- BlueCross BlueShield of North Carolina (NC)
- **Job Description** Complete analysis and research required to process appeals and grievances. Ensure timeliness, accurate documentation, and efficiency in all ... Do** + Analyze, research, resolve and respond to confidential/sensitive appeals , grievances and coverage/organization determinations from members, member's representatives,… more
- City and County of San Francisco (San Francisco, CA)
- …14, 2024, 11:59 PM PST + Recruitment ID: REF45372Y + Exam Analyst : Zoey Feng (###@sfgov.org) The Department The San Francisco Planning Department ... (https://sfplanning.org/) ( CPC ) plays a central role in guiding the growth...Planning Department's policies and practices. The 1053 IS Business Analyst -Senior is responsible for executing the business analysis and… more
- Atrius Health (Chelmsford, MA)
- …payer claim audits including Medicare program, writing complex clinical medical necessity appeals , analysis of claims data and billing related issues to effectively ... * Bachelor's degree (or equivalent education, training or experience) required . o Certification in medical coding is preferred including CCS,… more
- St. Luke's University Health Network (Allentown, PA)
- …to normal conversation. Seeing as it relates to general and near vision. EDUCAT I ON: CPC or CCA certification required . TRA I NING AND EX PE RIENCE: At least ... pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures...carrier policy and utilization of coding software applications. The appeals process may include collaboration with the Claim Editing… more