Top 21 Senior claims analyst Jobs in Utah

Revenue Integrity Analyst II
Intermountain Healthcare —West Valley City, UT
- $37.87 - $59.63 an hour
- Full-time
- Hybrid work
- Computer literacy
- Research
- Mid-level
Senior Analyst, Network Relations
CVS Health —Utah
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Healthcare Encounter Senior Analyst
CVS Health —Utah
- $46,988 - $122,400 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
7d
Logistics Analyst
Traeger Grills —Salt Lake City, UT
- Mid-level
- SQL
- Analysis skills
- Paid parental leave
- Health savings account
Quick Apply
Director of Claims and Litigation
Banner Health —Salt Lake City, UT
- $57.38 - $95.64 an hour
- Part-time
- Remote
- Background check
- 6 years
- Writing skills
- Wellness program
- Employee assistance program
ENGR SR SOFTWARE DEVT
Solventum —Utah
- $106,000 - $145,750 a year
- Full-time
- Remote
- Computer Science
- 5 years
- System design
- Health savings account
- Disability insurance
Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst
CVS Health —Utah
- $46,988 - $122,400 a year
- Full-time
- Remote
- Mid-level
- Finance
- Master's degree
- Health insurance
- Dental insurance
EDI Analyst I
University of Utah Health —Murray, UT
- 8 hour shift
- Bilingual
- Word processing
- Pass drug screening
- Retirement plan
1d
Senior Manager, HR Operations
PACS —Salt Lake City, UT
- Full-time
- 6 years
- Office
- Analysis skills
- Health savings account
- Paid holidays
Quick Apply
11h
C# Software Developer or Senior C# Software Developer
Utah Retirement Systems —Salt Lake City, UT
- From $93,600.24 a year
- Full-time
- Computer Science
- Office
- Supervising experience
- Dental insurance
Director - Applied Analytics
Trucordia —Lindon, UT
- Full-time
- Hybrid work
- SQL
- Mentoring
- Recruiting
- Health savings account
- AD&D insurance
Quick Apply
1d
Director Complex Claims and Counsel
Banner Health —Salt Lake City, UT
- $65.70 - $109.50 an hour
- Part-time
- Remote
- Background check
- Nursing
- Writing skills
- Wellness program
- Employee assistance program
Commercial Insurance Consultant, Claims Insights- Remote
CSAA Insurance Services, Inc. —Utah
- $122,850 - $164,000 a year
- Full-time
- Remote
- Computer Science
- Mid-level
- SQL
- 401(k) matching
4d
Senior Facets Configuration Analyst
Vytwo —United States
- Full-time
- Remote
- Residential
- Senior level
- 10 years
Quick Apply

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senior claims analyst jobs near utah

Revenue Integrity Analyst II

Intermountain Healthcare -
West Valley City, UT

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Job Details

Full-time
$37.87 - $59.63 an hour

Qualifications

Spreadsheets
Charge capture (medical billing)
Electronic health record (EHR) management for billing and coding
Excel data analysis

Full Job Description

Job Description:

This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures.

The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position will monitor and support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This position will support the development and management of integrated charge capture workflows in partnership with senior analysts and leadership, working closely with the clinical and clinical application teams.
Essential Functions
Analyzes data, develops reports, reviews trends and recommends enhancements as defined by the revenue practice leadership team.
Performs extensive data mining, mentoring/training, regulatory and payer policy review, abstracting of financial and clinical information from various sources
Presents, researches, and follows-up on topics reviewed at department and system-wide initiative levels.
Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance.
Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.
Audits and evaluates system automation by comparing the charge/claim data to the clinical record. Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts.
Evaluates, provides education and guidance to revenue cycle, revenue practice teams and clinical operations on report development, charge capture accountability and revenue monitoring.
Mentors and supports the training of other revenue integrity analysts.
Data Analysis
Healthcare Regulations
Process improvement
Health Insurance
CMS
Problem solving
Data Mining
Excel
Collaboration

Qualifications
Required
Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group.
Experience in a role requiring attention to detail with excellent organizational and analytical skills.
Demonstrated proficiency with Epic clinical and/or billing applications.
Demonstrates ability to be flexible and adaptable to change.
Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.
Experience working closely with a multi-disciplinary team to optimize patient experience and operational success.
Demonstrates advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring.
Preferred
Bachelor’s degree in healthcare administration, or medical, analytical field from an accredited institution. Education is verified.
Proficient or certified with Epic clinical or billing applications.
Physical Requirements
Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching.

Location:

Lake Park Building

Work City:

West Valley City

Work State:

Utah

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$37.87 - $59.63

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Apply Now

Refine Your Search

senior claims analyst jobs in utah

Revenue Integrity Analyst II

Senior Analyst, Network Relations

Healthcare Encounter Senior Analyst

Logistics Analyst

Director of Claims and Litigation

ENGR SR SOFTWARE DEVT

Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst

EDI Analyst I

Senior Manager, HR Operations

C# Software Developer or Senior C# Software Developer

Director - Applied Analytics

Director Complex Claims and Counsel

Commercial Insurance Consultant, Claims Insights- Remote

Senior Facets Configuration Analyst

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