Operations Analyst

3 weeks ago


Charleston, United States Charleston Area Medical Center Full time

Job Summary

Researches, identifies, and rectifies any circumstances affecting delayed submission of insurance accounts or payment of accounts.

Responsibilities

* Provides feedback / education to staff to prevent reoccurrence of insurance account issues. • Ability to analyze trends and determine root cause of billing problems. • Maintains knowledge of all Federal and state billing regulations and guidelines. • Prepares and reviews reports/ documents with appropriate staff as required. • Identifies opportunities for improvement within MMS CBO/Practice work flow processes. • Demonstrates ability to identify issues outside work flow process and escalates them when necessary. • Identifies and monitors incorrect reimbursement and coding issues. • Identifies and applies appropriate adjustments per contracts or state requirements. • Follows-up on all previously sent reconsiderations for proper payment. • Communicates with payors regarding issues and resolutions. • Performs other duties as assigned

Knowledge, Skills & Abilities

Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients. Competency Statement Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist. Common Duties and Responsibilities (Essential duties common to all positions) 1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned.

Education

* Bachelor's Degree (Required) Experience: 3 years related experience Substitution: May substitute Associate Degree in related field with 5 years experience for the Bachelor's degree and 3 years of experience

Credentials

* No Certification, Competency or License Required

Work Schedule: Days

Status: Full Time Regular

Location: General-MSOB

Location of Job: US:WV:Charleston

Talent Acquisition Specialist: Anita J. Ferguson anita.ferguson@camc.org



  • Charleston, United States Selby Jennings Full time

    Job Title: Operations Analyst/Associate Work Model: Hybrid based in Charleston, 3x a week in office (IF NOT LOCAL TO CHARLESTON MUST RELOCATE) Summary: An elite high frequency proprietary trading firm is seeking both an Analyst and Associate Operations specialist to join their Post Trade team. The role is based in Charleston, SC. You will get to work...


  • Charleston, SC, United States Selby Jennings Full time

    Job Title: Operations Analyst/Associate Work Model: Hybrid based in Charleston, 3x a week in office (IF NOT LOCAL TO CHARLESTON MUST RELOCATE) Summary: An elite high frequency proprietary trading firm is seeking both an Analyst and Associate Operations specialist to join their Post Trade team. The role is based in Charleston, SC. You will get to work...

  • Recovery Analysts

    3 weeks ago


    Charleston, United States Ability Rehab Associates Full time

    We are currently looking for skilled individuals to join our team as Recovery Analysts for both full time and part time remote positions. As a Recovery Analyst, your role will involve carefully analyzing and investigating a range of financial data in order to identify potential recovery opportunities for our organization. This role is of utmost importance in...

  • Utilities Analyst 3

    3 weeks ago


    Charleston, United States State of West Virginia Full time

    Nature of Work Under general supervision, performs conducts complex inspections of the physical plan, property, operational procedures and records of public utilities, licensed motor carriers, railroads and pipeline operators regulated by the Publi Utilities, Analyst, Accounting, Utility, Application, Technology, Inspection


  • Charleston, United States Companalyst Full time

    Compensation Analyst (Separations) Essential Job Functions: Global Compensation provides compensation services to U.S. Foreign Service employees, Department of State Civil Service employees and Locally Employed (LE) staff. They provide both American and LE Staff payroll services for U.S. Agencies Overseas and Annuity services for Foreign Service Retirees....

  • Data Analyst

    2 weeks ago


    Charleston, United States Technical Source Full time

    Technical Source is searching for an EPIC Data Analyst to help manage and support daily operations for our client located in the Charleston, SC area for a hybrid opportunity. This is a long-term contract with possibility of converting to full-time.Responsibilities:Work with IT department to establish effective plans for developing data and information...


  • CHARLESTON, United States Atechstar Full time

    Job DescriptionImagine One Technology & Management . is currently seeking a Computer System Analyst II to support a large United States Marine Corps effort within Naval Information Warfare Center Atlantic in Charleston South Carolina. We invite you to apply to this contingent job opportunity and consider a role on our team. Experience RequirementsThree...


