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Appeals Clinical Consultant
P32HS Point32Health Services Inc
Consults with Analyst and MD reviewers on complex appeals and grievances
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Microsoft Power Pages Configuration Specialist / Business Analyst
Conduent
Role: Microsoft Power Pages Configuration Specialist / Business Analyst
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Revenue Assurance Analyst II
UKH University of Kansas Hospital Authority
…requests for documentation, responding to audit results to include appeals of…
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Client Engagement Manager - Post-Pay, Specialist
Color Employer, LLC
Partner with the Business Analyst to translate client needs into detailed requirements, process flows, user stories, acceptance criteria, data specifications, and configuration decisions.
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Supply Chain Risk Management, Sr.
The Charles Stark Draper Laboratory, Inc.
The Supply Chain Risk Management Analyst, Senior is responsible for the accurate assessment and analysis of DIB suppliers in support of defense programs, securing complex, globally…
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Payment Integrity Nurse Reviewer- Hospital Claims
SmartLight Analytics
We are seeking an experienced Senior Claims Analyst with deep expertise in hospital claims adjudication, stop loss reporting, high-cost/catastrophic claims, and DRG (Diagnosis-Related…
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Reimbursement Senior Analyst
Central Office
Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement. Interacts with…
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Quality Compliance & AI Operations Analyst
Vida Health
The Quality Compliance and AI Operations Analyst for Vida Member Services is responsible for executing quality assurance initiatives, driving continuous process improvements, and optimizing…
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Head of Game Security
CoinPoker
Own the workflows end to end: triage, investigation, sanctions, confiscations, and appeals.
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Appeals Analyst, CPC Certified
BlueCross BlueShield of North Carolina
We’re hiring an Appeals Analyst to join the Coding Disputes Team! Complete analysis and research required to process appeals, coding disputes and grievances. Ensure timeliness, accurate…
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Senior Analyst, Technical Services
Ensemble RCM LLC
…integration, posting adjustments, move balance/rebill, BDC/Appeals, and related revenue cycle processes. Strong data analysis, critical thinking, client management, and technical…
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CDQA Administrative Analyst
Presbyterian System Services
…Enterprise-Wide Coding scorecard metrics for coding related denials and appeals and overall coding accuracy results based on both internal and external audits; research regulatory agency…
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AR RCM Specialist - DME
Brightree LLC
Join Brightree by ResMed as an RCM AR Payor Analyst and become a trusted partner to customers navigating the complex healthcare reimbursement landscape. In this role, you will take…
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Billing and Denials Analyst
Sarah Bush Lincoln Health Center
Review denied claims, determine appropriate next steps, and identify opportunities for rebilling, appeals, or other resolution.
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Payment Integrity Analyst
Medix Staffing Solutions
Our client is seeking a Payment Integrity Analyst to conduct thorough reviews, analyses, and internal audits or appeals. The role involves applying client policies and CMS guidelines with…
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Reimbursement Analyst Senior
University of Michigan
The analyst will also assist with Medicare, Medicaid, TRICARE, and other third-party cost reports; reimbursement audits and appeals; regulatory reporting; financial audits; and ad hoc…
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L&I DOSH IT Business Analyst - Entry
State of Washington
Labor & Industries Division of Occupational Safety & Health (DOSH) is looking for an IT Business Analyst - Entry who can do more than translate business needs into technical requirements.…
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Payment Policy Research Analyst
Sentara Health Administration, Inc.
Payment Policy Research Analyst & Technical Writer is responsible for the identification, development & presentation of new policy-related medical cost savings opportunities on behalf of…
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Donor Engagement Manager (Remote)
Ballotpedia
…is an excellent fundraising writer, a curious and thoughtful analyst, and a reliable project manager. If you are a creative problem solver who enjoys designing experiments, analyzing…
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Mid-Level FOIA Specialist
Aretum
Aretum is seeking a detail-oriented and motivated Mid-Level FOIA Analyst to join our team. As a Mid-Level FOIA Analyst, you will play a crucial role in supporting the Freedom of Information…
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Remote BCBA (Contract)
Sonnenberg Consultants LLC
…principles and following the ethics outlined by the Behavior Analyst Certification Board…
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IDR Analyst
Recourse
2 to 4 years in revenue cycle, claims operations, denials, appeals, or medical billing
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Underpayment Analyst
Revecore
As an Underpayment Analyst within our Revenue Integrity team, you hold a pivotal position in ensuring hospitals receive accurate compensation for the services they provide. Your role…