Healthcare Appeal Analyst Jobs

Job Information Humana Medical Director - Florida Medicaid in Louisville Kentucky Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Medical Director - Florida Medicaid in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Medical Director - Florida Medicaid in Charlotte North Carolina Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..

Job Information Humana Medical Director - Florida Medicaid in Fargo North Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..

Details Department: Case Management - Utilization Review Schedule: Monday - Friday 8:00am - 4:30pm Hospital: Ascension St. John Medical Center Location: Tulsa, OK As a military friendly organization, Ascension promotes career ..

The Certified Professional Coder/Analyst is responsible for abstracting, coding, ... billing errors/edits, denials and initiating appeal disputes. The Certified Professional Coder/Analyst must be accurate when recording ... record (EHR) system..

Description Summary: The Business Configuration Analyst II will work in conjunction with Auditing, Member Services, Complaints and Grievances, Provider Data, Utilization Management, Claims and other operational departments. The position will be ..

Job Description POSITION SUMMARY: As Intercept continues to build its position as the leader in progressive non-viral liver disease, we are seeking a Director of Strategic Accounts (DSA). The DSA will ..

About the Departmentu00a0nAt Novo Nordisk, our Finance and Operations team is the engine that elevates holistic commercialization of our products. The Finance and Operations team works closely with the business across ..

Job Description The FEP PA Clinical Advisor provides clinical support and process guidance to the PA department staff. Acts is a liaison between the PA department, FEP Clinical Account team and ..

Assistant Vice President, Case Management & Utilization Management','29-8136-AVP-32123','!*!Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in ..

The Medical Claims Coding Auditor is responsible for the investigation of coding issues and recommendation for correction of the issue. Responsible for reviewing and making payment determinations on provider medical claims ..

Job Description Main responsibility is supporting the Arizona Complete Care Regional Behavioral Health Authority (ACC RBHA) line of business as part of the System of Care team, as it pertains to ..

OverviewnThe Grievance and Appeals (G&A) Manager is responsible for the oversight of the member grievance and appeals processes and staff (clinical and non-clinical). The Manager ensures the efficient operational management of ..

... mobile phlebotomists. Adding to the appeal of this unit is flexible ... with all members of the healthcare teamnnAbout UsnCentraState Healthcare System, a partner of Atlantic ... you are..

Overviewn nSenior Research Scientist, Real-World Evidence, Data Analytics and Evidence Synthesisn nLocation: US remote/US hybrid/US office based (NYC, CT)n nLumen Value & Access is a world class agency involving a group ..

Overviewn nSenior Research Scientist, Real-World Evidence, Data Analytics and Evidence Synthesisn nLocation: US remote/US hybrid/US office based (NYC, CT)n nLumen Value & Access is a world class agency involving a group ..

... making a difference in the healthcare industry, and in people's lives.nResponsibilitiesnThis ... of billing, collections, technical denials appeal/correction process,and understanding of provider/payor escalation ... Minimum Education:Bacheloru2019s degree in business,..

Contact Agency Health, Department of Title Chief Health Care Fiscal Analyst - 61604 Occupational Category Financial, Accounting, Auditing Salary Grade 29 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary ..

View Job Cart (0) Send This Job to a Friend View My Account Mgr, Rev Int Denials and Audit Work Location: Augusta University Medical Center Req Number: 31069 Department Name: 5222 ..

Timely and accurate ICD-9 and ICD-10coding, analysis, abstracting and charging of Inpatient records. Accurate and successful completion of correspondence requests and appeal of insurance denials.Responsibilities Code, analyze, abstractrecords Complete correspondence requests ..

Details Department: Utilization Management Schedule: Full Time Day Shift. Mon-Fri 8am - 5pm Hospital: Ascension Sacred Heart Bay Location: Panama City, FL As a military friendly organization, Ascension promotes career flexibility ..

A Southern California Coastal Medical Center is seeking a Director Infection Control to join their world class healthcare organization.Utilizing epidemiological methods, the Infection Control Director will report directly to the Chief ..