Audits and Appeals Analyst
4 weeks ago
THIS OPENING IS FOR OUR RESOURCE CENTER IN ALISO VIEJO. Please only apply if you are able and willing to work from our Aliso Viejo location. Thank you#hpstedna
Position: Audits and Appeals Analyst
Description: Covenant Care is a Resource Center supporting 30+ Skilled Nursing Facilities, Assisted Living Communities, and a Home Health Division from its corporate offices in beautiful Aliso Viejo, California.
Schedule: This is an in-office position: Monday - Friday at Aliso Viejo offices to monitor mail boxes, compile (print, fax, mail) appeal packets and interact with other staff members.
Education and Experience:
- High School Degree required, (Associates or Bachelors preferred)
- Minimum of 3 years experience in a skilled nursing facility or similar environment
- Oversees multiple Payer Portals acting as Resource for facility Business Office Managers
- Initiates tracking process after receipt of Medical Documentation Requests
- Verify contract language vs. payment to determine reason for incorrect payment
- Use strategic thinking skills to determine, analyze/write appeal letters to health plans
- Contacts various payer sources to clarify underpayments and/or denial reasons
- Maintains ongoing communication with facilities prompting them on claims submissions
We are a great company to work for and provide a safe and comfortable work environment.
Other benefits include:
- Company sponsored Health Benefits: Medical - PPO, HSA and Kaiser Plan Options available
- Dental - Ameritas high and low options
- Vision Reimbursement Plan
- Company PAID Life and Disability Insurance (with options for "buy up)
- 401(k) savings plan
- Paid Time Off (Vacation, Sick, Holiday)
- Company PAID Employee Assistance program (EAP)
- Voluntary Supplemental Health Protection Plans
- Employee sponsored discount programs and more....
We are proud to be an equal opportunity employer.
-
Audits and Appeals Analyst
1 month ago
Santa Ana, United States St. Edna Subacute & Rehab Center Full timeTHIS OPENING IS FOR OUR RESOURCE CENTER IN ALISO VIEJO. Please only apply if you are able and willing to work from our Aliso Viejo location. Thank you!!!#hpstedna Position: Audits and Appeals Analyst Description: Covenant Care is a Resource Center supporting 30+ Skilled Nursing Facilities, Assisted Living Communities, and a Home Health Division from its...
-
Audits and Appeals Analyst
2 weeks ago
Santa Ana, United States St. Edna Subacute & Rehab Center Full timeTHIS OPENING IS FOR OUR RESOURCE CENTER IN ALISO VIEJO. Please only apply if you are able and willing to work from our Aliso Viejo location. Thank you!!!#hpstednaPosition: Audits and Appeals AnalystDescription: Covenant Care is a Resource Center supporting 30+ Skilled Nursing Facilities, Assisted Living Communities, and a Home Health Division from its...
-
Audits and Appeals Analyst
2 weeks ago
Santa Ana, United States St. Edna Subacute & Rehab Center Full time $68,650THIS OPENING IS FOR OUR RESOURCE CENTER IN ALISO VIEJO. Please only apply if you are able and willing to work from our Aliso Viejo location. Thank you!!!Find out more about the daily tasks, overall responsibilities, and required experience for this opportunity by scrolling down now.#hpstednaPosition: Audits and Appeals AnalystDescription: Covenant Care is a...
-
Audits and Appeals Specialist
1 month ago
Santa Ana, California, United States St. Edna Subacute & Rehab Center Full timeJob Summary:Covenant Care is a leading provider of healthcare services, and we are seeking a highly skilled Audits and Appeals Analyst to join our team at our Aliso Viejo Resource Center.About the Role:This is an in-office position that requires the ability to work independently and as part of a team to monitor mailboxes, compile appeal packets, and interact...
-
Audits and Appeals Analyst
3 days ago
Santa Ana, CA, United States St. Edna Subacute & Rehab Center Full timeTHIS OPENING IS FOR OUR RESOURCE CENTER IN ALISO VIEJO. Please only apply if you are able and willing to work from our Aliso Viejo location. Thank you!!! Find out more about the daily tasks, overall responsibilities, and required experience for this opportunity by scrolling down now. #hpstedna Position: Audits and Appeals Analyst Description: Covenant...
-
Logistics Analyst
1 month ago
santa ana, United States ektello Full timeLogistics Financial Analyst (Fluent in Korean)Job DescriptionThis position requires the ability to perform the essential duties and responsibilities in the following:Perform financial forecasting, annual and/or monthly business plan and rolling plan, variance analysis of actual versus forecast, and reconciliation of internal accountsPerform month-end closing...
-
Logistics Analyst
3 weeks ago
santa ana, United States ektello Full timeLogistics Financial Analyst (Fluent in Korean)Job DescriptionThis position requires the ability to perform the essential duties and responsibilities in the following:Perform financial forecasting, annual and/or monthly business plan and rolling plan, variance analysis of actual versus forecast, and reconciliation of internal accountsPerform month-end closing...
