- Emory Healthcare/Emory University (Atlanta, GA)
- …South Carolina, Tennessee, Texas, Virginia and Wisconsin) **Description** + The System Denials Analyst , is responsible for gathering, analyzing, and reporting ... start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives +...data related to both hospital and professional billing denials across the healthcare system + Reporting to the… more
- Keystone Lab (Asheville, NC)
- …An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the ... better and more cost-effectively than anyone else. Summary/Objective The Billing and Reimbursement Analyst is responsible for the maximization of reimbursements… more
- Premier Health (Dayton, OH)
- DEPT: CLINICAL DENIALS ADMIN Full-Time / DAY SHIFT The Denials Management Clinical Analyst (DMCA) is a registered professional nurse with knowledge and ... The DMCA is responsible for resolving third party payor denials and identifying denial trends by payer ...., resolution of denials , and prevention of denials . 13. Performs calculations to determine expected reimbursement… more
- UTMB Health (Galveston, TX)
- Senior Revenue Integrity Analyst - Revenue Integrity & Reimbursement **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health ... related experience required. **Preferred Qualifications:** Bachelor's degree and/or Financial Analyst experience. **Job Summary:** Develops and tracks meaningful metrics… more
- RWJBarnabas Health (Oceanport, NJ)
- …accepts and benefits from constructive criticism Position Responsibilities + Analyzes and researches denials , follows-up with the payer to resolve denials + ... Data Analyst , Appeals, Fulltime, Remote, NJReq #:0000176993 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:RWJBarnabas Health… more
- Nuvance Health (Danbury, CT)
- …volume, payment and cost data. Validates accuracy of data. 5. Calculates Medicare reimbursement and compares to payer reimbursement for same volume. ... Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for all...margin in comparison to other services and other payers, payer denials and policies, payer … more
- Nuvance Health (Danbury, CT)
- …& follow-up of all delinquent claims. 3. Responds to all patient and payer inquiries, denials , correspondence & telephone inquires. 4. Maintains all reports ... accurate and timely claim submission for designated groups of accounts by payer .Insures that all claims are compliant with State and Federal billing regulations… more
- Nuvance Health (Danbury, CT)
- …& follow-up of all delinquent claims. 3. Responds to all patient and payer inquiries, denials , correspondence & telephone inquires. 4. Maintains all reports ... timely claim submission for designated groups of accounts by payer . Insures that all claims are compliant with State...Advises other areas of updated insurance information and claim denials ; ie, registration. 6. Follows through with education of… more
- UTMB Health (Galveston, TX)
- Revenue Integrity Analyst - RCO, UTRGV **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # 2403725 **Minimum ... System departments to ensure accurate and optimal revenue capture and reimbursement . Responsibilities include interpretation of metrics and reporting, and regular… more
- Banner Health (AZ)
- …flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement As a Revenue Integrity Analyst you will work with a variety ... greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care....that may prevent a bill from going to the payer . You will have an opportunity to work for… more
- Sharp HealthCare (San Diego, CA)
- …when appropriate.Commence direct follow-up action on unpaid accounts according to payer time frames.Monitor accounts within assigned rep work list via use ... file appeals/PDRs on non-clinical underpaid/denied claims.Explain new legislation impacting underpayments/ denials etc.Trend and identify underpayment/denial issues for training purposes… more
- Arkansas Children's (Little Rock, AR)
- …to payer (clean claim). 2. Expedites proper adjudication of claims by payer to maximize reimbursement and minimize older age accounts. Identifies claims that ... essential to performing job duties. Analyzes claims for payment. Resolves denials . Identifies problem trends and works to resolve. **Additional Information:**… more
- Hartford HealthCare (Farmington, CT)
- …and other common practices across the system. *_Position Summary:_* The Revenue Integrity Analyst - Level 2 serves as an integral part of both revenue optimization ... and reporting of revenue and compliance with government and third-party payer requirements. Assesses the accuracy of all charging vehicles, including clinical… more
- Nuvance Health (Carmel, NY)
- …of coding decisions on revenue cycle, including the ability to assist in appealing payer denials . * Responds to all business office questions regarding diagnoses ... coding clinics, and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance. *Responsibilities:* * Perform ICD-10- CM/PCS to maintain an… more
- Catholic Health Services (Melville, NY)
- …analysis related to variance in payments from contractual agreements. Staying current on payer policy changes that impact charge capture, denials , and cash. ... Job Details Under the direction of the Manager, the Analyst position provides operational support to departments within physician...and DTS on rules to increase revenue and decrease denials and touches based on payer requirement/regulations.… more
- R1 RCM (Boise, ID)
- …to deliver quality work products to R1' s clients. The Medicare Advantage Analyst is primarily responsible for researching underpayments as they relate to Medicare ... Advantage payor population and researching processing issues, examining denials , and confirming payment information with the payor or within the various client… more