- Vanderbilt University Medical Center (Nashville, TN)
- …position upon cost report audit, reviews audit adjustments for reopening opportunities, and appeals disputed issues from the annual Medicare Cost Report and ... Reimb/Acct **Job Summary:** The primary purpose of the financial analyst is to support and perform analyses of financial...of financial matters related to reimbursement, net revenue and Medicare cost reporting. The work performed by this role… 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...of Dignity Health. The position maintains current knowledge of Medicare , Medicaid and other State and Federal regulations. The… more
- Medical Mutual of Ohio (Toledo, OH)
- **_The Operations Data Analyst II position allows you the_** **_flexibility to work a hybrid schedule (on-site and at home)_** **_as long as you reside within a ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- State of Colorado (Denver, CO)
- Permanency and Youth Services Data Analyst - ANALYST V Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4690971) Apply Permanency and Youth ... Services Data Analyst - ANALYST V Salary $89,520.00 -...(non-direct contact): CBI name check, ICON Colorado court database, Medicare fraud database, Reference checks, Professional License verification (licensure… more
- State of Colorado (Grand Junction, CO)
- Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) - Grand Junction Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4640675) Apply Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) - Grand Junction… more
- Arkansas Government Job (Little Rock, AR)
- HEALTH CARE ANALYST Date: Oct 28, 2024 Req ID: 44441 Location: Little Rock, AR, US, 72201 Category: AR DEPT OF HUMAN SERVICES Anticipated Starting Salary: $32,405.00 ... programs. . Receive and review various types of Beneficiary appeals . Serve as clerical support to Appeals...3383 Retrospective Review provider letters requesting EOMB (Explanation of Medicare Benefits) and prepare for mailing . Assist with… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Accounting and Reporting Analyst position is responsible for identifying and compiling information for various governmental reports, ... including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal...(HM) hospital and assists in cost report amendments, audit, appeals and reopening process. + Independently prepares federal and… more
- Molina Healthcare (Lexington, KY)
- **Molina Healthcare** is hiring for a **Sr Business Analyst ** with experience in **Managed Care Compliance** . This role is **100% Remote** and open to all locations ... Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Enrollment, Enrollment Analyst , Analyst , Business Analyst , BA, Sr Business Analyst… more
- Atrius Health (Chelmsford, MA)
- …policies and procedures responsible for responding to payer claim audits including Medicare program, writing complex clinical medical necessity appeals , analysis ... reviews for claim coding corrections and writing medical necessity related appeals . * Prior experience generating and interpreting data and reporting analysis… more
- Sanford Health (Grand Forks, ND)
- …**Salary Range:** $27.50 - $44.00 **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement related guidance and support to ... functions including estimating, modeling and reimbursement functions, which includes Medicare , Medicaid or other third party cost reports, related audits,… more
- Travelers Insurance Company (Tampa, FL)
- …providers regarding payment decisions for surgical services. Providing Medical Provider Appeals Analysts with expert technical support for most complex medical ... bill and rates with appropriate fee schedule rules, clinical edits, and Medicare , National Correct Coding Initiative (NCCI), internal Travelers protocols and PPO… more
- TEKsystems (Indianapolis, IN)
- …(UB04 and 1500 claims) + Experience with AR follow up, claims denials, insurance appeals , and knowledge of modifiers + Medicare , Medicaid, and Commercial claims ... required + Various Clearinghouse experience required + Paragon system or Medhost system experience preferred but not required About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of… more
- CaroMont Health (Gastonia, NC)
- …medical record for clinical denials. Composes a detailed summary of care and sends appeals to MCO, Medicare , or RAC for reversal of original determination. May ... 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)
- …operational improvements and directing specifics for policy improvement Quality Assurance Auditor/ Analyst : + Reviews client files and weekly data to assess ... name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… 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 located in ... and resolving claim denials, ADR requests, and certs, submitting and tracking appeals , noting trends, and providing monthly reports. Respond to audit requests… more
- City and County of San Francisco (San Francisco, CA)
- …meet all of the following criteria: + Be eligible to participate in Medicare , Medicaid, and/or other federal healthcare programs + Possess a National Provider ... + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR have submitted a completed billable… more
- Insight Global (Los Angeles, CA)
- …and other Plans staff including the Audit, Contributions, Accounting, Benefits Analyst , Pension, Health Claims and Operations Departments. Phone contact with ... deduction list. Create tailored letters regarding eligibility information as needed. Review appeals due to late payment of premiums and late notice for adding… more