- Elevance Health (Mason, OH)
- ** Provider Payment Appeal Analyst I** **Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, ... CA, Walnut Creek, CA, or Woodland Hills, CA.** The ** Provider Payment Appeal Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Travelers Insurance Company (Tampa, FL)
- …all 50 states. Responding to escalated calls from medical providers regarding payment decisions for surgical services. Providing Medical Provider Appeals ... Travelers protocols and PPO contracts to determine whether additional payment is due or if recovery of overpayment is...issues. Answer questions and analyze and resolve problems. + Provide expert medical advice to Medical Provider … more
- Point32Health (VA)
- …of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... to the member outlining final disposition of the member's appeal or grievance providing further appeal options...the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration… more
- City of Long Beach (Long Beach, CA)
- GOVERNMENT AFFAIRS ANALYST (PROGRAM SPECIALIST) Print (https://www.governmentjobs.com/careers/longbeach/jobs/newprint/4726344) Apply GOVERNMENT AFFAIRS ANALYST ... Manager's Office is recruiting for a full-time, unclassified Government Affairs Analyst (Program Specialist). Under minimal supervision from the Manager of Strategic… 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, ... business of drug detection and workplace protection for nearly 30 years. We provide a comprehensive array of instant drug testing products and accessories, lab… more
- Louisiana Department of State Civil Service (LA)
- …family cases. Assesses financial resources to determine an absent parent's ability to provide support. Monitors all support payment activity on assigned cases ... Social Services Analyst 1/2/3 (ORLEANS REGION) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4188109) Apply Social Services Analyst … more
- Louisiana Department of State Civil Service (LA)
- …family cases. Assesses financial resources to determine an absent parent's ability to provide support. Monitors all support payment activity on assigned cases ... SOCIAL SERVICES ANALYST 1/2/3 (ORLEANS REGION) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4353934) Apply SOCIAL SERVICES ANALYST … more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Procurement Analyst II - Multiple vacancies Augusta , Maine , United States | Purchasing & Procurement | Full-time Apply by: Nov. 26, 2024 Apply with Linkedin Apply ... $72,467.20/Annually Position Number: 004600479, 004600444 JOB DESCRIPTION: The Procurement Analyst II position is responsible for carrying out procurement processes… more
- R1 RCM (Chicago, IL)
- R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical ... analytics, AI, intelligent automation, and workflow orchestration. As our Underpayments Analyst , you will help R1 clients by analyzing claims information so… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …family cases. Assesses financial resources to determine an absent parent's ability to provide support. Monitors all support payment activity on assigned cases ... Social Services Analyst 1 (WAE) - Child Care Assistance Program...Job Concepts FUNCTION OF WORK: To assess, evaluate, and provide social services that are administered by the Department… 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 and ... compliance tool (Contract Manager), EPIC, and payor policy detail for identified payment discrepancies. 3. Verifies applicable contract lines of business by review… more
- Mount Sinai Health System (New York, NY)
- …of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. The Senior Billing Coordinator- Analyst is proficient in these ... **Job Description** **Senior Billing Coordinator- Analyst MSH Adolescent Health Center FT Days** The...processes to ensure accurate and timely payment of claims and collection. This individual coordinates all… more
- R1 RCM (Detroit, MI)
- …and the action required to resolve the underpayment. + Document the account to provide information and details to support appeal and resolution effort. + ... R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which...costs and enhancing the patient experience. As our Underpayments Analyst you have the primary role of validating and… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …ensure correct and prompt reimbursement. + Research denied / underpaid claims and send appeal promptly to ensure proper resolution and payment . + Organize and ... Bone and Joint is seeking a full-time Accounts Receivable Analyst to work in our Spine Billing Department. As...daily work queue to prioritize high dollar claims. + Provide patient with cost estimates when asked. + Maintain… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to ... provide cutting edge solutions that will directly improve the...your expertise to review reimbursements and issues in Carrier Payment Audits. The ideal candidate will have strong technical… more
- e CancerCare (Nashville, TN)
- Job Purpose: Contract Analyst will be responsible for analytic support related to ION network and providers. Team member will work closely with the Managed Care ... into contract management system. . Analyze relevant data to provide in reports, which includes determining the impact of...care, as needed. . Auditing contracts to ensure proper payment in the Experian tool. . Working with payers… more
- Office of the Chief of Staff of the Army (VA)
- …committees to coordinate responses to Congress on Army installations programs. Provide comprehensive technical advice and assistance to Army organizations regarding ... You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected. See Proof… more
- The Cigna Group (Bloomfield, CT)
- …applying pertinent Medicare and Medicaid regulations to determine the outcome of the appeal ; provide oversight and assistance to Medical Management staff with ... Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst We will depend on you to communicate...Supervisor/Manager of Appeals and will coordinate and perform all appeal related duties in a Medicare Advantage Plan. These… more
- City of Long Beach (Long Beach, CA)
- …to revitalize the civic core of downtown to serve residents, attract visitors, and provide safe and efficient city operations. The City is supported by a FY2024 ... PUBLIC WORKS The mission of Public Works is to provide outstanding City-wide services improving the quality of life...including six (6) Administrative Analysts, one (1) Project Budget Analyst , and one (1) Accountant. Roles and responsibilities of… more
- City of Long Beach (Long Beach, CA)
- …disciplines subordinate employees. + Oversees a work unit featuring one (1) Administrative Analyst III and one (1) Clerk Typist III. + Performs other related duties ... will have the opportunity to explain the circumstances surrounding the conviction, provide evidence to mitigate concerns, or challenge the accuracy of the background… more