Denials Management Analyst: Claims Optimization & Insights
$50k - $86kathenahealth
athenahealth is seeking a Coding Denials Management Associate in Pennsylvania to work within the Denials Management team. The role involves analyzing claim denials and developing workflow improvements while collaborating with various teams. Key qualifications include a bachelor’s degree, CPC or CCS certification, and 3+ years in medical coding. The position offers a salary range of $50,000 - $86,000, depending on experience. #J-18808-Ljbffr athenahealth
$72.8k - $115k
...service pharmacy benefit management (PBM) solutions to... ...which consolidates all claim administration-related... ...detail-oriented Senior Analyst to support our growing... ...providing actionable insights to support business decisions... ...for process optimization, automation, and improved...ClaimsWork at officeLocal areaRemote workFlexible hours- Overview The Denials Management Analyst (Anesthesia) is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending... ...with monitoring of the day-to-day activities related to claims denials and audit reviews. Responsibilities Collecting/...ClaimsContract work
$50k - $86k
...athenahealth is seeking a Coding Denials Management Associate in Georgia to improve healthcare efficiency. This role involves diagnosing and resolving claim denials while tracking trends and developing solutions. Ideal candidates will have 3+ years of medical coding experience...Claims- ...Vendor Implementation Manager will act as the main liaison... ...Medicaid regulations, optimizing funding mechanisms,... ...services. Monitor claims submissions to ensure... .... Assist in gathering insights from customers and vendors... ...: Vendor Management Analyst Location: Remote At...ClaimsFull timeWork at officeRemote workShift work
$68k - $80k
...Summary The RCM System Analyst - Revenue Cycle Management (RCM) provides real-... ...RCM team to ensure optimal billing performance,... ...to troubleshoot claim and remittance issues... ...identify revenue leakage, denial trends, billing... ...provide analytical insight to support revenue-related...ClaimsContract workTemporary workWork at officeRemote work- ...RML-PH is seeking a Billing Denials Management Specialist to enhance our revenue cycle by handling insurance claim denials. The role involves investigating claims, analyzing trends, and collaborating with teams to maximize reimbursement. The ideal candidate should have...ClaimsRemote work
- A diversified services company is looking for a Business Analyst to join their team. This remote position requires strong analytical skills... ...processes, gather requirements, and recommend solutions to optimize operations. The ideal candidate will have a Bachelor's degree...Remote job
- ...the Accounts Receivable team in resolving complex insurance claims while providing mentorship to new hires. This role requires at... ...hospital AR or collections and expertise in insurance billing and denial management. Candidates should possess strong analytical, communication,...Claims
$112.6k - $212.7k
...Sr. Consultant - Life Sciences, Business Insights Atlanta, Chicago, New York, San... ...created with purpose. Your Role Project Management and Delivery Simplify complex situations... ...industry-related data sets such as clinical, claims, and specialty channel data (e.g., IQVIA...ClaimsFull timeWork at officeLocal area$112.6k - $212.7k
...Sr. Consultant - Life Sciences, Business Insights At Capgemini Invent, we believe difference... ..., often aiding the on-site client manager. You will build client relationships, participate... ...-related data sets such as clinical, claims, and specialty channel data (e.g., IQVIA...ClaimsPermanent employmentFull timeContract workWork at officeLocal area- ...Rehabilitation Network, LLC (PRN) is seeking a full-time Remote Insurance Follow Up Representative to manage primary and secondary claims remotely, responding to inquiries and resolving denials. The ideal candidate will have a high school diploma and preferably a year of experience...ClaimsRemote jobFull timeReliefWork from home
$28.85 - $35 per hour
...Staffing has been engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing... ...by resolving denied and underpaid insurance claims through disciplined, payer-specific workflows. You will manage assigned denial queues, submit appeals, and follow...ClaimsHourly payTemporary workInterim roleRemote workFlexible hours$55k - $65k
...complex healthcare insurance claim denials and delays. Our mission is... ...hospitals and health systems by optimizing their revenue cycle,... ...with insurance carriers and managed care organizations. This is... ...trends and provide valuable insights to enhance recovery strategies...ClaimsRemote workFlexible hours$125k - $165k
...and service lines, including utilization review, claims management, payer relations, reimbursement optimization, denial management, and compliance oversight. Primary... ...operational reporting. Provide leadership with insights related to payer mix, reimbursement trends, collections...ClaimsFull timeContract workRemote work- ...This contract Business Analyst supports a finance and... ...with Finance, Claims, Treasury, Reinsurance... ...scenarios, support UAT, manage defects, and ensure scalability... ..., please review Insight Global's Workforce Privacy... ...‑loss) and collateral optimization frameworks. Data...ClaimsContract work
