- Beth Israel Lahey Health (Charlestown, MA)
- …all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for services in the ... role. Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in...to gather information that would support submitted charges. Prepare clinical appeals relevant to the audits in… more
- Stanford Health Care (Palo Alto, CA)
- …and regulatory requirements, as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will ... is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist...Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and… more
- University of Michigan (Ann Arbor, MI)
- …Title** Clinical Denials Prevention & Appeals Specialist **Job Title** Clinical Info Analyst Sr **Work Location** Michigan Medicine - Ann Arbor Ann ... Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary** The Clinical Denials Prevention & Appeals Specialist role is entirely remote.… more
- Elevance Health (Indianapolis, IN)
- …of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY ... policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support… more
- HCA Healthcare (Las Vegas, NV)
- …individual is recognized. Submit your application for the opportunity below: IPAT Clinical Analyst - NICU (Code pink) Parallon. **Benefits** Parallon offers a ... **_Note: Eligibility for benefits may vary by location._** We are seeking a IPAT Clinical Analyst -NICU (Code Pink) for our team to ensure that we continue… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …CMS criteria * Collaborate with UM staff to draft and submit compelling clinical appeals , including summaries and supporting documentation in accordance with ... advisors, case management, and revenue cycle teams. The UM Analyst helps ensure regulatory compliance, timely appeals ,... clinical care, utilization review, case management, or clinical denials/ appeals -OR- * An approved equivalent… more
- City and County of San Francisco (San Francisco, CA)
- …years of verifiable professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas of activity: recruitment ... training. Substitutions: Additional qualifying work experience as a professional human resources analyst may be substituted for up to two years of the required… more
- BJC HealthCare (St. Louis, MO)
- …**Additional Information About the Role** BJC HealthCare is seeking a Patient Accounts Analyst ! who will be writing appeals for denials for Medicaid and ... hospital side based on contract language. If you have experience writing denial appeals , apply today! **Overview** **BJC HealthCare** is one of the largest nonprofit… 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
- The County of Los Angeles (Los Angeles, CA)
- DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4684863) Apply DISASTER SERVICES ANALYST Salary $87,086.16 - ... in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the… more
- Montrose Memorial Hospital (Montrose, CO)
- …of care or service is billed to the patient. About The Career: + The Clinical Denial Analyst is a key contributor within the interdisciplinary Denial Management ... and exposure caused by concurrent and retrospective denials. The Clinical Denial Analyst is considered a ...or denial management. Experience with business letter writing, eg, appeals , preferred. + Must at least be Licensed as… more
- Community Health Systems (Franklin, TN)
- …revenue opportunities, and communicating discrepancies to relevant departments. The PCCM Analyst collaborates with financial and clinical teams to improve ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and… 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 ... or exclusions. + Maintain open communication with Billing Specialist, Cash Application Analyst and Operations. + Send cash transfer & check requests to the… 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 ... hospital and clinic revenue. This role conducts complex analyses of clinical and financial data, identifies revenue leakage, and implements process improvements… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The maintenance ... Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …the revenue cycle processes. Directly manage and resolve all assigned underpayment appeals , follow-up and payer relationships. Report to management any gross payment ... discrepancies by payers. Contact payer to resolve appeals and final solution to claims. Collaborate with the...and excludes any additional items such as incentives, bonuses, clinical compensation, or other items. NYU aims to be… more
- City and County of San Francisco (San Francisco, CA)
- …over 15 primary care health centers. Under general direction, the Clinical Pharmacist performs professional pharmaceutical duties in drug education and utilization, ... on drug utilization, and may compound drugs and dispense medicines in a clinical pharmacy. The essential functions include: The essential duties of this position… more
- City and County of San Francisco (San Francisco, CA)
- …your application Under general supervision, conducts professional-level work in clinical psychology; carries out psychodiagnostic examinations and psychotherapy of ... consultation services and participates in psychological research. The 2574 Clinical Psychologist performs essential functions that include: + Provides direct… more
- City and County of San Francisco (San Francisco, CA)
- …email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. + Applicants will receive a ... and assists nurses in developing their professional skills; may provide clinical supervision and education to professional and non-professional nursing staff. +… more
- City and County of San Francisco (San Francisco, CA)
- …methodology to improve processes + Experience with health information workflows, clinical and document management systems, and system design principles Important ... but not be limited to: knowledge of medical coding, clinical documentation integrity, and reimbursement methodologies; knowledge of procedures...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more