Financial Analyst

3 weeks ago

Charleston, United States CAMC Health System Full time
Job Summary

Reviews claims and payment data to ensure accurate billing to and payments from all Commercial, Managed Care and Governmental Payers to ensure compliance with all payer contracts and fee schedules. Reviews, researches and documents trends with a focus on identifying charging and documentation opportunities.

Responsibilities

  • Work closely with Payer Contracting Department to ensure accurate rates and payment terms are loaded in company-approved contract management systems used to monitor billing and payment activity
  • Ensure claims and payment data is loaded into company-approved claims and payment monitoring systems and resolve any discrepancies in a timely manner
  • Monitor to ensure payments from contracted payers are timely and within contracted payment terms
  • Review reimbursement and variance reports to identify trends and discrepancies
  • Prepare detailed non-payment/underpayment reports and distributed to appropriate teams for appropriate resolution and follow up
  • Review denial reports to identify trends and recommend solutions
  • Use Company approved charge capture auditing systems to identify missed charges and work closely with various departments to resolve issue
  • Attend meetings as required and participate on committees as requested
  • Enhance Professional growth and development through in-service meetings, educational programs, seminars, conferences, workshops, etc.
  • Perform other duties and responsibilities 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.
  • Maintain and document all applicable required education.
  • Demonstrate positive customer service and co-worker relations.
  • Comply with the company's attendance policy.
  • Participate in the continuous, quality improvement activities of the department and institution.
  • Perform work in a cost effective manner.
  • 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.
  • Perform work in alignment with the overall mission and strategic plan of the organization.
  • Follow organizational and departmental policies and procedures, as applicable.
  • Perform related duties as assigned.

Education

• Bachelor's DegreeExperience: 2 years related financial/accounting experience Substitution: 10 years related experience working in a Patient Accounting related position and 2 years' experience working in an analytical role may substitute for Bachelor's Degree and 2 years financial/accounting experience

Credentials

• No Certification, Competency or License Required

Work Schedule: Days

Status: Full Time Regular

Location: General Hospital

Location of Job: US:WV:Charleston

Talent Acquisition Specialist: Tamara B. Young tammy.young@vandaliahealth.org

  • Analyst, Ops Support

    1 week ago

    Charleston, United States Voya Financial, Inc. Full time

    Together we fight for everyones opportunity for a better financial future. We will do this together with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyones access to opportunitie Support, Analyst, Systems, Software Developer, Development, Technical, Technology, Insurance

  • Sr Financial Analyst

    4 weeks ago

    North Charleston, United States ZF Group Full time

    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 budgeting expertise, SAP costing experience, collaborative interaction...

  • Recovery Analysts

    6 days 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...

  • FInancial Crimes Analyst

    4 weeks ago

    Charleston, West Virginia, United States Truist Full time

    Perform research and loss mitigation efforts across multiple intake channels to decision Financial Crimes related cases and alerts.Not Fully RemoteAnalyze and decision multiple Financial Crimes related cases or alert types.Utilize banking systems to investigate and research all transactional information to ensure that Financial Crimes requirements are...

  • Recovery Analysts

    2 weeks ago

    Charleston, United States Ability Rehab Associates Full time

    Job DescriptionJob DescriptionWe 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...

  • Utilities Analyst 4

    1 week ago

    Charleston, United States State of West Virginia Full time

    Nature of Work Under limited supervision, at the supervisory or technical expert level, performs at the advanced level, in supervising, such as planning, directing, and evaluating, the activities of a moderate size group of Utilities Analysts engag Analyst, Utilities, Accounting, Advisor, Technical, Financial, Technology

  • Budget Analyst

    3 weeks ago

    Charleston, United States Veterans Health Administration Full time

    Summary This position is located in the Medical Research Service of the Ralph H. Johnson VA Medical Center, which is affiliated with the Medical University of South Carolina. Duties This is a bargaining unit position. VA offers a comprehensive total rewards package: Work Schedule : Monday - Friday, 8 am - 4:30 pm Compressed/Flexible Schedule...

  • Health Data Analyst III

    5 days ago

    Charleston, West Virginia, United States WellSense Health Plan Full time

    Position: Health Data Analyst III (2 positions available)Location:Charlestown (Boston), MA. Report to main office in Charlestown, MA. Eligible to work remotely from anywhere in the U.S. but must work from a state the employer is legally eligible to employ: Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky,...

