Claims Analyst . In this role, you will be ... such as coding patient data, auditing patient records, and liaising with healthcare providers. This position offers a contract with potential for permanent… more
- University of Michigan (Ann Arbor, MI)
- Financial or Bus Analyst Sr Apply Now **Job Summary** The Charge Integrity Business Analyst Sr is a highly analytical and technical position that relies on ... and ability to work effectively as part of a team. The Charge Integrity Business Analyst Sr is expected to work closely and promote an atmosphere of teamwork with… more
- Keystone Lab (Asheville, NC)
- …and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country, ... more cost-effectively than anyone else. Summary/Objective The Billing and Reimbursement Analyst is responsible for the maximization of reimbursements by contacting… 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
- State of Colorado (Denver, CO)
- Health Systems Value Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4779038) Apply Health Systems Value Analyst Salary $49,848.00 ... of diverse backgrounds and abilities. We are looking for a Health Systems Value Analyst to join our Finance team! Although the position class title is "intern",… 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
- TEKsystems (Birmingham, AL)
- Description The primary function of the Insurance Analyst I is to provides best-in-class customer services to patients Health Care Providers HCPs and their staff ... providers to comprehensively determine patients overall prescription coverage. The Insurance Analyst I handles patient requests received by phone or electronically… more
- R1 RCM (Boise, ID)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Denials & AR Analyst ** , you will help R1 clients by analyzing claims information so that ... you will experience working as a Denials & AR Analyst :** + Investigate and analyze claims to identify denial...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- Robert Half Accountemps (Lauderdale Lakes, FL)
- Description We are extending an opportunity for a Records Analyst (ABA) to join our team in Lauderdale Lakes, Florida. Operating within the healthcare industry, ... you will be focused on processing and maintaining accurate healthcare records, resolving inquiries, and working closely with insurance companies. This role offers a… more
- Dignity Health (Rancho Cordova, CA)
- …excellence in care and service. **Responsibilities** **Position Summary:** The Reimbursement Analyst provides direct support to the Manager of the Revenue Integrity ... contracts in the contract management system; identifying valid underpayments and generating appeals in an attempt to recover on underpaid medical claims. This… more
- Robert Half Accountemps (Lauderdale Lakes, FL)
- Description We are offering a contract for a Utilization Review (UR) Records Analyst (ABA) position in Lauderdale Lakes, Florida. This role is primarily within the ... healthcare industry and requires the successful candidate to be...for efficient health records management. * Ability to handle Appeals effectively is crucial for resolving disputes. * Understanding… more
- Sanford Health (Sioux Falls, SD)
- …**Salary Range:** $27.50 - $44.00 **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement related guidance and support to ... Medicare, Medicaid or other third party cost reports, related audits, appeals , disproportionate share hospital (DSH) programs, drug discount programs (340B) and… 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 ... equivalent, associates degree or higher preferred.* At least 2 years healthcare billing, private insurance and/or federally funded programs, researching agings and… more
- Beth Israel Lahey Health (Burlington, MA)
- …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 ... intensity of medical care provided. This role specifically works with insurance appeals and denials, this role is onsite. **Essential Duties & Responsibilities**… more