Healthcare Appeal Analyst Jobs

Save Skills Utilization Management Case Management Pediatrics Experience Medical Management Analysis Skills Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater ..

nnJob DescriptionnJob Summary – The Clinical Appeals Nurse is responsible for handling appeals requiring clinical input or interpretation. ***Work From Home opportunity could be available.*** Duties (included but not limited to):  ..

Job ID: *******Employment Status: Full-TimeYour Career.Made Better.BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St.Louis, southern ..

Operational Clinical Quality Auditor I - Health First Health Plans, Full Time','043829','!*!To be fully engaged in providing Quality/No Harm, Customer Service and Stewardship by performing Operational process audits using measurable metrics. ..

Overview Every day is an opportunity for our associates to deeply connect with people in a profound and personal way. Our associates are the core of our mission and we know ..

We are seeking a Full Time Billing Manager to oversee 5 of our Post-Acute Care facilities (Hospital Based). NYC Health Hospitals/Carter is a leading, comprehensive specialty care hospital and nursing facility ..

We Are Hiring RN Registered Nurse - Utilization Review - ED Trauma Admin 001 - Full-Time, Day - Ascension St John Hospital, Professional Building One - 34030 - Detroit,MI Monday - ..

Job Description: Provides clinical services to health plan members through collaboration with prescribers and targeted beneficiaries in order to ensure appropriate, evidence-based drug selection and resolve medication-related problems. May provide clinical ..

Save Education Associate's Degree Skills Microsoft Project SQL Medical Coding RHIA Microsoft Word Required experience assisting in the management of projects from approval to implementation Manages claims coding rule process. Evaluates ..

The Patient Accounting Specialist reviews and updates third party claims (UB04 and CMS 1500). Claims may then be transmitted electronically or submitted on hard copy, depending on third party payer capability. ..

Sr Patient Access Specialist, Hematology-Oncology- Mpls (Full Time)','1902710Y','Regular','80','80','1.0','1.0','Days','Days','8 hours','8 hours','Not Applicable','Not Applicable','Not Applicable','Not Applicable','!*!About Children’s MinnesotaChildren’s Minnesota is the seventh largest pediatric health system in the United States and the only ..

Overview Every day is an opportunity for our associates to deeply connect with people in a profound and personal way. Our associates are the core of our mission and we know ..

Job Details Job Title Patient Navigator - Cardiac Rehabilitation (PAT NAVGTR NON-CLIN 2) Job ID 19207 Job Code 4199 Job Family Professional Support Staff Location Parnassus (SF) Weekly Hours 40 ; ..

... claim submitted. The Specialist will appeal healthcare claims denied by third-party payors ... to contracts and to the appeal process and/or government payor billing ... to ensure maximum reimbursement..

Save Education Doctoral Degree Bachelor's Degree Skills Certified Pharmacist Pharmacy Residency Microsoft Word BC/BE Excel Provides clinical services to health plan members through collaboration with prescribers and targeted beneficiaries in order ..

Do you want to be a part of a family and not just another employee? Are you looking for a work environment where diversity and inclusion thrive? Submit your application today ..

Just like the children we serve, Children's is growing quickly and hiring a Manager for Nursing Case Management to serve as the practice leader for nursing case management, utilization review, inpatient ..

Overview Every day is an opportunity for our associates to deeply connect with people in a profound and personal way. Our associates are the core of our mission and we know ..

Job Description: KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, ..

... the nation's largest provider of healthcare services as aCoding Team Lead. ... as aCoding Team Lead. HCA Healthcare is a national leader in ... practice management solution for HCA..

We are a nonprofit academic healthcare organization serving the diverse Los Angeles community and beyond. With groundbreaking medical research achievements, education programs defining the future of healthcare, and wide-ranging community benefit ..

... ensure we win in the healthcare marketplace and support of USAP. ... benefits package. The Payer Compliance Analyst plays a key role within ... impact receivables. The Payer Compliance..

rnPosition SummaryrnrnUnder the direction of the Director of Physician Svs Revenue Integrity, this position is responsible for evaluating processes and identifying opportunities to improve the revenue/charge capture processes and workflows for ..