Talent.com
VirtualVocations
Managed Care Appeals AnalystVirtualVocations • Long Beach, California, United States
No se aceptan más aplicaciones
Managed Care Appeals Analyst

Managed Care Appeals Analyst

VirtualVocations • Long Beach, California, United States
Hace 5 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo
Working remotely on a full-time basis, the Managed Care Appeals Analyst will research closed $0 balance accounts for underpayment amounts due from payors, create detailed appeals, and ensure accurate payments according to established contracts. Key responsibilities Perform daily reviews of $0 balance accounts to ensure appropriate contractual reimbursement Create first and second level appeals for accounts not reimbursed accurately, using supporting information from payor contracts Monitor payments for accuracy and resolve outstanding amounts by contacting payors Required qualifications Associate or bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field, or four years of relevant work experience in lieu of a degree Minimum of one year of healthcare-related experience in auditing Four or more years of experience in revenue cycle, hospital reimbursement, and appeals writing Proficient knowledge of reimbursement methodologies such as DRG, EAPG, OPPS, and APC Intermediate skills in Microsoft applications and basic understanding of HIT systems like EPIC and Cerner
Crear una alerta de empleo para esta búsqueda

Managed Care Appeals Analyst • Long Beach, California, United States

Ofertas similares

Business Analyst - Health Plan / Managed Care

ShiftCode AnalyticsLos Angeles, CA, United States
Temporal

We need a Business Analyst with Health Plan/Managed Care experience for a 6+ month contract role for a Healthcare client in Los Angeles, CA.This role will be Remote full time for the first several ... Mostrar más

 • Oferta promocionada

Healthcare Plans Finance Director, Managed Care

Southern Medical RecruitersLos Angeles, CA, United States
A tiempo completo

Healthcare Plans Finance Director, Managed Care.Healthcare Organization is seeking a strong experienced candidate for the Finance Director role.Candidates must possess healthcare plans experience, ... Mostrar más

 • Oferta promocionada

A Calling Like No Other

U.S. Marine CorpsAvalon, CA, US
A tiempo completo

Those who put others before themselves.Who can rise up in the face of danger.This country we call home has been our haven of safety for 250 years.And it's up to us to keep it that way.There's a goo... Mostrar más

 • Oferta promocionada

Lead Care Manager, Enhanced Care Management

Wayfinder Family ServicesLos Angeles, CA, United States
A tiempo completo

Lead Care Manager, Enhanced Care Management.Wayfinder Family Services, Los Angeles, CA 90043.Hourly Level Experienced Position Type Full Time Job Shift Day/AM Education Level 4 Year Degree Travel P... Mostrar más

 • Oferta promocionada

Director, Managed Care Negotiations

Adventist HealthGlendale, CA, United States
A tiempo completo

Adventist Health Roseville Contract Management Director.Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for mor... Mostrar más

 • Oferta promocionada

Remote Healthcare Program Manager (Claims / Enrollment Systems)

Irvine Technology CorporationLos Angeles, CA, United States
Teletrabajo
A tiempo completo

Job DescriptionJob DescriptionProgram Manager - Core Administration (Healthcare IT)Remote (must work PST hours)75-85 / hr 1Year ContractEstablished Healthcare Firm - Longtime ClientWe are seeking a... Mostrar más

 • Oferta promocionada

Marine Claims Analyst MCD

Tokio Marine AmericaLos Angeles, CA, United States
A tiempo completo

TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product... Mostrar más

 • Oferta promocionada

Remote Grievance & Appeals Coordinator

A-Line Staffing SolutionsLos Angeles, CA, United States
Teletrabajo
A tiempo completo

A-Line Staffing is hiring a Full-Time, Remote, Grievance & Appeals Coordinator residing in or near the Woodland Hills, or Natomas, CA region! (MUST PASS A COMPUTERS BASIC TEST AND A TYPING TEST... Mostrar más

