Bronx, NY · On-site
$23 - $28.25/hr
... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...
Bronx, NY · On-site
$23 - $28.25/hr
... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...
Develops and implements action plans for denial prevention based on root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and ...
Develops and implements action plans for denial prevention based on root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and ...
Develops and implements action plans for denial prevention based on root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and ...
Develops and implements action plans for denial prevention based on root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and ...
Manhattan, NY · On-site
$60 - $70/hr
Trend Analysis & Root-Cause Identification: Performs trend analysis to identify patterns, spikes ... Supports the overall shift from denial recovery to denial prevention. * Process Improvement: Works ...
New
Manhattan, NY · On-site
$60 - $70/hr
Trend Analysis & Root-Cause Identification: Performs trend analysis to identify patterns, spikes ... Supports the overall shift from denial recovery to denial prevention. * Process Improvement: Works ...
New
Experience with denial prevention, root-cause analysis, appeals workflows, and operational follow-up. * Experience with reporting, analytics, workflow validation, integrated testing, training, or ...
Experience with denial prevention, root-cause analysis, appeals workflows, and operational follow-up. * Experience with reporting, analytics, workflow validation, integrated testing, training, or ...
Experience with denial prevention, root-cause analysis, appeals workflows, and operational follow-up. * Experience with reporting, analytics, workflow validation, integrated testing, training, or ...
Experience with denial prevention, root-cause analysis, appeals workflows, and operational follow-up. * Experience with reporting, analytics, workflow validation, integrated testing, training, or ...
Bronx, NY · On-site
$91K - $93K/yr
... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...
Bronx, NY · On-site
$91K - $93K/yr
... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...
Manhattan, NY · On-site
$60 - $80/hr
... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...
New
Manhattan, NY · On-site
$60 - $80/hr
... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...
New
Performs trend analysis to identify patterns, spikes, or recurring issues. * Differentiates ... Supports the overall shift from denial recovery denial prevention. Process Improvement ...
Performs trend analysis to identify patterns, spikes, or recurring issues. * Differentiates ... Supports the overall shift from denial recovery denial prevention. Process Improvement ...
Performs trend analysis to identify patterns, spikes, or recurring issues. * Differentiates ... Supports the overall shift from denial recovery → denial prevention. Process Improvement ...
Performs trend analysis to identify patterns, spikes, or recurring issues. * Differentiates ... Supports the overall shift from denial recovery → denial prevention. Process Improvement ...
Bronx, NY · On-site
$91K - $93K/yr
... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...
Bronx, NY · On-site
$91K - $93K/yr
... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...
Albany, NY · On-site
$74K - $104K/yr
The OR Revenue Protection RN supports organizational denial prevention efforts and protects revenue through collaboration, education, analysis, and process improvement initiatives. Responsibilities
Albany, NY · On-site
$74K - $104K/yr
The OR Revenue Protection RN supports organizational denial prevention efforts and protects revenue through collaboration, education, analysis, and process improvement initiatives. Responsibilities
Experience in payer contract analysis and denial prevention strategies strongly preferred. INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of ...
Experience in payer contract analysis and denial prevention strategies strongly preferred. INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of ...
Tampa, FL · On-site
$70 - $100/hr
... denial prevention efforts and initiatives that ensure accurate billing, regulatory coding ... analysis and one (1) of the certifications listed. A Bachelor's degree in Finance, Healthcare ...
Tampa, FL · On-site
$70 - $100/hr
... denial prevention efforts and initiatives that ensure accurate billing, regulatory coding ... analysis and one (1) of the certifications listed. A Bachelor's degree in Finance, Healthcare ...
Manhattan, NY · On-site
$60 - $70/hr
Revenue Cycle Denials Analyst page is loaded## Revenue Cycle Denials Analystlocations: Richmond ... Supports the overall shift from denial recovery → denial prevention.**Process Improvement ...
New
Manhattan, NY · On-site
$60 - $70/hr
Revenue Cycle Denials Analyst page is loaded## Revenue Cycle Denials Analystlocations: Richmond ... Supports the overall shift from denial recovery → denial prevention.**Process Improvement ...
New
Nashville, TN · On-site
... denial trends and systemic issues, analyze their financial and operational impact, and escalate findings to leadership with recommendations for process improvements and denial prevention strategies ...
Quick apply
Nashville, TN · On-site
... denial trends and systemic issues, analyze their financial and operational impact, and escalate findings to leadership with recommendations for process improvements and denial prevention strategies ...
