Reimbursement Analyst
2 months ago
At Methodist Health System, we are seeking a highly skilled Denials Management Specialist to join our team. This role is responsible for reviewing and resolving denials for commercial and government payers, as well as physician and facility claims. The ideal candidate will have a strong understanding of contract agreements, payer medical policy language, and coding and authorization processes.
Key Responsibilities- Analyze denials and ensure accuracy of payments, initiating corrective action with third-party payers as needed.
- Develop and maintain a follow-up and reporting system to ensure receipt of reimbursement.
- Research and resolve contractual and reimbursement issues, providing accurate information to internal and external sources.
- Assist staff with work volume as needed, responding to special requests and providing contract/payor recommendations.
- Participate in payer meetings and escalate payer issues, tracking agenda items and providing updates.
- Provide training on contracts and reimbursement to other areas as needed.
- High School Diploma or General Educational Development (G.E.D.) required.
- College coursework in accounting and/or healthcare preferred.
- Minimum 1-2 years of experience working for a third-party payer or healthcare provider required.
- Minimum 1 year of insurance billing experience preferred.
- Six months of institutional and professional ICD and CPT coding preferred.
- Six months of experience with DRG reimbursement and outpatient, including ASC grouper, ER, and outpatient reimbursement preferred.
- Experience in researching institutional and professional claims to determine correct contract reimbursement using payer contracts preferred.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to maintain confidentiality and handle sensitive information.
- Knowledge of medical terminology, patient accounting software, and payer websites.
- Ability to learn new software programs and adapt to changing systems.
- Strong organizational and time management skills, with ability to prioritize tasks and meet deadlines.
-
Client Services Analyst
2 weeks ago
Magstatt-le-Bas, Grand Est, United States Berkshire Hathaway Homestate Companies Full timeClient Services Analyst**Job Summary**We are seeking a highly skilled Client Services Analyst to join our team at National Indemnity Company. As a Client Services Analyst, you will be responsible for delivering exceptional customer service to agents, insureds, claimants, and other business partners.**Key Responsibilities*** Provide excellent customer service...
-
IT Programmer Analyst
7 days ago
Magstatt-le-Bas, Grand Est, United States Valmont Industries Full timeJob SummaryValmont Industries is seeking a skilled IT Programmer Analyst to join our team. As a key member of our IT department, you will be responsible for developing, implementing, and maintaining technical systems and programs that enable our businesses to perform at the highest level.Key ResponsibilitiesDevelop and implement technical systems and...
-
Board Certified Behavior Analyst
3 weeks ago
Magstatt-le-Bas, Grand Est, United States Brightside ABA Therapy Full timeJob Title: Board Certified Behavior AnalystBrightside ABA Therapy is seeking a highly qualified Board Certified Behavior Analyst (BCBA) to join our team in Omaha, NE. As a BCBA, you will play a crucial role in providing high-quality ABA services to our clients and their families.Job Summary:We are looking for a BCBA who is passionate about delivering...
-
Board Certified Behavior Analyst
2 weeks ago
Magstatt-le-Bas, Grand Est, United States Brightside ABA Therapy Full timeJob Title: Board Certified Behavior AnalystBrightside ABA Therapy is seeking a highly qualified Board Certified Behavior Analyst (BCBA) to join our team in Omaha, NE. As a BCBA, you will be responsible for managing staff, providing parent training, and conducting assessments and data analysis.Key Responsibilities:Manage staff and provide supervision and...
-
Financial Data Analyst
2 weeks ago
Magstatt-le-Bas, Grand Est, United States TaborStreet Full timeJob Title: Financial AnalystTaborStreet is a dynamic and innovative company that empowers its partners to create, grow, and operate businesses within the industrial services landscape. We provide visionary concepts and customized solutions across various platforms, including marketing, sales, talent management, technology, branding, communications, data...
-
Financial Analyst
4 weeks ago
Magstatt-le-Bas, Grand Est, United States CLAAS Full timeJob Title: Financial AnalystAt CLAAS, we are seeking a highly skilled Financial Analyst to join our North American Finance Team. As a key member of our team, you will play a critical role in facilitating financial information and accounting data between stakeholders and central accounting.Key Responsibilities:Timely and proper budgeting, tracking, and...
-
Business Analyst Intern
2 weeks ago
Magstatt-le-Bas, Grand Est, United States Valmont Industries Full timeAbout ValmontValmont is a leading global company that specializes in modernizing vital infrastructure and increasing agricultural productivity, sustainably and reliably. We are committed to conserving resources and improving life by finding innovative ways to make technology beneficial in the real world.Job DescriptionWe are seeking a highly motivated and...
-
Safety Hazard Analyst
4 weeks ago
Magstatt-le-Bas, Grand Est, United States Grainger Businesses Full timeJob SummaryWe are seeking a highly skilled Safety Hazard Analyst to join our team at Grainger Businesses. As a key member of our safety team, you will be responsible for conducting hazard and risk assessments to identify customer needs and opportunities to improve their safety programs.Key ResponsibilitiesConduct thorough needs analysis to determine a match...
