Acquire data from varied data sources, develop sustainable, replicable and accurate reports; conduct analysis. Bachelor’s degree or relevant background.…
Coordinate with payers, PBMs, internal billing teams, and cross-functional partners to resolve claim issues, support resubmissions, ensure adherence to timely……
Proactively identify and investigate payment issues, developing mitigation strategies, workflow and process impacts, root cause analysis, and member/provider……
Provides assistance in performing analyses to support reimbursement impact analysis. Collaborates with Revenue Cycle and Finance Teams on contract building and……
5+ years’ experience in healthcare field working in billing or collections. Efficiently review hospital contracts to identify and collect cash payments from……
5+ years’ experience in healthcare field working in billing or collections. Efficiently review hospital contracts to identify and collect cash payments from……
Summary: Reviews submitted claims to determine eligibility and proper payments have been made in accordance with company practices, procedures, and policy……
Lead workflow redesign, policy and procedure development, organizational and workforce realignment, and the design of KPIs and performance governance frameworks……
Bachelor’s degree in healthcare administration, Business, or related field. Oversee denial management processes, including root cause analysis and prevention……
Lead workflow redesign, policy and procedure development, organizational and workforce realignment, and the design of KPIs and performance governance frameworks……
Healthcare Financial Management Association All licensure must be current/valid and from the state of West Virginia. Status: Full Time Regular 1.0.…
Bachelor of Science in Accounting, Finance or equivalent or at least 3 years of experience in the field of healthcare reimbursement or contract analysis or in a……
This includes recording and analyzing data, filing appropriate appeals based on findings to ensure additional payment is received in a prompt manner.…
Strong *problem-solving and analytical skills* to assess insurance payment discrepancies. Join our team and play a vital role in ensuring hospitals receive the……
Responsible for following entire revenue cycle from charge entry through insurance and patient payments. Answers telephone, and responds to inquiries from……
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or……
Ensure compliance with CMS regulations, state and federal guidelines, health plan policies, and provider contract terms. High School Diploma or GED required.…
This role is responsible for deep-dive analysis of claims across commercial payors, identifying root causes of payment discrepancies, and driving resolution……
Bachelor’s degree in business, finance, healthcare administration, or a related field preferred. Perform contract modeling, reimbursement analysis, and payment……
This position provides technical, analytical and operational assistance to commercial, deposit, and cash management functions to ensure internal and external……
Autonomy in Tax Workflows: Manages federal, state, and local tax-related workflows, including the coordination and filing of quarterly reports through the 3rd……
Professional and technical certification programs and years of experience may be substituted for years of education, based on credit hour equivalents.…
Excellent communication skills, oral, written and by use of telephone. Evaluates payer performance through analysis, investigation and facilitation of……
All banking transactions including, stop/reissue of pension payments, , reclaims and reconciliations. Analyze applications for completeness and accuracy; draft……
The analyst will work with revenue cycle staff and insurance payers (Governmental/Non-Governmental) to identify the source of denials and develop processes to……
A bachelor's degree in any data-centric field. Partner and collaborate with cross-functional teams of software engineers, data engineers, subject matter experts……
Bachelor’s degree in Healthcare Administration, Business, Finance, Information Systems, or related field preferred. Complete prior to provider go-live.…
Our software platform enables our partners to extend their value proposition by offering flexible financing products in their own branding, to their merchant……
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This individual will meet the data and analytical needs of Margin Recovery by conducting routine maintenance on Margin Recovery’s proprietary business intelligence, namely queries, tables, pricers, etc. They will also be responsible for creating and maintaining all internal and external client reports. As a member of Margin Recovery’s Data and Analytics Team, you'll help build a growing organization, learn different hard skills, and serve in a multitude of roles.
Essential Duties and Responsibilities
Create monthly reports for our internal and external clients demonstrating the findings of Margin Recovery’s teams
Acquire data from varied data sources, develop sustainable, replicable and accurate reports; conduct analysis
Develop automated data processes that programmatically calculate reimbursement and isolate selected hospital account volume that leads to underpayment identifications
Maintains integrity/accuracy of Margin Recovery’s data tables including updating said tables as industry updates occur
Updates and maintains all coding tables related to reimbursement indicators
Work with clients to understand their business requirements and to assist with the development and design of their reporting needs
Strict adherence to HIPAA privacy and security rules, including following Margin Recovery policy at all times
All other duties as assigned
Required Qualifications
Bachelor’s degree or relevant background
Proficiency with using MS Excel
Strong analytical, technical, and creative problem-solving skills
Eagerness to learn several areas related to the technical needs of the organization
Ability to work independently and as team
Ability to prioritize and manage multiple tasks/assignments and meet established timeframes
Desired Qualifications
Relevant professional experience within Hospital/Insurance industry
Basic understanding of relational database structures
Experience with Power BI
Experience with SQL
Compensation and Benefits:
Four (4) day work weeks
Competitive salary commensurate on relevant experience
Paid time off and holidays
Health insurance package (partially paid by employer)
401(k) plan with employer match after one year of service
The minimum salary is $65K and the max salary is $102K.
$65K – $102K/yr (Glassdoor est.)
$81K
/yr Median
New Orleans, LA
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