- Covenant Health Inc. (Knoxville, TN)
- …Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with ... area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the… more
- Mount Sinai Health System (New York, NY)
- …and analytic development skills and impact the patient community of the Mount Sinai Health System. Serves as mentor to others in the Data Science team and takes ... minimum, higher preferred, in analytics development expertise, preferably in health care, or for a health provider,...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Center For Health Information And Analysis (Boston, MA)
- …Experience working with hospital discharge data and previous experience working with health care claims data strongly preferred. + Effective Communication: ... At the Center for Health Information and Analysis (CHIA), we serve as...tasks for large datasets such as the All Payer Claims Database (APCD), hospital discharge data (Case Mix), and… more
- Henry Ford Health System (Jackson, MI)
- …data management, ensuring providers meet standards and regulations, processing Network credentialing applications, maintaining relationships between payors, clinics, ... obligations. The role performs further credentialing functions including resolving claims issues, assisting with onboarding new practices, and conducting audits… more
- Mohawk Valley Health System (Utica, NY)
- … - VNA Job Summary The Billing Accounts Receivable Analyst is responsible for processing all VNA/Home Care Services claims to primary and secondary payers ... background verification with an external vendor. Job Details Req Id 96377 Department BILLING CLAIMS - VNA Shift Days Shift Hours Worked 7.50 FTE 0.56 Work Schedule… more
- Community Health Systems (Antioch, TN)
- …related field preferred + 1-3 years of experience in denials management, insurance claims processing , or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Huron Consulting Group (Chicago, IL)
- …an internal expert on Facets benefit logic, pricing impacts, and downstream claims processing implications. + Develop documentation, job aids, and configuration ... plan. + Strong understanding of Medicare Advantage, benefit administration, and claims processing . + Experience collaborating across cross-functional teams,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Medicaid, CPT, HCPCS, ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims flow, adjudication process, system edits ... in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned,… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …oversees the processes for determining eligibility for beneficiary travel, processing requests for reimbursement for travel, maintaining fund control points ... determining method of payment for authorized and unauthorized ambulance claims submitted for consideration; investigates authorizations, orders and/or utilizes… more
- Cardinal Health (Bismarck, ND)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Supervisor or Manager. + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects, audits, or other… more