- Beth Israel Lahey Health (Charlestown, MA)
- …payments, adjustments and denials with a focus on reviewing and interpreting denials and facilitating first and second level appeals to insurance. The ideal ... candidate will have experience with insurance appeals and denials , a working knowledge of... Specialist II, Revenue Billing Specialist and Revenue Cycle Analyst . Apply today! **FLSA Status:** Non-Exempt **As a health… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely ... review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across...carrier policy and utilization of coding software applications. The appeals process may include collaboration with the Claim Editing… more
- R1 RCM (Detroit, MI)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients ... can resolve complex accounts. Every day you will perform denials analysis to draft appeal letters to resolve any...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- R1 RCM (Salt Lake City, UT)
- As our Revenue Recovery Analyst II, you will help R1 clients by analyzing claims information so that they can resolve complex accounts. Every day you will conduct ... driven environment and have strong critical thinking and problem-solving capabilities. Prior Denials or AR experience in Hospital or Physician claims and experience… more
- Beth Israel Lahey Health (Burlington, MA)
- …operations as they relate to Epic build decisions, in-depth analysis of denials , complex appeals , audits, credits, cash, coding, workflows, data collection, ... managerial oversight of the Senior Manager, the Revenue Performance Analyst serves as a primary point of contact for...their respective teams with a goal to accurately process appeals and reduce denials . 20. Representation at… more
- Keystone Lab (Asheville, NC)
- …and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country, ... more cost-effectively than anyone else. Summary/Objective The Billing and Reimbursement Analyst is responsible for the maximization of reimbursements by contacting… more
- HCA Healthcare (San Antonio, TX)
- …arise. Contact facilities, physicians' offices and/or insurance companies to resolve denials / appeals . Analyze and resolve specific billing edits that require ... inclusion thrive? Submit your application for our SWAT Clinical Analyst opening with Parallon today and find out what...current licensure. 1 year of experience in Utilization Review, appeals , denials , and experience in performing charge… more
- Beth Israel Lahey Health (Burlington, MA)
- …operations as they relate to Epic build decisions, in-depth analysis of denials , complex appeals , audits, credits, cash, coding, workflows, data collection, ... Manager, or Manager of Revenue Cycle, the Revenue Cycle Analyst serves as a primary point of contact for...Cycle Leadership. 4. Responsible for appealing and defending claims denials , adverse audit results, and sanctions. 5. Analysis, track… more
- Hartford HealthCare (Farmington, CT)
- …responding to the needs of our communities and our patients. The Denial Analyst role reviews accounts post payment via work queues; verify payer information, review ... payer filing order, determine root cause of existing authorization denials and initiate the appropriate action to pursue reimbursement. Document any and all… more
- City of New York (New York, NY)
- …from the Contract Monitoring unit, summarizing the justifications of approvals and denials , and data collected to process provider appeals for individual ... Unit. Career Services is recruiting for three (3) Staff Analyst II's to function as Budget Analysts, who will:...issues; reviews and takes the appropriate action for provider appeals related to performance-based payment and/or credit by conducting… more
- BrightSpring Health Services (Valdosta, GA)
- …balancing and reporting.* Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.* Send cash transfer & check requests to the ... within the designated timeframe.* Timely follow up on insurance claim denials , exceptions or exclusions.* Reading and interpreting insurance explanation 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 ... also includes review and rework of all types of denials , as well as analysis and education to reduce...for unresolved denial issues and escalates to a denial analyst for further review as well as upper management.… more
- Guthrie (Sayre, PA)
- …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 ... necessary action to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to identify potential… more
- Methodist Health System (Dallas, TX)
- …:** **Your Job:** The ability to manage the organization's third party payer appeals through the ability to analyze, research and successfully appeal third party ... the clinical and non-clinical areas regarding claim errors and/or denials , and for providing cross coverage for areas not...Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification through… more