- Highmark Health (Salt Lake City, UT)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst II, you will help R1 clients by analyzing claims information so that ... what you will experience working in Denials & AR Analyst II:** + You will be investigating and analyzing...contact payors to learn the status of previously resubmitted appeals . + You will be responsible for drafting appeal… more
- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information so that ... you will experience working as a Denials & AR Analyst I:** + You will be investigating and analyzing...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- Alight (Salt Lake City, UT)
- **Amazing Opportunity and Great Place to Work!** **Are you an experienced Benefit Analyst looking to join a new team?** Our Story At Alight, we believe a company's ... client's office located in Salt Lake City, Utah. The Senior Health Benefits Analyst will work directly with and assist client employees, retirees, and dependents.… more
- Evolent (Salt Lake City, UT)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple ... Evolent's clinical services (ie, specialty care, utilization management, care management, appeals & grievances) + Using analytical tools to integrate various data… more
- Intermountain Health (Salt Lake City, UT)
- …updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals , to facilitate corrective action planning for improved processes. 7. ... Complies with all CMS, Federal and State regulations, and payor guidelines, and ensures consistent and compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to… more
- Intermountain Health (Salt Lake City, UT)
- …reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement. Interacts with ... Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed. + Acts as a mentor. As assigned, coordinates training, direction and review of those working with reimbursement functions. + Manages scope and completion of work, meeting… more