  • Charleston, United States Nutanix Full time

    Nutanix Principal or Senior Financial Analyst Charleston , West Virginia Apply Now Principal or Senior Financial Analyst – GTM Finance Hungry, Humble, Honest, with Heart! About Nutanix Nutanix is disrupting the multi-billion-dollar enterprise data center market by pioneering an enterprise cloud platform that leverages web-scale engineering and...


  • Charleston, West Virginia, United States Atechstar Full time

    Job DescriptionImagine One Technology & Management . is currently seeking a Computer System Analyst II to support a large United States Marine Corps effort within Naval Information Warfare Center Atlantic in Charleston South Carolina. We invite you to apply to this contingent job opportunity and consider a role on our team. Experience RequirementsThree (3)...

  • Financial Analyst

    5 days ago


    Charleston, West Virginia, United States HCA Healthcare Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Financial Analyst opening with HCA Healthcare today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Healthcare, offers a total rewards package that supports the health, life, career and...

  • Financial Analyst

    4 days ago


    Charleston, United States HCA Healthcare Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Financial Analyst opening with HCA Healthcare today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Healthcare, offers a total rewards package that supports the health, life, career and...


  • Charleston, West Virginia, United States Adapt Forward Full time

    Cyber Threat Intel AnalystCharleston, SCMinimum of a Top Secret Clearance, with ability to obtain TS/SCI.As a Cyber Threat Intelligence Analyst, you will be responsible for providing analysis on relevant threats to the customer environment in support of the overall defensive effort. You will be a key component in providing additional tactical context...

  • Analyst Unit

    12 hours ago


    Charleston, United States Dynamic Service Solutions Full time

    Job DescriptionJob DescriptionThis job is on-site.  Dynamic Service Solutions, LLC, a trusted partner in the government and private sectors in the U.S. and abroad, provides exceptional engineering and staffing services to support critical operations and successfully blends the unique requirements of each client with rapid-response customer service, quality...

  • Data Analyst

    1 month ago


    North Charleston, United States CareerBuilder Full time

    We are looking for a Data Analyst for our organization. The candidate is supposed to have good skills in healthcare administration. After this, you will have to collect, compile and process raw information. You will have to assess data, understand the patterns and identify discrepancies in it. To become an ideal candidate you are expected to have good...

  • Sr Business Analyst

    3 days ago


    Charleston, United States Novalink Solutions LLC Full time

    Job DescriptionJob DescriptionSCDHHS is seeking a Business Analyst - Consultant to assist with implement small to large projects.Objectives to Be Fulfilled by Candidate:The principal duties of this position are to evaluating agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information...

  • Sr Business Analyst

    2 hours ago


    Charleston, United States Novalink Solutions Full time

    Job Description SCDHHS is seeking a Business Analyst - Consultant to assist with implement small to large projects. Objectives to Be Fulfilled by Candidate: The principal duties of this position are to evaluating agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology...


  • Charleston, United States Quiet Professionals Full time

    Job Title: Computer System Analyst III Experience: Mid-level Location: Charleston, SC Clearance: Secret Quiet Professionals, LLC is seeking a Computer System Analyst III to join our team in support of the Distributed Common Ground/Surface System – Marine Corps (DCGS-MC). Duties & Responsibilities:Ability to communicate task requirement information to...


  • Charleston, West Virginia, United States HCA Healthcare Full time

    Description IntroductionDo you want to join an organization that invests in you as a Senior Financial Analyst? At HCA Healthcare, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.BenefitsHCA Healthcare, offers a total rewards package that supports the health,...


  • Charleston, United States HCA Healthcare Full time

    Description IntroductionDo you want to join an organization that invests in you as a Senior Financial Analyst? At HCA Healthcare, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.BenefitsHCA Healthcare, offers a total rewards package that supports the health,...


  • Charleston, West Virginia, United States ZF Group Full time

    Req ID 66386 | North Charleston, SC, United StatesAbout the Team:Support Charleston financial activities for the Commercial Vehicle Systems group in collaboration with the local finance and site teams. A successful candidate will bring Controlling experience in a complex matrix organization, strong financial acumen and analysis skills, forecasting and...