- TEKsystems (San Diego, CA)
- …- Assists Patient Financial Services billing personnel in resolving third-party payor billing problems. - Develops reports to assist with analysis of ... but not required but must have done Hospital and Professional Charge master management. * Specific skills required: 3...Financial Services billing personnel in resolving third-party payor billing problems. - Develops reports to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …relating to professional and hospital revenue cycle and modality specific billing processes and/or workflows. The Revenue Integrity Analyst is responsible ... facilities clinical staff, PFS professional and hospital billing staff, Epic system analyst colleagues, Finance...9. Responsible for keeping abreast of all government and payor level coding, billing , reimbursement rules, regulations,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing ... **Responsibilities** 1. Monitors and reports the accuracy of contract reimbursements per payor , for both under and overpaid claims. 2. Reviews and analyzes data… more
- Beth Israel Lahey Health (Charlestown, MA)
- …relating to professional and hospital revenue cycle and modality-specific billing processes and/or workflows. The Revenue Integrity Analyst is responsible ... facilities clinical staff, PFS professional and hospital billing staff, Epic system analyst colleagues, Finance...9. Responsible for keeping abreast of all government and payor level coding, billing , reimbursement rules, regulations,… more
- Scripps Health (San Diego, CA)
- …to: Assists Patient Financial Services billing personnel in resolving third-party payor billing problems. Develops reports to assist with analysis of ... billing reimbursement regulations. Reviews Medicare intermediary and other third-party payor bulletins to keep current on billing requirements. Reimbursement… more
- Rush University Medical Center (Chicago, IL)
- …and timely capture of all chargeable procedures. The Senior Revenue Integrity Analyst also provides proactive high-level professional support in working advanced ... to promote and optimize accuracy * Researches all current and future complex payor requirements for compliant billing , timely payment, and maximum reimbursement… more
- BrightSpring Health Services (Indianapolis, IN)
- …when appropriate to obtain maximum reimbursement. Responsibilities * Process manual billing for various DSS/CSA Localities in Virginia, verifying to Purchase ... Orders/Invoices received.* Analyze claims for assigned payor sources and follow up on all outstanding claims.* Good phone skills are essential, as this person will… more
- Tidelands Health (Myrtle Beach, SC)
- …based on compliance standards. 4. Performs pricing reviews for hospital and professional billing . Maintain and update the Charge Description Master (CDM) ... and maximize compliant reimbursement. 8.Performs pricing reviews for hospital and professional billing . 9.Investigate/research and advise on matters relating to… more
- Novant Health (NC)
- Job Summary Payor Intelligence's responsibilities are constantly evolving and currently represent key components of Novant Health's strategic goals. The Senior ... Analyst , Population Performance reports to the Manager, Population Performance,...#NovantHealth. Let Novant Health be the destination for your professional growth Responsibilities It is the responsibility of every… more
- Crouse Hospital (Syracuse, NY)
- …+ Minimum of three (3) to five (5) years' experience working in professional healthcare billing , reporting, and/or analysis. + Microsoft Access, Visio knowledge, ... hospital reimbursement from third party payors, negotiate fiscally sound payor contracts. The Revenue and Reimbursement Team is hiring...and Reimbursement Team is hiring a CMP Revenue Cycle Analyst to work Monday- Friday: 8 am - 4:30… more
- Intermountain Health (Salt Lake City, UT)
- …+ Previous experience with data-based staff improvement projects + Experience with billing accepted payor codes in Utah, interacting with payors for ... **Job Description:** The Behavior Analyst assesses needs and develops behavior plans with a focus on skill building. The Behavior Analyst functions in a… more
- St. Luke's University Health Network (Allentown, PA)
- …and claim examples of root cause issues. Performs searches of governmental, payor -specific, guidelines to identify and coding and billing requirements to ... pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures...review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.… more
- Henry Ford Health System (Detroit, MI)
- …create and maintain complete and accurate reimbursement models based on payor agreements including Medicare, Medicaid, Blue Cross, and other payors. Perform ... and Patient Accounting and Underpayment teams to share information regarding payor financial arrangements and contract models. Research and understand Medicare,… more
- McLaren Health Care (Shelby Township, MI)
- …responsible for developing relationships and working with respective vendors in a timely and professional manner. + Notify Analyst of edits that needs to be ... **Position Summary** : Under general direction, the Billing /Follow-up Rep Facility (Remote) is responsible for completing...and working with respective vendors in a timely and professional manner. + Works with other departments and insurance… more
- Banner Health (AZ)
- …Our CDM Services team is looking for an experienced **Charge Description Master Analyst ** . This highly skilled team is responsible for maintaining 40+ chargemasters ... in a collaborative and supportive team environment, with an emphasis on professional development and communication. + **Location: REMOTE** + **Schedule: Exempt - 40… more
- Johns Hopkins University (Baltimore, MD)
- …on trends with payor denials, pre-authorization denials, days in AR, and billing or invoicing lags. Reviews or prepares business plans for potential new business ... clinical areas and operating expenses. + Develop, implement and oversee appropriate billing strategies to maximize annual charges. Ensure accurate compliance of … more
- TEKsystems (North Chicago, IL)
- 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 ... therapy. This position will be a subject matter expert in insurance billing claims processing and prior authorizations. This position liaises between departments… more
- Arkansas Children's (Little Rock, AR)
- **Work Shift:** Day Shift **Time Type:** Full time **Department:** CC807100 PSO Professional Billing **Summary:** Manages the daily activities of the Patient ... coaching, counseling, evaluating, and training 10. Serves as a payor and their fiscal agents. 11. Performs other duties...institution that cares for children." Linda - Information Systems Analyst "We are an organization of care, love, and… more