-
Logistics Analyst
1 month ago
Santa Ana, United States ektello Full timeLogistics Financial Analyst (Fluent in Korean)Job DescriptionThis position requires the ability to perform the essential duties and responsibilities in the following:Perform financial forecasting, annual and/or monthly business plan and rolling plan, variance analysis of actual versus forecast, and reconciliation of internal accountsPerform month-end closing...
-
Logistics Analyst
3 weeks ago
Santa Ana, United States ektello Full timeLogistics Financial Analyst (Fluent in Korean)Job DescriptionThis position requires the ability to perform the essential duties and responsibilities in the following:Perform financial forecasting, annual and/or monthly business plan and rolling plan, variance analysis of actual versus forecast, and reconciliation of internal accountsPerform month-end closing...
-
Security Compliance Analyst
1 week ago
Santa Ana, United States Yoh Full timeYoh has an exciting opportunity for a Security Compliance Analyst with expertise audit and risk assessments. The client is a large insurance carrier in California. The role is remote but will require an appearance at a local office occasionally. The preference of location is in Pleasanton or Vacaville California, but the candidate can be located within 45...
-
Supply Chain Analyst
2 weeks ago
santa ana, United States Compunnel Inc. Full timeDescription:The Supply Chain Analyst will provide logistics analysis and operational support within the Global Supply Chain Transportation and Logistics team. This is a great opportunity as this position will support the business growth of our innovative and patient-focused company.Key Responsibilities:Assist with the daily management and interactions with...
-
Supply Chain Analyst
2 weeks ago
santa ana, United States Compunnel Inc. Full timeDescription:The Supply Chain Analyst will provide logistics analysis and operational support within the Global Supply Chain Transportation and Logistics team. This is a great opportunity as this position will support the business growth of our innovative and patient-focused company.Key Responsibilities:Assist with the daily management and interactions with...
-
Security Compliance Analyst
1 week ago
Santa Ana, United States Yoh, A Day & Zimmermann Company Full timeJob DescriptionJob DescriptionYoh has an exciting opportunity for a Security Compliance Analyst with expertise audit and risk assessments. The client is a large insurance carrier in California. The role is remote but will require an appearance at a local office occasionally. The preference of location is in Pleasanton or Vacaville California, but the...
-
Supply Chain Analyst
2 weeks ago
Santa Ana, United States Compunnel Inc. Full timeDescription:The Supply Chain Analyst will provide logistics analysis and operational support within the Global Supply Chain Transportation and Logistics team. This is a great opportunity as this position will support the business growth of our innovative and patient-focused company.Key Responsibilities:Assist with the daily management and interactions with...
-
Supply Chain Analyst
2 weeks ago
Santa Ana, United States Compunnel Inc. Full timeDescription:The Supply Chain Analyst will provide logistics analysis and operational support within the Global Supply Chain Transportation and Logistics team. This is a great opportunity as this position will support the business growth of our innovative and patient-focused company.Key Responsibilities:Assist with the daily management and interactions with...
-
Financial Planning
4 weeks ago
Santa Ana, United States Kaiser Permanente Full timeJob Summary: This individual contributor is primarily responsible for supporting financial planning, modeling, analysis, and forecasting, identifying and preparing reports on financial and budgeting trends, assisting in analysis of operational performance, and gathering and preparing recommendations on financial activities and plans. Essential...
-
Financial Planning
4 weeks ago
Santa Ana, United States Kaiser Permanente Full timeJob Summary: This individual contributor is primarily responsible for supporting financial planning, modeling, analysis, and forecasting, identifying and preparing reports on financial and budgeting trends, assisting in analysis of operational performance, and gathering and preparing recommendations on financial activities and plans. Essential...
-
Analyst
1 month ago
Santa Monica, United States Robert Half Full timeJob DescriptionJob Description**Performance Analyst for Investment Firm**We are in search for a skilled Performance Analyst to join Investment firm in Santa Monica, California. In this role, you'll be assisting management in all aspects of performance reporting for client relationships. This includes tracking and calculating performance metrics,...
-
Billing Analyst
7 days ago
Santa Ana, United States MindSource Full timeJob Title: Inbound Billing and Settlement StaffContract Duration: 1 YearLocation: Santa Ana, CA 92707Work Hours: 8:30 AM - 5:30 PMResponsibilitiesSettlement Management: Handle settlement activities related to the freight forwarding business, ensuring accuracy and timeliness.Customer & Carrier Relations: Build and maintain strong relationships with customers...
-
Billing Analyst
6 days ago
Santa Ana, United States MindSource Full timeJob Title: Inbound Billing and Settlement StaffContract Duration: 1 YearLocation: Santa Ana, CA 92707Work Hours: 8:30 AM - 5:30 PMResponsibilitiesSettlement Management: Handle settlement activities related to the freight forwarding business, ensuring accuracy and timeliness.Customer & Carrier Relations: Build and maintain strong relationships with customers...