- Seattle Children's (Seattle, WA)
- …follow-up in order to reduce or limit the opportunity for audit-related payment denials . The Audit Management Analyst will have responsibility and oversight of ... The Audit Management Analyst will serve as an organizational expert on...than the medical necessity of care. The Audit Management Analyst will coordinate with internal and external resources to… more
- Stanford Health Care (Palo Alto, CA)
- …**This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle ... Denials Management Department by managing and resolving clinical appeals...excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical… more
- Emanate Health (Covina, CA)
- …company in the country. **J** **ob Summary** The Senior Revenue Integrity Analyst is responsible for ensuring accurate and compliant charge capture, coding, and ... improvements to maintain compliance with regulatory and payer requirements. The Senior Analyst serves as a subject matter expert and collaborates with clinical,… more
- Children's Mercy Kansas City (Kansas City, MO)
- …improve the lives of children beyond the walls of our hospital. Overview The Denials Prevention Analyst is directly responsible for reviewing current denial data ... and tracking implementation of root cause resolutions under the supervision of the Denials Prevention leadership within CMH. This position also adheres to the Shared… more
- University of Michigan (Ann Arbor, MI)
- Rev Cycle Business Analyst Sr.- PB Denials Apply Now **Job Summary** We are seeking a detail-oriented and analytical Revenue Cycle Business Analyst to join ... **Job Detail** **Job Opening ID** 267925 **Working Title** Rev Cycle Business Analyst Sr.- PB Denials **Job Title** Financial or Bus Analyst Sr **Work… more
- Omaha Children's Hospital (Omaha, NE)
- …for payment. **Essential Functions** + Identifies and communicates trends in recurring denials resulting in need for process improvement or system edits to eliminate ... future denials for assigned area (hospital or professional services) *...by Revenue Cycle Leadership * Work with IT and Analyst to measure financial impact and improvement is maintained.… more
- Sharp HealthCare (San Diego, CA)
- …**On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $25.300 - $30.360 - $34.000 The stated pay scale reflects the range that Sharp ... reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal… more
- Montrose Memorial Hospital (Montrose, CO)
- …and skill to reduce financial risk and exposure caused by concurrent and retrospective denials . The Clinical Denial Analyst is considered a clinical expert in ... the patient. About The Career: + The Clinical Denial Analyst is a key contributor within the interdisciplinary Denial...Denial Management and ensures all medical necessity denials are accurately worked from a clinical perspective and… more
- Carle Health (Champaign, IL)
- …charts for billing. This position also reviews and response to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises ... leadership on trends related to denials . In collaboration with HIM coding management, the coder/quality...In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters… more
- Beth Israel Lahey Health (Charlestown, MA)
- …remote based role. Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling all ... commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for services in the inpatient and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ And more **Work Location:** Atlanta, GA **Description** The **Contract Implementation Analyst - Reimbursement** reduces the volume of requests forwarded to the IT ... can be made by Finance Department employees known as Contract Implementation Analyst - Reimbursement. This Contract Implementation Analyst (CIA) role serves… more
- UNC Health Care (Chapel Hill, NC)
- …well-being of the unique communities we serve. Summary: The Revenue Integrity Analyst is responsible for researching and resolving complex carrier/payor claim edits, ... Initiative (CCI), Medically Unlikely Edits (MUEs) as well as complex payor denials /audits. Assists with appealing coding denials . Works with departments on… more
- BrightSpring Health Services (Valdosta, GA)
- …BrightSpring Health Services is seeking a highly skilled and detail-oriented Accounts Receivable Process Analyst to join our team. As an A/R Process Analyst you ... month for assigned Operations. + Timely follow up on insurance claim denials , exceptions, or exclusions. + Maintain open communication with Billing Specialist, Cash… more
- UNC Health Care (Kinston, NC)
- …4. Secondary payors are filed the date voucher has been received. 5. Denials are documented. 6. Insurance refunds are processed and docemented timely, and the ... Summary, reports are due timely. 8. Accounts are reclassified to reflect payments/ denials for collection activity. 9. Transactions and payments are posted correctly… more
- Albany Medical Center (Albany, NY)
- …and compelling appeal letters to payors regarding payment variances and denials . Able to communicate effectively and successfully with team members, providers, ... verification. Work with payors to resolve underpayments, overpayments, rejections & denials . Reviewing and replying to correspondence relating to the outstanding… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & ... make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the strategic needs of the… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central ... overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations, systems, methods,… more
- HTC Global Services Inc (Troy, MI)
- …and a variety of other perks. The Epic Revenue Cycle Applications Analyst is responsible for the design, build, configuration, optimization, and support of ... charge capture and claim submission to payment posting and account resolution. The analyst acts as a subject matter expert (SME) in Epic billing workflows,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst serves as the preeminent Epic analytical resource tasked with improving revenue ... Billing applications and presenting to the Senior Epic Operations Analyst (SEOA) for approval before presenting to leadership. *...assigned by the SEOA to perform root-cause analysis of denials to reduce denials and manual rework… more
- Avera (Sioux Falls, SD)
- …great! **Position Highlights** **Position Summary:** The RN - Denial Prevention Analyst coordinates facility wide denial and denial prevention information for Avera ... responsible for reviewing technical Patient Access, HIM and Business Office denials trends in order to identify and implement prevention opportunities. Furthermore,… more