  • Budget Analyst

    2 days ago

    Charleston, West Virginia, United States USAJobs Full time

    DutiesAs a Budget Analyst (Title 32), GS , you will perform the following duties:Serves as the functional point of contact for day-to-day budget/financial issues. Works with Major Subordinate Commands (MSC) and budget office counterparts to obtain, monitor, and track organization's funds. Works closely with supervisors/ managers and/or project managers in...

  • Continual Improvement Analyst

    4 weeks ago

    Charleston, West Virginia, United States Summit Information Solutions Full time

    Voluntary benefits (i.e., Term life insurance, Auto insurance, Pet insurance, Financial services, etc.)Summit is seeking a Continual Improvement Analyst to join our team supporting a major state & local government customer.This position reports to the Continual Improvement Manager as part of the Architecture Team responsible for infrastructure IT strategy,...

  • Operations Analyst/Associate

    1 day ago

    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...

  • Senior Program Control Analyst

    2 weeks ago

    Charleston, United States SAIC Full time

    Description SAIC has an opening for a Senior Program Control Analyst to join our Corporate team. This position is 100% remote nationwide. Job Duties:Participates in the planning, tracking, analysis, and reporting of projects of varying contract type, size, complexity, and level of risk. Involves significant interaction with Project Managers, Contracts...

  • Management Analyst II

    3 weeks ago

    North Charleston, United States Geodesicx Inc Full time

    Job DescriptionJob DescriptionGeodesicx, Inc. is in search of a Management Analyst II to join our team in the Charleston, SC area.The Management Analyst II is responsible for providing analytical support for engineering, science management, operations research, analysis, or financial/cost analysis. This role involves the collection, review, and analysis of...

  • Resource Analyst

    1 week ago

    Charleston, West Virginia, United States USAJobs Full time

    Duties Formulate and implement financial systems and policies, directs operational procedures/actions, implements policies and systems directed by higher headquarters, and continuously monitors actions and reports. Perform and monitor general expense accounting, cost accounting, workload, and manpower accounting financed by OMA and reimbursable funds. Review...

  • Senior Program Control Analyst

    2 weeks ago

    Charleston, West Virginia, United States SAIC Career Site Full time

    Description SAIC has an opening for a Senior Program Control Analyst to join our Corporate team. This position is 100% remote nationwide. Job Duties:Participates in the planning, tracking, analysis, and reporting of projects of varying contract type, size, complexity, and level of risk. Involves significant interaction with Project Managers, Contracts...

  • Senior Program Control Analyst

    2 hours ago

    Charleston, United States SAIC Full time

    Description SAIC has an opening for a Senior Program Control Analyst to join our Corporate team. This position is 100% remote nationwide. Job Duties: Participates in the planning, tracking, analysis, and reporting of projects of varying contract type, size, complexity, and level of risk. Involves significant interaction with Project Managers, Contracts...

  • Program Analyst

    3 days ago

    Charleston, West Virginia, United States USAJobs Full time

    Duties Provide supervision, guidance, direction, and support for analysis and evaluation of policies, programs and resources. Support PAE leadership, Army Commands, and Division Chief through a broad range of supervisory tasks and high-level analysis for programs supporting the Program Evaluation Groups (PEGs), Combatant Commands, and Army Commands. Provide...

  • Management Analyst III

    3 weeks ago

    North Charleston, United States Geodesicx Inc Full time

    Job DescriptionJob DescriptionGeodesicx, Inc. is in search of a Management Analyst III to join our team in the Charleston, SC area.The Management Analyst III is responsible for conducting comprehensive analyses of information to make recommendations to the Government, particularly in support of Command, Control, Communications, Computers, Intelligence,...

  • Senior Financial Analyst

    3 weeks ago

    Charleston, United States Highmark Health Full time

    Thank you for your interest in employment at a Highmark Health company. Highmark Health uses an online application process. If you participate in the online application process through this Workday site, your personal information will be collected, including but not limited to data such as your resume and resume content, education, contact information,...

  • program analyst

    1 month ago

    Charleston, West Virginia, United States USAJobs Full time

    DutiesYou will serve as a Program Analyst (Senior) serves as the established expert performing research to gain and formalize information for a project or program. You will assist in performing research to gain and formalize information for a project or program. You will collaborate and resolve issues across many functional and technical areas such as test...