- UCLA Health (Los Angeles, CA)
- Description As the Appeals and Grievances (A&G) Analyst , you will be responsible for assisting with all operational aspects of appeals and grievances, in ... Medicare appeals and grievances. + Collaborates closely with beneficiaries, healthcare providers, and insurance companies to ensure that complaints, appeals ,… more
- UCLA Health (Los Angeles, CA)
- Description As the Senior Appeals and Grievances Analyst , you will be responsible for: + Assisting with all operational aspects of appeals and grievances, in ... state and federal regulations. + Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and providers receive fair and… more
- UCLA Health (Los Angeles, CA)
- Description As the Appeals and Grievances (A&G) Analyst , you will be responsible for assisting with all operational aspects of appeals and grievances, in ... Medicare appeals and grievances. + Collaborates closely with beneficiaries, healthcare providers, and insurance companies to ensure that complaints, appeals ,… more
- Travelers Insurance Company (Tampa, FL)
- …+ College degree preferred and /or equivalent work experience. + Previous Appeals experience reviewing workers compensation medical bills highly desirable. + Solid ... Terminology (CPT) + International Classification of Diseases-9 (ICD-9) Revision + Healthcare Common Procedural Coding System - 9th Revision (HCPCS) codes +… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Sr Ancillary Benefits Analyst ? At HCA Healthcare , you come first. HCA Healthcare has committed up ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...We are looking for a dedicated Sr Ancillary Benefits Analyst like you to be a part of our… more
- Atrius Health (Chelmsford, MA)
- …package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Medical Revenue Analyst - Healthcare Only* **Location:** *Chelmsford MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected...audits including Medicare program, writing complex clinical medical necessity appeals , analysis of claims data and billing related issues… more
- Sharp HealthCare (San Diego, CA)
- …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 ... and special reports + Financial Analysis and ReportingSuccessfully file appeals /PDRs on non-clinical underpaid/denied claims.Explain new legislation impacting underpayments/denials… 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 (Salt Lake City, UT)
- …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
- AbbVie (North Chicago, IL)
- …can be based in any state or city in the US The Supervisor, Insurance Analyst provides leadership, support, and supervision for the Insurance Analyst team . This ... commercial pharmacy, major medical, and government insurance plans, prior authorizations, appeals , and alternate coverage referrals. The supervisor ensures that all… more
- Maryland Department of Transportation (Anne Arundel County, MD)
- Labor Relations Analyst (HR Analyst I) Salary $53,808.00 - $86,322.00 Annually Location Anne Arundel County Job Type Full Time Remote Employment ... + Description + Benefits + Questions Description Labor Relations Analyst (HR Analyst I) Grade 14 Job...and/or the Memorandum of Understanding (MOU) dispute resolution compliant appeals process + Researching and analyzing historical data for… 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
- CACI International (Washington, DC)
- Forensic Schedule Analyst Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular Percentage of ... **The Opportunity:** CACI is seeking a cleared Forensic Schedule Analyst at Washington, DC. As the PEO Aircraft Carriers...of Evidence 703 as Armed Services Board of Contract Appeals (ASBCA) and Court of Claims project management and… more
- Robert Half Accountemps (Sterling Heights, MI)
- …We are offering a short term contract employment opportunity for a Medical Claims Analyst in STERLING HEIGHTS, Michigan. This role is in the healthcare benefits ... of three years of experience as a Medical Claims Analyst or in a similar role * Proficiency in...programs related to the role * Experience in handling appeals and claim administration * Proven experience in auditing,… more
- Integra Partners (Troy, MI)
- …member to help us turbocharge our analytical capabilities and thinking. The Business Analyst role will report to the Service Operations Director to support the ... overall development and growth of the Customer Service, Provider Claims & Appeals and Escalations departments, playing a key role in our growth and driving our… more
- CACI International (Washington, DC)
- PEO Aircraft Carrier Forensic Scheduling Analyst Job Category: Project and Program Management Time Type: Full time Minimum Clearance Required to Start: Secret ... Aircraft Carriers Refueling and Complex Overhaul (RCOH) Forensic Schedule Analyst for PMS 312D, the candidate shall; * Interface...of Evidence 703 as Armed Services Board of Contract Appeals (ASBCA) and Court of Claims project management and… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information so that ... you will experience working as a Denials & AR Analyst I:** + You will be investigating and analyzing...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- Vanderbilt University Medical Center (Nashville, TN)
- …**Organization:** Finance Reimb/Acct **Job Summary:** The primary purpose of the financial analyst is to support and perform analyses of financial matters related to ... upon cost report audit, reviews audit adjustments for reopening opportunities, and appeals disputed issues from the annual Medicare Cost Report and compiles… more
- Cambridge Health Alliance (Cambridge, MA)
- PACE Health Plan Analyst Apply Refer a Friend Back **Date Posted:** 11/06/2024 **Requisition Number:** 8816 **Location:** CHA East Cambridge Care Center **Work ... clinical operations staff, vendor, TPA, etc. + Research and resolve vendor claim appeals + Oversee the participant coordination of benefits (COB) list and ensure… 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