Top 3158 Medical Claim Analyst Jobs

Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel
Virtua Health —Mount Laurel, NJ
- $70,935 - $110,268 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- 3 years
- AD&D insurance
- Disability insurance
Regulatory and Compliance Analyst
Silver Rod Drugs —Brooklyn, NY
- $71,819.54 - $86,492.35 a year
- Full-time
- Background check
- HIPAA
- Research
- Health insurance
- Paid time off
Quick Apply
Healthcare Claims Quality Analyst
Integra Partners —Remote
- $24 an hour
- Full-time
- Remote
- Spanish
- English
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Healthcare Medical Economics Analyst
Vheda Health, Inc. —Remote
- $100,000 - $120,000 a year
- Remote
- Microsoft Excel
- Mid-level
- Master's degree
- Paid holidays
- Disability insurance
Healthcare Medical Economics Analyst
Vheda Health —Remote
- $100,000 - $120,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Master's degree
- Paid holidays
- Disability insurance
Quick Apply
Medical Billing Operations Analyst
Enlyte —Remote
- $20.60 - $25.60 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Health savings account
- AD&D insurance
Medical Provider Configuration Analyst I
Moda Health —Portland, OR
- $23.34 - $26.26 an hour
- Full-time
- Hybrid work
- Research
- SQL
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Revenue Cycle Billing Specialist
Spectrum Billing Solutions —Remote
- Full-time
- Hybrid work
- HIPAA
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Payment Policy Analyst (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $58,320 - $115,830 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Mid-level
- 401(k)
Quick Apply
Managed Care Appeals Analyst
Elevate Patient Financial Solutions —Remote
- $23.00 - $28.28 an hour
- Full-time
- Remote
- Microsoft Word
- Surgery
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Revenue Cycle Analyst (Remote)
Cedars-Sinai —Los Angeles, CA
- $77,022.40 - $119,392.00 a year
- 8 hour shift
- Remote
- Mid-level
- Finance
- High school diploma or GED
- Paid time off
- 403(b)
Content Analyst II
Cotiviti —Remote
- $75,000 - $103,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
- Paid holidays
- Disability insurance
Medical Billing Analyst
Albany Medical Center —Albany, NY
- $46,947 - $65,726 a year
- Full-time
- Writing skills
- HIPAA
- Research
Bluespine-Sr. FWA Analyst
Team8 —Remote
- SQL
- Analysis skills
- Senior level
Quick Apply
Credit Balance Analyst- Remote
TOC —Florida
- Full-time
- Remote
- Medical office experience
- Pass drug screening
- Mid-level
Quick Apply
Technical Data Analyst (Remote - United States)
Solventum —Pittsburgh, PA
- $64,800 - $89,100 a year
- Full-time
- Remote
- Data analysis skills
- English
- Mid-level
- Health savings account
- Disability insurance
1d
Medical Management Data Analyst
MetroPlus Health Plan —New York, NY
- $81,000 - $91,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Master's degree
Billing Specialist
Pinnacle Home Care —Remote
- Full-time
- HIPAA
- Mid-level
- 3 years
- Referral program
Quick Apply
Stop Loss Claims Analyst
Kismet Risk Management Associates, LLC —Remote
- From $40,000 a year
- Full-time
- Mid-level
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Medical Claims Resolution Analyst - Remote US
Gainwell Technologies —Montana
- $35,000 - $50,000 a year
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Travel reimbursement
- Profit sharing

I want to receive the latest job alert for Medical Claim Analyst

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Medical Claim Analyst jobs near

Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel

Virtua Health -
Mount Laurel, NJ

Apply Now

Job Details

Full-time
$70,935 - $110,268 a year

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
403(b)
Life insurance
Paid sick time

Qualifications

Presentations for conferences or internal meetings
Bachelor's degree
Cross-functional collaboration
Hospital experience

Full Job Description

Job ID: R1057037 Type: Full Time Location: Mount Laurel, New Jersey Standard Hours: 40 Shift: 1st Shift

The following experience is strongly preferred:

EPIC
Hospital charge description master experience
Charge audits
Coding & billing guidelines

Schedule:

Monday-Friday 8:30am - 5:00pm

First 90 days, Monday through Thursday onsite, and Friday remote.