The specialist also helps prevent future downgrades by identifying trends and providing feedback to ... trend analysis to identify denial patterns and recommend process improvements. · Achieve ...
New
The specialist also helps prevent future downgrades by identifying trends and providing feedback to ... trend analysis to identify denial patterns and recommend process improvements. · Achieve ...
New
The specialist also helps prevent future downgrades by identifying trends and providing feedback to ... trend analysis to identify denial patterns and recommend process improvements. · Achieve ...
New
The specialist also helps prevent future downgrades by identifying trends and providing feedback to ... trend analysis to identify denial patterns and recommend process improvements. · Achieve ...
New
The specialist also helps prevent future downgrades by identifying trends and providing feedback to ... trend analysis to identify denial patterns and recommend process improvements. · Achieve ...
New
The specialist also helps prevent future downgrades by identifying trends and providing feedback to ... trend analysis to identify denial patterns and recommend process improvements. · Achieve ...
New
The specialist also helps prevent future downgrades by identifying trends and providing feedback to ... trend analysis to identify denial patterns and recommend process improvements. · Achieve ...
New
The specialist also helps prevent future downgrades by identifying trends and providing feedback to ... trend analysis to identify denial patterns and recommend process improvements. · Achieve ...
New
Cities with the most Intern Denial Prevention Analyst job openings:
The most popular types of Denial Prevention Analyst jobs are:
States with the most job openings for Intern Denial Prevention Analyst jobs include:
$23 - $28.25/hr
Full-time
Re-posted 21 days ago
6.9
Based on 10 frontline employees who took The Breakroom Quiz
Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to patients. Assist in development of strategies for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and educate staff on variances found. Conduct JCAHO preparation activities to insure hospital wide compliance and readiness. Assist in the design and implementation of educational programs for Denial Prevention and Management.
Responsibilities- Establish and maintain positive relationships with patients, visitors, and other employees. Interacts professionally, courteously, and appropriately with patients, visitors and other employees. Behaves in a manner consistent with maintaining and furthering a positive public perception of Bronx-Lebanon Hospital Center and its employees.
- Contributes to and participates in the Performance/Quality Improvement activities of the assigned department. Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and Customer Service.
- Reviews and denials notification letters along with the medical records and all pertinent documentation related to the episode of care being denied in order to prepare a response for submission in appeal.
- In absence of Director, will review denial correspondence to determine validity of denial reason and course of action to be taken.
- Maintains a working knowledge of MCG guidelines /InterQual Acute Level of Care Criteria in order to be able to apply to episode of care and utilize in the formulation of a strong appeal.
- Identifies and monitors for patterns and trends in denial activity by service and/or provider for the purpose of reporting and implementing corrective measures.
- Provide feedback to UM staff related to denial prevention strategies.
- Participates in JCAHO hospital wide preparation activities as designated by Director.
- Conducts departmental performance improvement activities and monitoring on a quarterly basis and reports findings/analysis to Director.
- Conducts educational/feedback sessions with UM staff related to PI activity findings and need for corrective action in order to improve outcomes.
- Maintains an excel log related to denials/appeals activities in order to monitor successful appeals.
- Assists with preparation of quarterly reports for Bd. Of Trustees, Administration and Providers as needed.
- Participates in special projects and committees as determined by Director.
QualificationsCERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate preferred . Prior experience with reviewing medical charts in a medical office or hospital would be preferred. Knowledge of Interqual / MCG guidelines will be a benefit.
- Knowledgeable regarding CMS, JCAHO, IPRO standards, regulations, monitoring and reporting systems.
- Knowledgeable regarding Regulatory Agency Mandates (State and Federal).
- Excellent interpersonal, computer, verbal and written communication skills.
- Ability to work independently as well as in teams for the purpose of advancing departmental goals and objectives of denial reduction.
- Extensive Computer Knowledge
Employment Type: FULL_TIMEGet the full story on Breakroom
Sourced by ZipRecruiter
BronxCare is the largest voluntary, not-for-profit health and teaching hospital system serving the South and Central Bronx, with 859 beds and more than 4,500 employees. Its two main hospital divisions, comprehensive psychiatric and chemical dependency programs, long-term care facility, and extensive outpatient network are delivering the highest quality and accessible services to the community. BronxCare is now among the largest providers of outpatient services in New York City, with close to one million visits annually. Its ER is one of the busiest in New York.
Health care and social assistance
1,001 - 5,000 Employees
New York, NY, US
1890
