Top 47841 United Hospital System Jobs

Resolution Analyst, Denials (REMOTE)
EnableComp —Remote
- Full-time
- Remote
- Microsoft Outlook
- Customer service
- Computer literacy
Quick Apply
13d
Gross Room Supervisor-Pathologists' Assistant
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Ability to sit for extended periods
- Recruiting
- Senior level
Pathologists' Assistant
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Anatomy knowledge
- Surgery
- Mid-level
Histotechnologist
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Computer literacy
- Mid-level
- Bachelor's degree
Laboratory Supervisor - Microbiology
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Mid-level
- Ability to sit for extended periods
- Pediatrics
Laboratory Technical Specialist
United Health Services —Johnson City, NY
- $37.00 - $55.50 an hour
- Full-time
- Hospital
- 3 years
- Bachelor's degree
- 403(b) matching
- Health insurance
Quick Apply
Cardiac Catheterization Interventional Radiology Technologist
SSM Health —Lake Saint Louis, MO
- From $32.48 an hour
- Part-time
- Hospital
- No experience needed
- Children
- Paid parental leave
- Relocation assistance
Pharmacist 7/70
North Memorial Healthcare —Robbinsdale, MN
- $74.98 - $86.54 an hour
- Full-time
- Hospital
- Computer literacy
- Children
- Health insurance
- Tuition reimbursement
13d
Director, Mechanical & Electrical Engineering (Mechatronics)
Swisslog Healthcare —Colorado
- $135,000 - $170,000 a year
- 5 years
- Bachelor of Science
- Maintenance
- Health insurance
- Dental insurance
Certified Nurse Anesthetist (CRNA)- FT
University of Virginia —Charlottesville, VA
- Full-time
- Nursing
- Surgery
- RN License
- Continuing education credits
- Disability insurance
Registered Nurse Acute Care II Nights
Phoebe Putney Health System, Inc. —Albany, GA
- Full-time
- Acute care
- Nursing
- Patient monitoring
- Wellness program
- Health savings account
Radiology Technologist- Pain Management Clinic
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Anatomy knowledge
- BLS Certification
- No experience needed
Occupational Therapy - Physical, Occupational Therapy, Full-Time, Days
MarinHealth Medical Center —Greenbrae, CA
- $49.27 - $73.90 an hour
- 8 hour shift
- Acute care
- Hospital
- HIPAA
- Wellness program
- Commuter assistance
Quick Apply
NURSE ANESTHETIST (CRNA) - Duke Eye Center
Duke Health —Durham, NC
- Full-time
- Nursing
- Surgery
- RN License
Staff Nurse CMH ER, .9 FT, 7pm - 7am
United Health Services —Norwich, NY
- $40.52 - $57.48 an hour
- Full-time
- Nursing
- RN License
- PALS Certification
- 403(b) matching
- Health insurance
Quick Apply
Director, ICU/Pathology - SMG
SMG System Medical Group —Morgantown, WV
- Overtime
- Hybrid work
- Hospital
- Urgent Care
- Master's degree
Radiology Technologist
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Anatomy knowledge
- No experience needed
- Mid-level
Polysomnography Tech II
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Hospital
- Mid-level
- ACLS Certification
Facility Medical Director - AHCC
State of Washington Dept. of Corrections —Airway Heights, WA
- $130,319 - $338,142 a year
- 8 hour shift
- Background check
- Medicine
- Management
- Paid holidays
- Health insurance
Polysom Tech II
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Hospital
- Mid-level
- ACLS Certification

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Resolution Analyst, Denials (REMOTE)

EnableComp -
Remote

Quick Apply

Job Details

Full-time
13 days ago

Qualifications

Contract documentation review
Contract review
Microsoft Outlook
Managed care
Customer service
Word embeddings
Direct client contact
Medical coding guidelines
High school diploma or GED
Medical billing and coding communication with insurance companies
Medical terminology

Full Job Description

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.

Position Summary

The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible for facilitating payment review recovery efforts for denied and underpaid accounts for assigned clients, thereby increasing the departments revenue. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.

Key Responsibilities

Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims using EnableComp’s proprietary software, systems and tools.
Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement.
Efficiently review hospital contracts to identify and collect cash payments from insurance companies, ensuring prompt payments of denied and underpaid claims.
Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement.
Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate resolution of outstanding receivables.
Ensures smooth operations and improves customer satisfaction.
Other duties as required.

Requirements and Qualifications

High School Diploma or GED required. Associates or Bachelor’s Degree preferred.
5+ years’ experience in healthcare field working in billing or collections.
1+ years’ client facing/customer services experience.
Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
Equivalent combination of education and experience will be considered.
Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology.
Strong understanding of the revenue cycle process.
Full understanding of hospital reimbursement, Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements.
Familiarity with HMO, PPO, IPA, and capitation terms and how these payors process claims.
Intermediate understanding of EOB, hospital billing form requirements (UB04), and familiarity with the HCFA 1500 forms.
Demonstrate strong ability to review client/payer contracts to identify complex underpayments.
Regular and predictable attendance.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Special Considerations and Prerequisites

Practices and adheres to EnableComp’s Core Values, Vision and Mission.
Proven ability to meet and/or exceed productivity targets and goals.
Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders.
Must be a self-starter and able to work independently without direct supervision.
Proven written and verbal communication skills.
Strong analytical and problem-solving skills.
Proven experience working with external clients; strong customer service skills and business acumen.
Ability to prioritize and manage multiple competing priorities and projects concurrently.
Must be able to remain in stationary position 50% of the time.
Occasionally moves about inside the office to access office equipment, etc.
Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer.

EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.

EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.

Don’t just take our word for it! Hear what our people are saying:

“I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.” – Revenue Specialist

“I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” – Supervisor, Operations

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Quick Apply

Refine Your Search

United Hospital System jobs

Resolution Analyst, Denials (REMOTE)

Gross Room Supervisor-Pathologists' Assistant

Pathologists' Assistant

Histotechnologist

Laboratory Supervisor - Microbiology

Laboratory Technical Specialist

Cardiac Catheterization Interventional Radiology Technologist

Pharmacist 7/70

Director, Mechanical & Electrical Engineering (Mechatronics)

Certified Nurse Anesthetist (CRNA)- FT

Registered Nurse Acute Care II Nights

Radiology Technologist- Pain Management Clinic

Occupational Therapy - Physical, Occupational Therapy, Full-Time, Days

NURSE ANESTHETIST (CRNA) - Duke Eye Center

Staff Nurse CMH ER, .9 FT, 7pm - 7am

Director, ICU/Pathology - SMG

Radiology Technologist

Polysomnography Tech II

Facility Medical Director - AHCC

Polysom Tech II

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