- CERiS (Fort Worth, TX)
- The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS ... LVN and/or RN licensure Preferred experience with health insurance denials and/or appeals, payer audits, or vendor audits Previous...at any time. For leveled roles (I, II, III, Senior , Lead, etc.) new hires may be slotted into… more
- EnableComp (Franklin, TN)
- …Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the ... cash, higher and more accurate yield, clean AR management, reduced denials , and data-rich performance management. EnableComp is a multi-year recipient the… more
- RWJBarnabas Health (Oceanport, NJ)
- …$88,248.00 per year Location: 2 Crescent Place, Oceanport, NJ 07757 Job Title: Senior Analyst Location:System Business Office Department Name:Managed Care Req ... Senior Managed Care Analyst (Hybrid/Remote) -...companies, + Evaluate payor performance relating to profitability, benchmarking, denials , contract compliance and retrospective reviews, + Collaborates with… more
- Corewell Health (Grand Rapids, MI)
- …the resolution of revenue cycle issues such as patient access, billing or denials , and develops systems to proactively address trends. + Facilitates the development ... of strategies for the evaluation and implementation of assigned tasks, such as recommended changes to business systems, reimbursement methodologies, charge capture or revenue cycle efficiencies, working collaboratively with teams, task forces and consultants +… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Reporting to the Executive Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst serves as the preeminent Epic analytical resource ... all Resolute Professional Billing applications and presenting to the Senior Epic Operations Analyst (SEOA) for approval...assigned by the SEOA to perform root-cause analysis of denials to reduce denials and manual rework… more
- Whitney Young Health Center (Albany, NY)
- Senior Patient Accounts Processor (Req 100919) Albany, NY (http://maps.google.com/maps?q=4+Airline+Drive+Albany+NY+USA+12205) Apply Description Be a part of the ... invoices, follow up and resolution of denied claims. Responsible for working correspondence denials and insurance follow up. This must be done in a timely and… more
- Guidehouse (Washington, DC)
- …to potential exception requests, including but not limited to license denials , interpretive guidance, or return without action letters. + Research, analyze, ... Data and link analysis experience inclusive of common tools such as i2 Analyst 's Notebook, Palantir, Tableau, and Gephi. + Public record and open-source databases… more
