- Stanford Health Care (Palo Alto, CA)
- …Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials . This position requires ... as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied ... claims with the purpose of reducing overall denials and increasing revenue. This includes interpreting payment and...be appealed. Responsible for writing timely, comprehensive and compelling appeals to third party payers in order to get… 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
- University of Southern California (Los Angeles, CA)
- This Senior Analyst of Government Reimbursement at Keck Medicine of USC position will support governmental reporting and reimbursement, focusing on tasks such as ... regulatory changes, and supporting cost report preparation and audits. The analyst works collaboratively with finance, revenue cycle, compliance, and clinical teams… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …and recover outstanding receivables. Identify trends in payments, underpayment/overpayments and denials . Work with respective departments to evaluate trends and be ... the revenue cycle processes. Directly manage and resolve all assigned underpayment appeals , follow-up and payer relationships. Report to management any gross payment… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …data across multiple domains, including utilization management, prior authorization, claims, denials , and appeals . Their work goes beyond extraction; it ... Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area:...us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the… 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
- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and ... revenue opportunities, and communicating discrepancies to relevant departments. The PCCM Analyst collaborates with financial and clinical teams to improve revenue… more
- Prime Healthcare (Chicago, IL)
- …of government & non-governmental payor reimbursement methodologies, coding practices, and denials & appeals protocols preferred. 2. Strong computer skills ... of Medical Groups and Director of Finance - Medical Groups, the Corporate Finance Analyst will work on various Medical Group projects for the Medical Groups team.… more
- Arkansas Children's (Little Rock, AR)
- …essential to performing job duties. Analyzes claims for payment. Resolves denials . Identifies problem trends and works to resolve. **Required Education:** High ... assure that unpaid amounts are valid and properly categorized. Appeals claims that are improperly adjudicated so they are...institution that cares for children." Linda - Information Systems Analyst "We are an organization of care, love, and… more
- Albany Medical Center (Albany, NY)
- …for services provided by hospital of Albany Med Health System by competing appeals , phone calls, and account review. Qualifications: High school diploma or GED is ... and compelling appeal letters to payors regarding payment variances and denials .Able to communicate effectively and successfully with team members, providers,… 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
- City and County of San Francisco (San Francisco, CA)
- …+ Performs revenue analysis related to charge errors, claims submission volume, denials and trends based on claim type and/or payer, including unbilled inventory ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will… more
- CaroMont Health (Gastonia, NC)
- …Management and Senior management as necessary. Retrospectively reviews medical record for clinical denials . Composes a detailed summary of care and sends appeals ... results. Maintains the Status Change Database. Performs retrospective clinical reviews/ appeals as part of denial process. The UR Specialist...be cross trained to work for the Commercial Resource Analyst when the need arises. Act as liaison to… more
- Huron Consulting Group (Boston, MA)
- …payer requirements, and/or initiates notifications of admission + Resolves authorization denials by providing additional information, documentation, and appeals ... currently in effect and may be implemented in the future._ **Position Level** Analyst **Country** United States of America At Huron, we're redefining what a… more
