- UPMC (Pittsburgh, PA)
- …experience? If so, then this may be a great fit for you! We are hiring a Payor Contracts Analyst - Intermediate to join our team. This is a regular, full-time ... for the ongoing negotiation of the UPMC hospitals and physician contracts. The Payor Contracts Analyst - Intermediate is responsible for evaluating and providing… more
- UNC Health Care (Chapel Hill, NC)
- …Integrity Analyst is responsible for researching and resolving complex carrier/ payor claim edits, including but not limited to Correct Coding Initiative (CCI), ... Coding Initiative (CCI), Medically Unlikely Edits (MUEs) as well as complex payor denials/audits. Possess claims coding, reimbursement, and billing skills to… more
- Stanford Health Care (Palo Alto, CA)
- …on an employee's demonstrated and applied knowledge, skills and abilities and professional behaviors. Clinical Government Audit Analyst and Appeal Specialist II ... **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle… more
- Fairview Health Services (St. Paul, MN)
- …Epic applications within 1 Year + Resolute Hospital Billing Charging or + Resolute Professional Billing Claims or + Resolute Hospital Billing Claims or + ... National Uniform Billing Committee (NUBC), revenue code, billing , payor , and regulatory requirements. This role...Specialist or + CPC + Epic Certification in Resolute Professional Billing or + Epic Resolute Hospital… more
- BrightSpring Health Services (Valdosta, GA)
- …insurance claim denials, exceptions, or exclusions. + Maintain open communication with Billing Specialist, Cash Application Analyst and Operations. + Send cash ... seeking a highly skilled and detail-oriented Accounts Receivable Process Analyst to join our team. As an A/R Process...team with managing and analyzing financial transactions within our billing and collections department. If you like to problem… more
- Rush University Medical Center (Chicago, IL)
- …accurate and timely capture of all chargeable procedures. The Revenue Integrity Analyst also provides high-level professional support in working advanced ... by CMS, OIG, and direct manager * Researches all current and future complex payor requirements for compliant billing , timely payment, and maximum reimbursement *… more
- WMCHealth (Hawthorne, NY)
- …ad-hoc analyses related but not limited to: + Medical practice financials. + Professional billing revenue cycle reporting for historical and projected payments, ... billed charges, AR, payor mix, billing throughput and other performance...has experience with healthcare finance, medical practice operations and professional billing . + Knowledge of finance, accounting,… more
- Hartford HealthCare (Farmington, CT)
- …*_Position Summary:_* Support revenue cycle denial prevention for both hospital and professional billing by analyzing data, requesting and monitoring reports, ... education. *Experience* . Five (5) years' experience in a hospital/ professional billing denial and/or accounts receivables setting....*Knowledge, Skills and Ability Requirements * . Knowledge of payor CARC and RARC codes and denial classes .… more
- Omaha Children's Hospital (Omaha, NE)
- …us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are ... with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue Analyst will conduct complex and detailed analysis and modeling of managed care… more
- AbbVie (North Chicago, IL)
- …goals and metrics. + Provide activity metrics, status updates, and local payor intelligence information to management per established guidelines. Elevate issues as ... years of experience in the healthcare industry with knowledge in reimbursement, billing , prior authorization, appeals, and specialty pharmacy operations. + 1-2 years… more
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