 • Oferta promocionada

Border Patrol Agent (BPA) Experienced - New Hire Sign-On and Retention Incentives

U.S. Customs and Border ProtectionAvalon, CA, US
A tiempo completo

Border Patrol Agent (BPA) – in the Federal Security and Public Safety Sector Experienced (GL-9 GS-11).You love protecting your community and doing your part to keep our nation safe.But maybe you’re... Mostrar más

 • Oferta promocionada

Application Analyst

Axelon Services CorporationLos Angeles, CA
A tiempo completo
Quick Apply

Shift: Must work Monday – Friday 8-5 PST.Support AP Claims, CRM, and a bit of UM.Analyze and design system workflow and business process flow.Must be Tapestry Certified with at least 6 years ... Mostrar más

Revenue Cycle Analyst Exempt

Hollywood Presbyterian Medical CenterLos Angeles, CA, United States
A tiempo completo

The Revenue Integrity Analyst is responsible for supporting the hospital's revenue cycle by ensuring accurate charge capture, compliant billing practices, and optimal reimbursement.This role analyz... Mostrar más

 • Oferta promocionada

Managed Care Compliance Specialist - Managed Care

Cedars-SinaiLos Angeles, CA, United States
A tiempo completo

Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program within the Managed Care department by ... Mostrar más

 • Oferta promocionada

Claiming Analyst - Revenue Cycle Management

SycamoresLos Angeles, CA, United States
A tiempo completo

Sycamores provides a spectrum of equitable mental health services through various programs to multicultural populations of all acuities.Although it serves a variety of consumers, the agency focuses... Mostrar más

 • Oferta promocionada

M & A Analyst - Torrance, CA

UMRTorrance, CA, United States
A tiempo completo

Analyst, Healthcare Services Mergers.For those who want to invent the future of health care, here's your opportunity.We're going beyond basic care to health programs integrated across the entire co... Mostrar más

 • Oferta promocionada

Five Arrows, Credit Analyst, California (Manhattan Beach)

Rothschild & CoLos Angeles, CA, United States
A tiempo completo

Rothschild & Co is looking to recruit a credit analyst to join its Los Angeles office and support the management of the portfolio of leveraged loans.The successful candidate will work closely with ... Mostrar más

 • Oferta promocionada

Acquisitions Analyst

HomeboundLos Angeles, CA, United States
A tiempo completo

Homebound is on a mission to make it possible for anyone, anywhere, to build a home using technology.Created by an experienced team of construction, real estate, design, and technology experts, Hom... Mostrar más

 • Oferta promocionada

Management Analyst (Contracts & Grants)

Heluna HealthLos Angeles, CA, United States
A tiempo completo

Management Analyst (Contracts & Grants)Salary:$29.Per HourThe Department of Health Services (DHS) Contracts and Grants (C&G) Division is located at 313 N.Figueroa Street, Downtown Los Angel... Mostrar más

 • Oferta promocionada

Give the Gift of Life – Surrogates Needed, Earn Up to $115,000!

Giving Tree SurrogacyAvalon, CA, US
A tiempo completo +1

We are looking for a passionate individual with a sense of responsibility and willingness to help create families to join us as a surrogate.In this role, you will be instrumental in supporting indi... Mostrar más

 • Oferta promocionada

Appeals and Grievances Lead - (LA18808)

3 Key ConsultingLos Angeles, CA, United States
A tiempo completo

Key Consulting is recruiting an Appeals and Grievances Lead for a consulting engagement with our direct client, a leading government-funded managed care health plan.The Lead of Customer Solution Ce... Mostrar más

 • Oferta promocionada

Lead Care Manager, MHS (47885)

St Anne's Family ServicesLos Angeles, CA, United States
A tiempo completo

Anne's Family Services:Making a Difference in Families' LivesAbout Us:St.Anne's Family Services is dedicated to transforming lives and communities.We're committed to providing unwavering support to... Mostrar más