- 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 ... expertise in process analysis, clinical outcome data analysis, utilization management , and...responsible for resolving third party payor denials and identifying denial trends by payer. The DMCA is knowledgeable of… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The **Reconciliation/ Denial Analyst ** provides statistical and financial data enabling management to accurately ... Managed Care, and IT. **Responsibilities** A day in the life of a **Reconciliation/ Denial Analyst ** at Hackensack Meridian _Health_ includes: + Identifies and… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Revenue Integrity Clinical Coding Analyst RN? At Parallon, you come first. HCA Healthcare has committed ... have the opportunity to make a difference. We are looking for a dedicated Revenue Integrity Clinical Coding Analyst RN like you to be a part of our team. **Job… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a Revenue Integrity Clinical Charge Analyst RN you want with your current employer? We ... Do you want to work as a Revenue Integrity Clinical Charge Analyst RN where your passion...in-services for facility staff related to charging/billing issues. Reviews denial trends for documentation and charging opportunities. Serves as… more
- UTMB Health (Galveston, TX)
- …areas. Utilize appropriate tools to support charge capture, revenue reconciliation, denial management , and payment validation. Serve as subject matter ... Senior Revenue Integrity Analyst - Revenue Integrity & Reimbursement **Galveston, Texas,...with strategic pricing, chargemaster maintenance, and charge capture reporting. ** Denial Management :** + Coordinate with report writers… more
- Atrius Health (Chelmsford, MA)
- …, and AR management support. Gathers, compiles and organizes claims and denial data. Researches clinical and payer informational material for clinical ... to payer claim audits including Medicare program, writing complex clinical medical necessity appeals, analysis of claims data and...* Minimum of 3-5 years of experience in medical billing/ denial management or claim data analysis required.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Revenue Cycle Analyst ** provides statistical and financial data enabling management to accurately ... include but are not limited to Patient Accounting, Case Management , Health Information, Clinical , Training, Managed Care...and develops new Epic and ad-hoc accounts receivable or denial reporting tools for management , using the… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Management Lead Analyst -Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated clinical ... members and patient client advocates within the Prior Authorization/Utilization Management department. Identify and track trends for analytics reporting to… more
- HCA Healthcare (Richmond, VA)
- …integrity. We care like family! Jump-start your career as a Revenue Integrity Clinical Charge Review Analyst RN today with Parallon. **Benefits** Parallon, ... for benefits may vary by location._** Come join our team as a Revenue Integrity Clinical Charge Review Analyst RN. We care for our community! Just last year,… more
- HCA Healthcare (Brentwood, TN)
- …you want to join an organization that invests in you as a Billing Integrity Analyst RN? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... difference. We are looking for a dedicated Billing Integrity Analyst RN like you to be a part of...medical record documentation, regulatory information, and HCA standards. Uses clinical expertise when applicable to perform charge reviews and/or… more
- Penn Medicine (West Chester, PA)
- …from TCCH in conjunction with the Business Office. This would include charge/billing concerns, denial support and complaints that are clinical in nature for a ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Hartford HealthCare (Farmington, CT)
- …now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. ... *_Position Summary:_* The Revenue Integrity Analyst - Level 2 serves as an integral part...support for Revenue Integrity staff, Revenue Cycle Departments and Clinical areas *_Position Responsibilities:_* *Key Areas of Responsibility* 1)… more
- Trinity Health (Niskayuna, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Medical Billing Analyst - Cardiology Associates of Schenectady - Niskayuna, NY - Full Time** ... If you are looking for a Billing Analyst position in Albany, Full time, this could be...Claims Workqueues; Specifically, Front End, Referrals & Authorizations, and Clinical Workflow. + Responsible for monitoring the Trinity Health… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Cycle Analyst - Full-time - Hybrid** If you are looking for a Revenue Cycle Analyst ... day a week **What you will do:** The Billing Analyst is responsible for performing a variety of clerical...Work queues; Specifically, Front End, Referrals & Authorizations, and Clinical Workflow. Responsible for monitoring the Trinity Health Front… more
- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. As our Denials and AR Senior Analyst , you will help R1 by managing assigned accounts or clients. Every day, ... will experience working as a Denials & AR Senior Analyst :** + You will be investigating and analyzing claims...You will be investigating and analyzing claims to identify denial reasons. + Drafting complex and contractual appeals and… more
- RWJBarnabas Health (Oceanport, NJ)
- …(Remote) - Oceanport, NJReq #:0000150834 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services ... SBC Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Senior Analyst assists with aspects of the fee-for-service environment related to contract… more
- BrightSpring Health Services (Valdosta, GA)
- …and minimizing expenses? Finance and Accounting focuses on the organization's financial management strategies and execution. If this piques your interest, read more ... balancing and reporting.* Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.* Send cash transfer & check requests to the… more
- CaroMont Health (Gastonia, NC)
- … and Senior management as necessary. Retrospectively reviews medical record for clinical denials. Composes a detailed summary of care and sends appeals to MCO, ... activity and appeal results. Maintains the Status Change Database. Performs retrospective clinical reviews/appeals as part of denial process. The UR Specialist… more
- The County of Los Angeles (Los Angeles, CA)
- …Such psychotherapeutic methods include group, family, individual and conjoint therapy, clinical case management , and crisis intervention. Positions allocable to ... to provide program direction for both graduate students and unlicensed clinical staff. Essential Job Functions Interviews individuals, their families and/or… more
- San Jose State University (San Jose, CA)
- …scholarly research, pedagogical innovation, student and community engagement, and clinical practice that is equity-minded, culturally responsive, and centers the ... travel to campus. Students will take academic courses online and complete clinical placements in schools, private practices, and hospitals with certified and… more