- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …cycle teams. The UM Analyst helps ensure regulatory compliance, timely appeals , and reduction of avoidable denials through proactive collaboration and ... *_SUMMARY:_* We are currently seeking a Utilization Management Analyst to join our Denials Analysis....in clinical care, utilization review, case management, or clinical denials / appeals -OR- * An approved equivalent combination… more
- R1 RCM (Detroit, MI)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients ... companies. **Here's what you will experience working as a Denials & AR Analyst I:** + You...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- Penn Medicine (Bala Cynwyd, PA)
- …personnel. Appropriately files audit documents for all entities. + Coordinates with Analyst , Government Audit and Appeals to ensure appropriate communication of ... each day. Are you living your life's work? **Data Coordinator, Government Audits and Appeals ** Job Summary: + The Data Coordinator, Government Audits & Appeals … more
- BJC HealthCare (St. Louis, MO)
- …Role** BJC HealthCare is seeking a Patient Accounts Analyst ! who will be writing appeals for denials for Medicaid and Medicaid risk plans for Mo. and IL. for ... 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
- WellSpan Health (York, PA)
- …capture, coding accuracy, and claim denials management. Conducts reviews of claim denials and submits appeals . Performs a variety of functions including, but ... denial trends, billing errors, and determines root cause to prevent future denials . + Investigates billing system errors, through help desk tickets and work… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely ... review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across...carrier policy and utilization of coding software applications. The appeals process may include collaboration with the Claim Editing… more
- City of New York (New York, NY)
- …Assurance and/or Contract Monitoring unit, summarizing the justifications of approvals and denials , and data collected to process provider appeals for individual ... Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE… more
- City of New York (New York, NY)
- …from the Contract Monitoring unit, summarizing the justifications of approvals and denials , and data collected to process provider appeals for individual ... Unit. Career Services is recruiting for three (3) Staff Analyst II's to function as Budget Analysts, who will:...issues; reviews and takes the appropriate action for provider appeals related to performance-based payment and/or credit by conducting… more
- Baptist Memorial (Jackson, MS)
- …receivable, percentage of accounts aged greater than 90 days, cash collections, and denials resolution in support of the team efforts in the achievement of accounts ... required actions to resolve the account balance promptly by submitting appeals , correcting account information, coordinating requests for medical records, requesting… 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. **Additional Information:** ... 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