- ...The Business Analyst, Pricing and Underwriting ,... ...within a Pharmacy Benefit Manager (PBM) setting. Partner... ...to produce actionable insights for pricing and... .... Analyze pharmacy claims, drug pricing, rebate... ...excellence and process optimization. Qualifications...ClaimsFull timeTemporary workWork at officeRemote workWork from home
$50k - $86k
Coding Denials Management Associate Join us as we work to create a thriving ecosystem that delivers... ...coding skills to diagnose and resolve claim denials, rejections, and edits across... ...financial impact, and deliver actionable insights and dashboards to stakeholders....Claims$36 - $40 per hour
...specializing in mid-Revenue Cycle management within the healthcare... ...career. If you are an Appeals and Denials Nurse looking for a new... ...payor representatives to resolve claim issues. Identifies, reviews,... ...knowledge in a new way. Experts add insights directly into each article,...ClaimsPermanent employmentFull timeRemote workWork visa- ...Amperos Amperos is healthcare's first AI-native denial management and revenue recovery platform. Our agentic AI works claims end-to-end, from portal follow-ups and payor... ...reprocessing, resubmissions Provide feedback and insight on various workflows and possible areas of...ClaimsShift work
- ...Business Development Executive Sitecore/Optimizely Rightpoint, a Genpact company, is the... ...experience for over 15 years. We have the insight and expertise to see the big picture,... ...external resources needed to effectively manage the sales process. What We'd Love to...Casual workWork at officeWork from homeFlexible hours
$46.99k - $122.4k
...Business Support Senior Analyst serves as a critical... ...operations and IT teams, managing the end-to-end... ...identifying opportunities to optimize application... ...clearly convey ideas, insights, and recommendations to... ...within revenue cycle and claims processing operations....ClaimsHourly payFull timeTemporary workWork at officeLocal area- ...is looking for a Medical Biller responsible for charge posting, denial resolution, and AR follow-up. The role is critical to maintaining... ...and ensuring timely reimbursement. You will process clean claims, post payments, resolve discrepancies, and follow up on unpaid claims...ClaimsRemote work
- ...Job Title: RCM Business Development Manager We are seeking a high-energy RCM Business... ...metrics via CRM, providing regular insights and forecasts to the leadership team.... ...front-end eligibility, coding, claim submission, and denials management. Communication: Exceptional...ClaimsContract workWork at officeShift work
- Task Impetus Inc. in New York seeks a Business Analyst to serve as a critical interface between users and the project team. The role involves gathering information, documenting processes, and ensuring project success. The ideal candidate holds a Bachelor’s degree, with...
$49.92k - $62.4k
...49,920.00-$62,400.00 Responsibilities Researches and analyzes denials on a daily basis, identifies root causes, and processes resubmissions... ...to five years of progressive experience in appeal/denial management. Preferred Strong knowledge of health plan requirements....Shift work$55k - $65k
...represent healthcare providers in disputes regarding insurance claims. This unique position offers remote work flexibility and a competitive... ...a Juris Doctor degree and strong analytical, communication, and organizational skills. #J-18808-Ljbffr Ternium Revenue Cycle ManagementClaimsRemote job$86.8k - $124k
Experienced Claims Business Analyst Location: Any city, NY, US 99999; Any city, NV, US 99999 Work Mode... ...that improve first‑pass rates, reduce denials, and support client and organizational... ..., and monitoring tools to provide insights and support leadership decision‑making...ClaimsFull timeRemote workFlexible hours- ...Health Plan Operations, Claims is responsible for the... ...healthcare billing and managed care environments. Expertise... ...reports that support optimal claims operations.... ...and provide actionable insights to leadership and stakeholders... ...-adjudication rate, denial rate, payment accuracy,...ClaimsWork at officeLocal areaFlexible hoursShift work
$72.8k - $109k
...full-service pharmacy benefit management (PBM) solutions to self-... ...EHP), which consolidates all claim administration-related workflows... ...Government Programs Operations Analyst will be responsible for... ...changes into clear, actionable insights for internal stakeholders Impact...ClaimsLocal areaRemote workFlexible hours- ...accounts receivable follow-up, resolution of aged accounts, and denial management. This role involves in-depth research and problem solving to resolve accounts by following up with payers on denied claims. The candidate should have experience in healthcare revenue cycle...ClaimsRemote work
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