- ManpowerGroup (Columbia, SC)
- Our client, a leader in the healthcare industry, is seeking an Analyst , Appeals to join their team. As an Analyst , Appeals , you will be part of the ... clinical background which will align successfully in the organization. **Job Title:** Analyst , Appeals **Location:** Columbia, SC **Pay Range:** Not specified… more
- CVS Health (Columbia, SC)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... of claim related participation and pricing issues. + Reading and interpreting appeals , standard reference materials, etc. **Required Qualifications** + 2+ years of… more
- Intermountain Health (Columbia, SC)
- …the patient's account within Intermountain's policies and procedures. Revenue Integrity Analyst II 1.Analyze data, develop reports, review trends, and recommend ... updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals , to facilitate corrective action planning for improved processes. 7.… more
- Evolent (Columbia, SC)
- …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 (Columbia, SC)
- …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