- Intermountain Health (Tallahassee, FL)
- **Job Description:** The Denials Analyst is responsible for tracking denials across the organizations and mitigating root causes contributing to an increase ... of denials and a loss of revenue. They must be...changes to care site and revenue cycle leadership. The analyst should also be able to lead committee meetings… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Position Summary** The **Claim Field Analyst ** acts as the primary resource for groups and providers, within a specific ... a proactive claim education program focused on assisting providers with claim denials , claim education, and claim resolution. This person analyzes claim denials… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central ... overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations, systems, methods,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Analyst - Fraud, Waste & Abuse (FWA) provides leadership in in the investigation of potential FWA cases; its main goal is aimed at detection ... + Support litigation and legal defense by providing evidence to support claim denials or fraud prosecutions + Work with law enforcement and regulators to report… more
- Travelers Insurance Company (Tampa, FL)
- …manage resources as necessary to resolve outstanding issues. + Communicate and complete denials on medical and indemnity issues. + Manage inventory to ensure timely ... file closing or timely reassignment if necessary. + Settlement Evaluation and Negotiation. + Evaluate and document a detailed settlement analysis, value and range within settlement authority. + Execute negotiation strategy and communicate status. + Identify… more
- AdventHealth (Maitland, FL)
- …or trends. Pivots detail for distribution to assigned Contract Manager or analyst . Contributes to the development and implementation of new systems by offering ... and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and AH Regional PFS departments as applicable to assist with,… more