- Elevance Health (Roanoke, VA)
- ** Audit & Reimbursement Senior - Appeals ** **_Location:_** _This role enables associates to work virtually full-time, with the exception of required ... and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will...report reopenings. + Manage caseload of Medicare cost report Appeals + Position papers + Jurisdictional Reviews + PRRB… 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 ... gather information that would support submitted charges. Prepare clinical appeals relevant to the audits in order to prove...to denial initiatives. Provides support for projects in which senior managers are involved. * Assist in the tracking… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is...of improvement to assist the department in increasing positive audit outcomes and improved Customer Service to LA Care's… more
- Guthrie (Sayre, PA)
- … Manager is responsible for the oversight and management of all payer denials, appeals , and audit processes within the health system. This role ensures timely ... or insurance with responsibility and management of billing and reimbursement . Essential Functions Denials & Appeals Management...reports to track denial rates, appeal success rates, and audit recoveries + Provide monthly summaries to senior… more
- Independent Health (Buffalo, NY)
- …correlating coding complexity. They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise and ... tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit...to prepare quantitative and qualitative studies at conclusion of audit . Ability to recalculate reimbursement following conclusion… more
- Access Dubuque (Dubuque, IA)
- …tax resolution services. + Assist in management and delivery of client IRS, audit , Appeals , collection and penalty abatement projects, including review and ... and IRS filings. + Contact and work with IRS audit , collection and Appeals staff regarding client...Featured Job TH Ad TH Comments **Similar Jobs** Tax Senior Associate Eide Bailly Healthcare Accounting/ Reimbursement Associate… more
- SSM Health (MO)
- …Summary:** Enhances overall financial performance by reviewing all assigned government audit denials and determining appropriate follow-up actions. Appeals ... Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a plus. **Job… more
- Bristol Myers Squibb (Tampa, FL)
- …ad-hoc inquiries, as well as ensuring the timely completion of audit requests and providing necessary information for compliance, audits, contract management, ... designed; supports the implementation and adherence to SOX controls and compliance, audit activities as needed, ensures compliance for all plan documents and… more
- Akumin (TN)
- We are seeking an experienced, strategic, and results-driven Senior Director of Billing and Collections to lead our end-to-end billing operations. This senior ... aging AR and improving DSO. + Implement proactive denial management and appeals processes. + Oversee timely and accurate cash application and reconciliation… more
- Ascension Health (Austin, TX)
- …disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and ... Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance with the standards… more