-
Business Services Analyst
1 week ago
Magstatt-le-Bas, Grand Est, United States Conagra Brands Full time**Job Summary**The Consumer Care Associate Business Services Analyst will partner with our teams, including Customer Quality, Brand Communications, Marketing, R&D, Legal, and the Microphysical Lab, to investigate, document, and resolve product concerns and inquiries communicated through customer platforms.**Key Responsibilities:*** Partner with our teams and...
-
Senior IT Operations Analyst
2 weeks ago
Magstatt-le-Bas, Grand Est, United States Charles Schwab Full time**Your Opportunity**At Charles Schwab, we empower our employees to make a meaningful impact on their careers. Our innovative culture and collaborative environment foster creative problem-solving and a commitment to excellence.The Senior IT Operations Analyst plays a critical role in overseeing the day-to-day tactical Data Center IT Operations. This position...
-
Denials Management Specialist
3 weeks ago
Magstatt-le-Bas, Grand Est, United States Nebraska Methodist Health System Full timeDenials Management Analyst Job DescriptionWe are seeking a highly skilled Denials Management Analyst to join our team at Nebraska Methodist Health System. As a Denials Management Analyst, you will play a critical role in ensuring maximum reimbursement for our organization by meticulously reviewing denials for commercial and government payers, managing...
-
Business Services Analyst
2 weeks ago
Magstatt-le-Bas, Grand Est, United States Conagra Brands Full timeJob SummaryThe Consumer Care Associate Business Services Analyst will collaborate with various teams, including Customer Quality, Brand Communications, Marketing, R&D, Legal, and the Microphysical Lab, as well as consumers, customers, and external agencies, to investigate, document, and resolve product concerns and inquiries received through customer...
-
Operations Coordinator
3 weeks ago
Magstatt-le-Bas, Grand Est, United States Sapp Bros. Full timeOperations Analyst - Fuel, Propane, and Oil Delivery OperationsLocation: Omaha Corporate OfficeAbout Us:Sapp Bros., Inc. is a leader in fuel, propane, and oil delivery operations, committed to safety and operational excellence. We are currently seeking an Operations Analyst to join our team at our Omaha Corporate Office, supporting our ongoing projects in...
-
Denials Management Specialist
1 month ago
Magstatt-le-Bas, Grand Est, United States Methodist Health System Full timeJob SummaryNebraska Methodist Health System is seeking a highly skilled Denials Management Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing denials, analyzing contractual and reimbursement issues, and escalating appeals to payers as needed to obtain maximum reimbursement in compliance with payer...
-
Denials Management Specialist
1 month ago
Magstatt-le-Bas, Grand Est, United States Methodist Health System Full timeJob SummaryNebraska Methodist Health System is seeking a highly skilled Denials Management Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing denials, analyzing contractual and reimbursement issues, and escalating appeals to payers as needed.ResponsibilitiesAnalyze denials and ensure accuracy of...
-
Denials Management Specialist
2 months ago
Magstatt-le-Bas, Grand Est, United States Methodist Health System Full timeJob SummaryNebraska Methodist Health System is seeking a highly skilled Denials Management Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing denials, analyzing contractual and reimbursement issues, and escalating appeals to payers as needed.ResponsibilitiesAnalyze denials and ensure accuracy of...
-
Travel Nurse RN Position in Omaha, NE
1 week ago
Magstatt-le-Bas, Grand Est, United States Ardor Health Solutions Full timeArdor Health Solutions is seeking a travel nurse RN for a position in Omaha, NE. This is a 13-week contract with 48 hours per week and 12-hour night shifts.Job RequirementsSpecialty: PCU - Progressive Care UnitDiscipline: RNExperience: 2+ years of Progressive Care Unit - PCU experienceLicense: Active NE HVI PCU 20 type:Stepdown licenseArdor Health Solutions...
-
Travel Nurse RN Position in Omaha, NE
2 weeks ago
Magstatt-le-Bas, Grand Est, United States Ardor Health Solutions Full timeArdor Health Solutions is seeking a travel nurse RN for a position in Omaha, NE. This is a 13-week contract with 36 hours per week, 12-hour night shifts.Job RequirementsSpecialty: PCU - Progressive Care UnitDiscipline: RNExperience: 2+ years of Progressive Care Unit - PCU experienceLicense: Active NE PCU 4E 05 type: Stepdown licenseArdor Health Solutions is...
-
Travel Nurse RN Labor and Delivery Position
2 weeks ago
Magstatt-le-Bas, Grand Est, United States Ardor Health Solutions Full timeJob Title: Labor and Delivery Travel NurseArdor Health Solutions is seeking a skilled Labor and Delivery travel nurse to join our team in Omaha, Nebraska.Job Description & RequirementsSpecialty: Labor and DeliveryDiscipline: Registered Nurse (RN)Shift: 12 hours, nightsEmployment Type: TravelLocation: Omaha, NESetting: HospitalArdor Health Solutions is a...
-
Travel Rehabilitation Nurse in Omaha, NE
2 weeks ago
Magstatt-le-Bas, Grand Est, United States Ardor Health Solutions Full timeTravel Rehabilitation Nurse OpportunityArdor Health Solutions is seeking a skilled Rehabilitation Nurse to join our travel team in Omaha, NE. This is a full-time travel contract position that offers a unique opportunity to work with a dynamic and passionate team of healthcare professionals.Key Responsibilities:Provide high-quality patient care in a...