- 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
- Emanate Health (Covina, CA)
- …Knowledge of revenue cycle processes and functions such as charge capture, audits, appeals , denials , and chargemaster required. Advanced Excel and data analysis ... company in the country. **J** **ob Summary** The Senior Revenue Integrity Analyst is responsible for ensuring accurate and compliant charge capture, coding, and… 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 ... and procedures; to gather information that would support submitted charges. Prepare clinical appeals relevant to the audits in order to prove medical necessity and… 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
- 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
- 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 (Towanda, 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
