See more Collapse

PAR Case Analyst

1 month ago

San Diego, United States Able Net Full time
POSITION SUMMARY:

The PAR Case Analyst is responsible for the investigation and resolution of PAR files that encounter issues in PAR denials, and other requests for additional information that slows the PAR approval process. This role works collaboratively with other internal staff, speech language pathologists (SLPs), insurance reviewers, and family members of the insured individual to analyze insurance-related concerns to determine the appropriate response to achieve a successful approval, and/or learn from decision outcomes from the insurance firm for future funding opportunities and continuous improvement of the funding process.

POSITION RESPONSIBILITIES:
  1. Identifying and categorize PAR issues and denials with an expectation to resolve an achieve an approval in timely and efficient fashion
  2. Ensure systematic changes to insurance records accurately reflect the PAR process required for success with future cases/files
  3. Collect and analyze information pertaining to insurance PAR issues/denials to improve success rate for Closed-Funded files.
  4. Address issues with a sense of urgency and drive for efficient conclusions to each critical files PAR case
  5. Seek resolution by coordinating communication and resolution across several stakeholders.
  6. Provide clear, accurate, and consistent responses to funding customer and insurance stakeholder inquiries to ensure the inquiry is properly resolved within a timely manner
  7. Maintain HIPPA and FRPA laws in accordance with the compliance requirements of AbleNet
  8. Work collaboratively with the medical service staff to provide an improved customer centric experience as well as better productivity all while using Salesforce and other applications used by the department to facilitate workflow
  9. Demonstrate the core medical service department philosophies: Listen, Learn and Lead
  10. Other duties as assigned by manager
CORE COMPETENCIES, SKILLS & ABILITIES:
  1. Excellent written and verbal communication skills
  2. Ability to actively participate and work in cross-functional teams throughout the company
  3. Efficient problem analysis and problem-solving skills
  4. Must be self-motivated and able to work alone and within a team
  5. Must be responsible and willing to take on responsibilities
  6. Ability to apply general rules to specific problems to produce answers that make sense
  7. Ability to multi-task under pressure efficiently and accurately
  8. Ability to adapt to fast-changing environment
  9. Computer literate and demonstrated ability to learn new programs
  10. Data entry and/or account management skills
  11. Demonstrated track record of identifying and implementing process improvements

POSITION REQUIREMENTS:

Preferred Experience
  • 2-3 years of experience working in a therapist capacity (SLP, OT, PT)
Education & Experience
  • Bachelor’s degree required
  • 3+ years in medical funding


Physical, Time, Presence & Other Requirements

Physical:

Standard Office Environment: Work is performed in an office environment and requires the ability to operate standard office equipment and keyboards.

Time:

Full-Time, Exempt employees work an average of 40 hours per week. Additional hours may be required as necessary.

Presence:

Flexible: This role can be performed in a fully onsite, fully remote, or hybrid capacity.

We have other current jobs related to this field that you can find below

  • Par Case Analyst

    4 weeks ago

    San Diego, United States AbleNet Full time

    ***: The PAR Case Analyst is responsible for the investigation and resolution of PAR files that encounter issues in insurance submission, PAR denials, and other requests for additional information that slows the PAR approval process. This role works collaboratively with other internal staff, speech language pathologists (SLPs), insurance reviewers, and...

  • Product Marketing Manager

    2 weeks ago

    San Diego, United States PAR Full time

    Job Description Job Description Hi there! We're PAR and our purpose is: To deliver solutions that connect people to the restaurants, meals and moments they love. We take that responsibility very seriously. As a leading provider of technology to the top restaurant brands in the world we're calling all rebels, instigators, idealists and builders to join our...

  • Case Management Analyst

    4 weeks ago

    San Diego, United States Insight Global Full time

    REMOTE- MUST BE WITHIN TWO HOURS FROM SAN DIEGO Must have: - 3 years' experience as a analytical role - Previous customer service experience - Microsoft Suite (excel, outlook) - Flexibility to adapt to and to follow ongoing process changes - Must be able to proactively work in a collaborative Team Environment, demonstrating development of positive...

  • Case Management Analyst

    2 weeks ago

    San Diego, United States Insight Global Full time

    REMOTE- MUST BE WITHIN TWO HOURS FROM SAN DIEGO Must have: - 3 years' experience as a analytical role - Previous customer service experience - Microsoft Suite (excel, outlook) - Flexibility to adapt to and to follow ongoing process changes - Must be able to proactively work in a collaborative Team Environment, demonstrating development of positive...

  • Case Management Analyst

    2 weeks ago

    San Diego, United States Insight Global Full time

    REMOTE- MUST BE WITHIN TWO HOURS FROM SAN DIEGO Must have: - 3 years' experience as a analytical role- Previous customer service experience- Microsoft Suite (excel, outlook)- Flexibility to adapt to and to follow ongoing process changes- Must be able to proactively work in a collaborative Team Environment, demonstrating development of positive relationships...

  • Case Management Analyst

    2 weeks ago

    San Diego, United States Insight Global Full time

    REMOTE- MUST BE WITHIN TWO HOURS FROM SAN DIEGO Must have: - 3 years' experience as a analytical role- Previous customer service experience- Microsoft Suite (excel, outlook)- Flexibility to adapt to and to follow ongoing process changes- Must be able to proactively work in a collaborative Team Environment, demonstrating development of positive relationships...

  • Case Management Analyst

    2 weeks ago

    San Diego, United States Insight Global Full time

    REMOTE- MUST BE WITHIN TWO HOURS FROM SAN DIEGO Must have: - 3 years' experience as a analytical role- Previous customer service experience- Microsoft Suite (excel, outlook)- Flexibility to adapt to and to follow ongoing process changes- Must be able to proactively work in a collaborative Team Environment, demonstrating development of positive relationships...

