- Children's Hospital Boston (Boston, MA)
- 78169BRJob Posting Title: Professional Billing Analyst ( Payor Relations - Shared Service Center)Department:Shared Service ... Drive, Westwood, MA Hybrid: 1-2 days/week in office. The Professional Billing Analyst - Shared...experience preferred. Experience working with payors to resolve physician billing issues/trends and payor policies familiarity preferred.… 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
- 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
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Remote/Hybrid) - Oceanport, NJReq #:0000150834 Category: Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas ... Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Senior Managed Care Analyst assists with aspects of the fee-for-service environment related to contract… 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
- City and County of San Francisco (San Francisco, CA)
- …reimbursements + EPIC Resolute Hospital Billing Certificate and/or EPIC Resolute Professional Billing Certificate Important Note: Please make sure it is ... not be limited to: Knowledge of elements and individual payor requirements for medical billing such as...recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will… 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
- New York State Civil Service (Albany, NY)
- …Business Systems Analyst 2 (NYHELPS), Central Office; Occupational Category Other Professional Careers Salary Grade 23 Bargaining Unit PS&T - Professional , ... NY Zip Code 12229 Duties Description This Business System Analyst -2 (BSA-2) position will support the Outpatient Billing...updated for any changes to the Federal, State, and Payor guidelines for outpatient and residential billing .… more
- Alameda Health System (Oakland, CA)
- Charge Description Master (CDM) Analyst + oakland, CA + Finance + Revenue Integrity + Full Time - Day + Req #:39560-29091 + FTE:1 + Posted:May 3, 2024 **Summary** ... **Job Summary** : The Charge Description Master (CDM) Analyst is responsible for designing, monitoring, maintaining and updating the charge master for Alameda Health… more
- Rush University Medical Center (Chicago, IL)
- …accurate and timely capture of all chargeable procedures. The Revenue Integrity Analyst also provides high-level professional support in working advanced ... by CMS, OIG, and direct manager * Researches all current and future complex payor requirements for compliant billing , timely payment, and maximum reimbursement *… more
- BrightSpring Health Services (Anna, TX)
- …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
- Baylor Scott & White Health (Dallas, TX)
- …complex instructions from state and federal governing entities. + Epic Hospital Billing , Professional Billing , and Chargemaster experience preferred. ... **JOB SUMMARY** The Revenue Integrity Analyst 1 manages small projects and less complex...holders. Collaborates with numerous teams to support charging and billing accuracy efforts. + Performs charge capture audits and… 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
- 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
- Vanderbilt University Medical Center (Nashville, TN)
- …Performance Management **Job Summary:** JOB SUMMARY Coordinates the bundled payment billing and follow-up process between the network providers, payers and patients ... financial data to identify, reconcile, and resolve patterns resulting from payor processing or workflow errors. * Evaluates and assesses financial indicators… 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
- UPMC (Pittsburgh, PA)
- …MS Office. Advanced knowledge of managed care, capitation and commercial third party payor billing and reimbursement practices as well as current legal ... to review staff to ensure that all physicians, clinical, billing and coding staff are adhering to all guidelines...+ Develop and manage relationships with colleagues in a professional , independent manner to create an environment that affects… 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