Claims and Denial Coding Analyst

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other...

About the RoleSt. Luke's University Health Network is seeking a skilled Medical Coding Analyst to join our team. This role involves ensuring clean claim submission and timely review and resolution of coding-related denials for professional services, FQHCs, MSOs, and ASCs across our network.Key ResponsibilitiesMaintain current knowledge of coding, compliance,...

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our...

Job Description - Denials and Appeals Analyst (3310846) Under general guidance of Patient Access Services Denial Manager, the Admitting Department Appeals Specialist is responsible for assisting with insurance denials and is expected to adhere to programs, policies and procedures to maximize reimbursement by minimizing denials. Under the supervision of the...

Job Category: Revenue CycleWork Shift/Schedule: 8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Ensures correct identification and root cause of payer denials. Initiate comprehensive appeal process to include contacting insurance companies to...

GENERAL SUMMARY/ OVERVIEW STATEMENT: Under general guidance of Patient Access Services Denial Manager, the Admitting Department Appeals Specialist is responsible for assisting with insurance denials and is expected to adhere to programs, policies and procedures to maximize reimbursement by minimizing denials. Under the supervision of the Patient Access...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other...

*PRIMARY DUTIES AND RESPONSIBILITIES: *Primarily responsible for coding and specialized charge entry. Tertiary responsibilities include a/r, Following up on denials. Calling A/R. Backing up other billing team members as needed. *ESSENTIAL JOB DUTIES MAY INCLUDE:* * Communicate with other billing team members and/or patient as required when needed * Detailed...

Are you ready for new challenges and new opportunities? Join our team! AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers....

Job SummaryWe are seeking a highly skilled Financial Coordinator to join our team at Orlando Orthopaedic Center. As a key member of our accounting department, you will be responsible for collecting outstanding worker compensation insurance balances from various payers, analyzing denial trends and coding edits, and understanding complex medical workers...

Responsibilities Follow the documented processes for billing with specific instruction with regard to research Analyze trends and identify root cause to work with client on solutions Attend any meetings as requested by the leadership team Review of claims in revenue management system(s) for errors Other duties as assigned Education and Experience 5 years...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other...

We are seeking a qualified Billing Analyst to be responsible for reviewing individual charges and processing claims and denials to maximize patient revenue. The position requires working knowledge of local, state, and federal billing requirements, including third-party payers. The incumbent must have experience using an automated patient management system,...

Company Overview LP Analyst is a leading independent private asset cloud-based analytics and consulting solutions firm that works closely with many of the industry’s most prominent institutional investors (LPs) and fund managers (GPs) to get better, more actionable decision-making intelligence into the hands of today’s demanding investors. Our firm...

JOB SUMMARY: TruHealth is the clinical arm of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is applied for each member of the plan. Additionally, post-payment coding reviews may be...

JOB SUMMARY:TruHealth is the clinical arm of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is applied for each member of the plan. Additionally, post-payment coding reviews may be...

Senior Claims Analyst, Severity Senior Claims Analyst, Severity Join us as a Senior Claims Analyst to grow your experience in Claims. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims...

WORK DESCRIPTION: The Los Angeles County Metropolitan Transportation Authority (LACMTA) requires a Workers' Compensation Claims Analyst Assistant, who has experience in workers’ compensation claims handling in accordance with state law and labor code, as provided in the Scope of Services (Exhibit 2). LACMTA expects this temporary assignment to last...

Job Description Coding Analyst - (240002NJ) Description The Coding Analyst reports to the Manager of Coding and will demonstrate expertise in the coding and analysis of pediatric medical records. The Coding Analyst is responsible to review, analyze, and code diagnostic and procedural information for technical or professional services that determine the...

Overview **This role is a fully remote position** Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We...