- Texas Health Resources (Arlington, TX)
- …for a rewarding career with an award-winning company? We're looking for a qualified_ ** Coding / Denials Analyst ** _like you to join our Texas Health family._ ... ** Coding and Denials Document Analyst...rules and regulations. Able to analyze and resolve complex coding related claim denials in...to analyze and resolve complex coding related claim denials in a manner that ensures… more
- St. Luke's University Health Network (Allentown, PA)
- …the communities we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ... claim submission and timely review and resolution of coding related claim denials for...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Public Consulting Group (Columbus, OH)
- … coding , ICD diagnosis codes, modifiers etc. + Able to interpret insurance claim rejections and denials . + Can perform data entry. + Self-motivated and ... visit www.publicconsultinggroup.com . **Responsibilities** . Analyzes the development of claims assigned at each level of the adjudication process....develop a Theory of the Case for each individual claim . . Writes case summaries to be sent with… more
- Beth Israel Lahey Health (Burlington, MA)
- …in-depth analysis of denials , complex appeals, audits, credits, cash, coding , workflows, data collection, report details, claims and remittance set ... any and all contracting related problems. 21. Responsible for appealing and defending claims denials , adverse audit results, and sanctions. 22. Analyzes work… 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 ... weeks** **Job Summary: ** Responsible for researching and resolving claim denials , ADR requests, and certs, submitting...related to denials and opportunities for future denials . ** Denials Analyst ** ** Qualification… more
- Keystone Lab (Asheville, NC)
- …transmit claims using billing software, including electronic and paper claim processing. + Check eligibility and perform benefit verification, enter charges, and ... transmit clean claims per coding , carrier, and contract guidelines....that may include reviewing and writing an appeal for denials and submitting claims , when necessary, after… more
- Beth Israel Lahey Health (Burlington, MA)
- …in-depth analysis of denials , complex appeals, audits, credits, cash, coding , workflows, data collection, report details, claims and remittance set ... Manager, or Manager of Revenue Cycle, the Revenue Cycle Analyst serves as a primary point of contact for...Revenue Cycle Leadership. 4. Responsible for appealing and defending claims denials , adverse audit results, and sanctions.… more
- Hartford HealthCare (Farmington, CT)
- …from all carriers. Biller must efficiently and accurately correct and release claims to payers, while adhering to all client, state and federal guidelines. ... RESPONSIBILITIES: * Ensures claims are submitted timely and all filing deadlines are...investigates and pursues potential or existing billing, charging or claim problems associates with specific accounts, which can be… more
- Virtua Health (Mount Laurel, NJ)
- …Financial Services staff for reporting problems and denials on individual claims . Assist in researching coding issues, provide guidance and recommend ... staff to implement corrective actions to ensure compliant charges, prevent future rejections/ denials and accurate and reimbursement. Claim issues and denials… more
- University of Washington (Seattle, WA)
- …content and user experience. + Reviews DRG and CPT claim denials for commercial payers + Evaluates billing/ coding /documentation behavior and identify ... Medicine Enterprise Records and Health Information has an outstanding opportunity for an **OUTPATIENT ANALYST ** . **WORK SCHEDULE** + 8:00 am - 5:00 pm + Mondays -… more
- Mohawk Valley Health System (Utica, NY)
- Billing/AR Analyst - Full Time - Days Department: BILLINGS CLAIMS Job Summary The Billing Accounts Receivable Analyst is responsible for processing all ... VNA/Home Care Services claims to primary and secondary payers promptly and accurately...Worker's Comp/No Fault is required. Knowledge in ICD-10, HCPCS coding and medical terminology is a plus. Core Job… more
- BrightSpring Health Services (Anna, TX)
- …policy and within the designated timeframe.* Timely follow up on insurance claim denials , exceptions or exclusions.* Reading and interpreting insurance ... and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.* Provide any...and comment prior to monthly Critical Account call.* Rebill claims for any outstanding AR that is collectible. Provide… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system. *_Position Summary:_* The Revenue Integrity Analyst serves as an integral part of both revenue optimization and compliance ... Responsibilities:_* *Key Areas of Responsibility* 1) Evaluates current charging and coding structures and processes in revenue generating departments to ensure… more
- HCA Healthcare (San Antonio, TX)
- …to overturn denials Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument Identify ... where diversity and inclusion thrive? Submit your application for our Senior Appeals Analyst opening with Parallon today and find out what it truly means to… more
- Butterfly Effects (Deerfield Beach, FL)
- …CentralReach, and EOB's to resolve claim issues. + Review clearing house for denials and corrected claims submitted. + Correct and resubmit claims denied ... Verify client demographics, authorizations, correct CPT codes, and all claim details relating to claim denials...to assist the billing team. + Identify time sheet, coding , documentation errors, and report them to management for… more
- Guthrie (Towanda, PA)
- …on Denial Task Force(s) and assists in developing action plans to reduce denials and streamline clean claim submissions. 2. Exports data, prepares spreadsheets, ... I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of… more
- Beth Israel Lahey Health (Burlington, MA)
- …education for reimbursement enhancement. 6. Identifies, reviews, and interprets third party denials . 7. Initiates corrected claims and appeals according to payer ... for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement. The role also includes...also includes review and rework of all types of denials , as well as analysis and education to reduce… more
- Houston Methodist (Houston, TX)
- …performance improvement in a variety of areas, including but not limited to: coding , claim submission, insurance and self-pay collections, refunds and write-off ... department revenue cycle meetings. + Coordinates with the assigned financial analyst to obtain accurate and timely month-end financial reports **GROWTH/INNOVATION… more