Upon successful training, hybrid 2 days onsite and 3 days remote.

Local onsite meeting requirements.

Job Summary:

The position is responsible for root cause analytics along with audits to help identify opportunities, issues, and process improvement within the Revenue Cycle. This role supports the revenue cycle workflows, charge capture, work queue and denial review processes within an Epic based EMR.

This position will help optimize Revenue Cycle by evaluating, validating and trending data for presentation to all levels of the organization. Will support the Virtua Hospitals, Physician Groups and Home Health.

Position Responsibilities:

Perform quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full spectrum of the Revenue Cycle.

Assists in ensuring that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as third party payor needs. Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by timelines set. Works with revenue producing departments to ensure the ongoing coordinated consistency of the charge master and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes. Conduct analytical reviews determine net revenue effect of proposed charge master and fee schedule changes. Perform internal billing audits to ensure correcting coding/billing regulatory compliance and charge capture accuracy.

Incumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and Revenue and Clinical Operations allowing them to perform deep-dive analysis and reviews assisting with the identification of trends, solutions and potential corrective action steps. Will work both independently and have a high level of self-directed work efforts as well as be an integral part of the Revenue Integrity Team. Revenue Cycle will include areas from Hospital, Physician and Home Health.

Monitor and assists with review of revenue cycle work queues in Epic. Perform analysis to identify issues, trending, root cause, and action plan development with work queue issues.

Assist in strategic pricing process to optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and resolving issues related to the patient revenue cycle and assists in development and recommendations.

Provide guidance and communication and collaborate with Revenue Integrity Team, Clinical Operations and IT to help ensure work queue rules are accurate and updated based on annual and quarterly coding changes.

Assist with Epic performance reporting, including assisting with Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports. Work queue and reporting will include areas from Hospital, Physician and Home Health.

Serve as resource to Patient Financial Services staff for reporting problems and denials on individual claims. Assist in researching coding issues, provide guidance and recommend solution to account representative.

Analyze billing errors and denial data to identify root cause of issues. Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement. Claim issues and denials will include areas from Hospital, Physician and Home Health.

Lead and participate in projects related to Revenue Cycle initiatives. Participate in ongoing coordination and resolution of revenue issues as they arise. Provide input to Director and Manager for annual Revenue Integrity planning process. Assist with additional projects as needed for Hospital, Physician and Home Health.

Position Qualifications Required:

Required Experience:

3 to 5 years' experience within a large hospital or integrated healthcare delivery system.

Ability to work collaboratively across disciplines and business lines.
Exceptional oral/written communication skills and highly customer focused.
Excellent interpersonal and presentation skills.
Able to communicate with many, various customers.
Ability to prioritize, plan and execute.
Excellent critical thinking, analytical skills.

Required Education:

Bachelor's degree, in Accounting, Finance, Healthcare preferred

Training / Certification / Licensure:

EPIC Revenue Integrity, Hospital Billing, Physician Billing Certification, preferred #RD_P1

Annual Salary: $70,935 - $110,268 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.

Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

Apply Now

Refine Your Search

Medical Claim Analyst jobs

Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel

Regulatory and Compliance Analyst

Healthcare Claims Quality Analyst

Healthcare Medical Economics Analyst

Healthcare Medical Economics Analyst

Medical Billing Operations Analyst

Medical Provider Configuration Analyst I

Revenue Cycle Billing Specialist

Payment Policy Analyst (Remote)

Managed Care Appeals Analyst

Revenue Cycle Analyst (Remote)

Content Analyst II

Medical Billing Analyst

Bluespine-Sr. FWA Analyst

Credit Balance Analyst- Remote

Technical Data Analyst (Remote - United States)

Medical Management Data Analyst

Billing Specialist

Stop Loss Claims Analyst

Medical Claims Resolution Analyst - Remote US

I want to receive the latest job alert for Medical Claim Analyst

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected