- Elevance Health (Hingham, MA)
- ** Audit & Reimbursement Senior - Appeals ** **_Location:_** _This role enables associates to work virtually full-time, with the exception of required ... and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will...report reopenings. + Manage caseload of Medicare cost report Appeals + Position papers + Jurisdictional Reviews + PRRB… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level ... gather information that would support submitted charges. Prepare clinical appeals relevant to the audits in order to prove...to denial initiatives. Provides support for projects in which senior managers are involved. * Assist in the tracking… more
- Baylor Scott & White Health (Boston, MA)
- …hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and ... to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor… more