- Elevance Health (Norfolk, VA)
- ** Provider Payment Appeal Analyst I** **Location:** Virtual Role, Must be located within 50 miles of an active Elevance health Pulse Point. Alternate ... **Shift:** Must work an 8 hour shift between the hours of **6:00am-9:30pm EST.** The ** Provider Payment Appeal Analyst I** supports the Payment… more
- Point32Health (Canton, MA)
- …of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... to the member outlining final disposition of the member's appeal or grievance providing further appeal options...the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration… more
- UPMC (Pittsburgh, PA)
- …of regulations and recurrent, identification of compliance deficiencies (including fraud), payment recovery processes, appeal proceedings, providers support and ... Health Plan has an exciting opportunity for a Clinical Auditor/ Analyst position in the CCBH Fraud, Waste & Abuse...to complete activities required to identify Community Care network provider compliance with state and federal rules, regulations and… more
- Louisiana Department of State Civil Service (LA)
- …family cases. Assesses financial resources to determine an absent parent's ability to provide support. Monitors all support payment activity on assigned cases ... SOCIAL SERVICES ANALYST 1/2/3 (MONROE REGION) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776300) Apply SOCIAL SERVICES ANALYST … more
- R1 RCM (Jenkintown, PA)
- R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical ... and workflow orchestration. As a **Follow Up Revenue Cycle Analyst ** you have the primary role of reviewing, validating,...role, you should enjoy working with data and researching payment issues. Responsibilities: + The Follow Up Revenue Cycle… more
- ManpowerGroup (Columbia, SC)
- …of complex appeal or retrospective review requests including pre-pay and post- payment review appeal requests. + Provide thorough clinical review ... client, a leader in the healthcare industry, is seeking an Analyst , Appeals to join their team. As an Analyst , Appeals, you will be part of the clinical review… more
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and ... compliance tool (Contract Manager), EPIC, and payor policy detail for identified payment discrepancies. 3. Verifies applicable contract lines of business by review… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …ensure correct and prompt reimbursement. + Research denied / underpaid claims and send appeal promptly to ensure proper resolution and payment . + Organize and ... Bone and Joint is seeking a full-time Accounts Receivable Analyst to work in our Spine Billing Department. As...daily work queue to prioritize high dollar claims. + Provide patient with cost estimates when asked. + Maintain… more
- R1 RCM (Salt Lake City, UT)
- …and the action required to resolve the underpayment. + Document the account to provide information and details to support appeal and resolution effort. + ... + R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which...operating costs and enhancing the patient experience.As our Underpayments Analyst you have the primary role of validating and… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to ... provide cutting edge solutions that will directly improve the...your expertise to review reimbursements and issues in Carrier Payment Audits. The ideal candidate will have strong technical… more