. Summary As a Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power... resolution, and post-production follow-up. The Business Analyst role must build, demonstrate, and maintain a detailed knowledge...
. Summary As a Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power... resolution, and post-production follow-up. The Business Analyst role must build, demonstrate, and maintain a detailed knowledge...
., Medicaid, Medicare) identifying patterns of non-compliance or systemic issues in claims handling Qualifications...: Medicaid Health Systems Specialist (PN 20102361 & 20102362) Job Overview: The Ohio Department of Medicaid (ODM) is seeking...
growing vision benefits company. GENERAL FUNCTION The Senior Analyst, Provider Relations is responsible for supporting the... to Medicaid and/or Medical/Surgical products. This will include but is not limited to understanding state-by-state network geo...
growing vision benefits company. GENERAL FUNCTION The Senior Analyst, Provider Relations is responsible for supporting the... to Medicaid and/or Medical/Surgical products. This will include but is not limited to understanding state-by-state network geo...
Experience in Claims or Data processing / testing. Intermediate Level knowledge of PCs and spreadsheet applications. Working... knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems. Strong communication, problem solving, teamwork...
Experience in Claims or Data processing / testing. Intermediate Level knowledge of PCs and spreadsheet applications. Working... knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems. Strong communication, problem solving, teamwork...
and compose a comprehensive rebuttal via the appeal process in a timely manner to the DRG denial claims for clinical and coding... up appeal pathways. Identify patterns/trends in denial claims and recognize opportunities for enhancing optimal DRG...
and compose a comprehensive rebuttal via the appeal process in a timely manner to the DRG denial claims for clinical and coding... up appeal pathways. Identify patterns/trends in denial claims and recognize opportunities for enhancing optimal DRG...
Representative will review, organize, and monitor incoming payment denials, taking appropriate corrective action. The Analyst... responds to carrier issues as needed and processes all appeals including Medicare, Medicaid, Blue Shield, and Commercial...