Top 263 Management analyst Jobs in Remote

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- Full-time
- 5 years
- Research
- Bachelor's degree
Quick Apply
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Claims Management Analyst III
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Lead Business Analyst - Customer Integrations
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Kentro —Remote
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Operations Business MIS Analyst Lead
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Denials Management Analyst

Shriners Children's -
Remote

Quick Apply

Job Details

Full-time
$77,020 - $115,530 a year

Qualifications

X12 EDI
National Correct Coding Initiative (NCCI) guidelines
EDI
Accounts receivable management
Spreadsheets
Health insurance policy knowledge
Research
ICD-10
Healthcare software applications
Data analysis software
Identity & access management

Full Job Description

The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst will identify and trend root causes and report out findings as well as assist in mapping out process improvement opportunities. The analyst will coordinate payor denials and audit activities to ensure timely response for the processing of all payor denials, audit requests and appeals. The analyst will communicate and coordinate with various individuals/distributions and assist with monitoring of the day-to-day activities related to claims denials and audit reviews.

Collecting/analyzing, report status, metrics and trends of activity by different reviews from multiple systems Distributing reports on a routine basis to specific distribution group
- Managing Epic work queues and resolving denials.
- Gathering data to substantiate the request for rule creations in Epic.
- Research payer fee schedules and provider manuals to ensure appropriate non covered denials.
Organizing all data and activity in a retrievable way Coordinating payor denial and audit activities to ensure timely response for the processing of all payor denials, audit request and appeals for both institutional and professional claims
Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc.
Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day-to-day activities related to claim denials and audit reviews
Maintaining the healthcare tracking tool/application that stores/communicates all denial and review activity. This will include user access management, updates to software, and end-user training
Supporting projects and initiatives of the Denials Management Team. This may include coordinating meetings, conducting research, performing audits or data analysis, and preparing documents
Strong communication skills and a commitment to delivering the highest level of quality work

This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.

Required:

Bachelor's degree, or equivalent combination of education and experience
5-7 Years in a Healthcare Revenue Cycle Environment including 3 years in Third Party Collection/AR Receivables and Denials Management
Epic PB Resolute experience
Healthcare Revenue Cycle management including:
- Therapy (Physical/Occupational/Speech)
- Radiology
- Pediatrics/Pediatric Orthopedics
- Anesthesia
EDI Transaction sets including 837I, 837P
Knowledge of insurance contract rates and terms
Knowledge and understanding of Registration and Collections
Knowledge and understanding of Government and Managed Care billing, coverage and payment rules
Ability to comprehend payor 835 and paper EOB responses
Knowledge and understanding of NCCI edits, CPT-4, HCPCS, ICD-10 and Revenue Codes standards
Intermediate Excel skills

Preferred:

CRCR Certification
Epic Certification

Quick Apply

Refine Your Search

management analyst jobs in remote

Denials Management Analyst

Records Management Program Support Analyst

Management Analyst

Call Center Analyst, Workforce Management

Health Information Management Analyst

Risk Management Analyst

FMBT Program Management Analyst-ERP Implementation

Revenue Management Analyst

Management Analyst - Records & Compliance

Project Management Support - Analyst

Management Analyst – Journeyman

Business and Financial Management Analyst

Claims Management Analyst III

Capacity Management - Epic Cadence Analyst

Program/Project/Management Analyst, Journeyman

Lead Business Analyst - Customer Integrations

Remote QA Test Analyst – Software Asset Management (VA ESOM)

Program Support and Data Management Analyst

Operations Business MIS Analyst Lead

Vulnerability Management Analyst

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