  • FMS Case Analyst

    4 weeks ago

    San Diego, United States Morgan Business Consulting, LLC Full time

    Job DescriptionJob DescriptionAt MBC, we believe we can. We believe in working hard to meet our clients’ outcomes. We believe in laughter to help us recharge, draw people together, foster a positive work environment, and boost creativity. We believe in listening to our employees, partners, and clients. We believe in always challenging ourselves, for it is...

  • Geographic Information Systems Analyst

    2 weeks ago

    San Diego, United States County of San Diego Full time

    **The County of San Diego has current openings for** **GEOGRAPHIC INFORMATION SYSTEMS ANALYST** **Interviews for the Public Health Services Department will take place the week of June 17, 2024.** **Future Salary Increases** **_ July 2024 - 9.78% increase to base pay (2.75% Across-the-Board + 7.03% Market Increase)_** Geographic Information Systems...

  • Correctional Case Records Analyst

    3 weeks ago

    San Diego County, CA, United States R J Donovan Correctional Facility Full time

    **Individuals who are eligible for a Training and Development assignment may also be considered for this position(s).** You will find additional information about the job in the **Duty Statement**. Minimum Requirements You will find the Minimum Requirements in the Class Specification. - CORRECTIONAL CASE RECORDS ANALYST Additional Documents - Job...

  • Workers' Compensation Program Analyst

    4 weeks ago

    San Diego, United States Acord (association For Cooperative Operations Research And Development) Full time

    This position will be open till filled. Initial application review date is 1/19/2024. UCSD Layoff from Career Appointment : Apply by 12/25/2023 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Special Selection Applicants : Apply by 1/19/2024. Eligible Special Selection clients should contact their...

  • Fsr Analyst

    4 weeks ago

    San Diego, United States DCI Solutions Full time

    DCI Job Requirement for: **FSR Analyst** Location: Honolulu, Hawaii Serve as an FSR Analyst Assist implementation teams to support and strengthen partnerships with current and prospective user bases Work with analysts to discover use cases, train and mentor users, and troubleshoot technical issues Help facilitate collaboration across a global enterprise...

  • Fsr Analyst

    4 weeks ago

    San Diego, United States DCI Solutions Full time

    DCI Job Requirement for: **FSR Analyst** Location: South Korea (90 Days On/90 Days Off Rotations) Serve as an FSR Analyst Assist implementation teams to support and strengthen partnerships with current and prospective user bases Work with analysts to discover use cases, train and mentor users, and troubleshoot technical issues Help facilitate...

  • Fsr Analyst

    4 weeks ago

    San Diego, United States DCI Solutions Full time

    DCI Job Requirement for: **FSR Analyst** Location: Honolulu, HI Serve as an FSR Analyst Assist implementation teams to support and strengthen partnerships with current and prospective user bases Work with analysts to discover use cases, train and mentor users, and troubleshoot technical issues Help facilitate collaboration across a global enterprise...

  • Fsr Analyst

    4 weeks ago

    San Diego, United States DCI Solutions Full time

    DCI Job Requirement for: **FSR Analyst** Location: Rotations to Germany or Italy (90 days on with 90 days off) Serve as an FSR Analyst Work side-by-side with analysts to train and mentor users Troubleshoot technical issues and develop new use cases Solve unique and challenging problems Help facilitate collaboration across a global enterprise Provide...

  • Fsr Analyst

    3 weeks ago

    San Diego, United States DCI Solutions Full time

    DCI Job Requirement for: **FSR Analyst** Location: Rotations to Germany or Italy (90 days on with 90 days off) Serve as an FSR Analyst Work side-by-side with analysts to train and mentor users Troubleshoot technical issues and develop new use cases Solve unique and challenging problems Help facilitate collaboration across a global enterprise Provide...

  • Loss Prevention Analyst

    2 weeks ago

    San Diego, California, United States USE Credit Union Full time

    Job Title: Loss Prevention Analyst IICompany: BluPeak Credit UnionHave you always been intrigued by the world of fraud investigations? If so, look no further! We are currently seeking a Loss Prevention Analyst II to join our team at BluPeak Credit Union.Overview:Conduct fraud investigations to minimize losses to the credit union and its membersTrack and...

  • Digital Solutions Analyst

    3 weeks ago

    San Diego, United States Generali Global Assistance Full time

    **Why work with us?** The North American branch of Generali Global Assistance offers a diverse and inclusive work environment while employees work towards making real difference in the lives of our clients. As an Organization, we pride ourselves with offering white glove service while being mindful of corporate responsibility and our environmental...

  • BSA Analyst or Sr. BSA Analyst

    6 days ago

    San Diego, United States axosbank.com Full time

    BSA Analyst or Sr. BSA Analyst page is loaded BSA Analyst or Sr. BSA Analyst Apply remote type Onsite locations HQ - San Diego, CA time type Full time posted on Posted 8 Days Ago job requisition id JR450 Axos Bank Target Range: $65,000.00/Yr. - $85,000.00/Yr. Actual starting pay will vary based on factors including, but not limited to, geographic location,...

  • Geographic Information Systems Analyst

    2 weeks ago

    San Diego, California, United States County of San Diego Full time

    The County of San Diego has current openings forGEOGRAPHIC INFORMATION SYSTEMS ANALYSTInterviews for the Public Health Services Department will take place the week of June 17, 2024.Future Salary Increases_ July % increase to base pay (2.75% Across-the-Board + 7.03% Market Increase)_Geographic Information Systems Analysts perform the design, operation, and...