- Review contracts between hospitals and insurance carriers, model claims data, and identify lost revenue
- Contact responsible party for claim payment
- Prepare and forward claim appeal letters with supporting documentation for denial overturn
- Establish working relationships with individuals at insurance companies
- Communicate with teammates and leadership to discuss and identify trends
- Contact insurance companies via phone, email, and written appeal to recover dollars
- Perform analysis on large data sets to identify underpayment and denial trends
- Conduct research on current laws and regulations pertaining to hospital reimbursement methodology
- Contribute to client decks and weekly reports to track progress of project goals and present to leadership
- Strive to maintain a personal hourly rate by meeting project metrics and goals efficiently
- Attend Privacy and Security Training as required by the HIPAA Awareness Program and comply with all guidelines, policies and procedures to assure sensitive or confidential information is protected in accordance with the HIPAA rules and regulations
- Other duties as assigned
-
Healthcare Claims Analyst
1 week ago
Boost Healthcare Alameda, United StatesLocation: Remote. Office is headquartered in Alameda, California. · What We Do: · Boost Healthcare is focused on helping healthcare providers identify and recover revenue. Our service lines include Zero Balance, AR Solutions, and Financial & Strategic Advisory. Our team works w ...
-
Healthcare Claims Analyst
1 week ago
Boost Healthcare Alameda, United StatesJob Description · Job DescriptionLocation: Remote. Office is headquartered in Alameda, California. · What We Do: · Boost Healthcare is focused on helping healthcare providers identify and recover revenue. Our service lines include Zero Balance, AR Solutions, and Financial & Strat ...
-
Claims Analyst
1 week ago
BRIDGE Housing San Francisco, United StatesSummary · The Claims Analyst is responsible for completing requests for certificates of insurance and ensuring that property and general liability claims are completed accurately and . · The Analyst also provides day-to-day support to Insurance team related to all lines of insu ...
-
Claims Analyst
2 weeks ago
BRIDGE Housing San Francisco, United StatesSummary · The Claims Analyst is responsible for completing requests for certificates of insurance and ensuring that property and general liability claims are completed accurately and . The Analyst also provides day-to-day support to Insurance team related to all lines of insuran ...
-
Allied World San Francisco, United StatesJob Description - Claims Analyst/Senior Claims Analyst, Asia Pacific Claims Group A) · Job Description · Claims Analyst/Senior Claims Analyst, Asia Pacific Claims Group · - · ( · 2300002A · ) · Description · Take the next step in your career with us. · Allied World is an idea ...
-
Claims Operations Analyst
3 weeks ago
Vouch San Francisco, United States[Full Time] Claims Operations Analyst at Vouch (United States) | BEAMSTART Jobs · Claims Operations Analyst · Vouch United States · Date Posted · 04 Jan, 2023 · Work Location · San Francisco, United States · Salary Offered · $100000 — $105000 yearly · Job Type · Full Time · Exp ...
-
Senior Claims Analyst
1 week ago
American International Group Concord, United StatesSenior Claims Analyst · Join us as a Senior Claims Analyst to take on key responsibilities within a world-class claims function. · Make your mark in Claims · Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and show ...
-
Claims Administration Analyst
1 week ago
The Pasha Group San Rafael, United States· Position at The Pasha Group · Information for California residents · about our collection and use of job applicant personal information can be found here: Privacy Practices · Job Summary · The Claims Administration Analyst provides data management, claims analysis, TPA mana ...
-
Data Analyst I Report Writer I
2 weeks ago
Native American Health Center Inc Oakland, United States**_Indian Preference Act:_**_ Preference in hiring is given to qualified Native Americans in accordance with the _**_Indian Preference Act_**_ (Title 25, US Code, Section 472 and 473). Applicants claiming Indian Preference must submit verification of Indian heritage certified by ...
-
Sr. Analyst, Claims Revenue Analytics
3 weeks ago
GoodRx Holdings Inc. San Francisco, United StatesSr. Analyst, Claims Revenue Analytics page is loaded · Sr. Analyst, Claims Revenue Analytics · Apply · locations · Santa Monica, CA · time type · Full time · posted on · Posted 30+ Days Ago · job requisition id · JR100166 · GoodRx is America's healthcare marketplace. E ...
-
Auditor Associate I
2 weeks ago
Alameda County Oakland, United States**Date Opened** · - 4/15/2024 12:00:00 AM · **Filing Deadline** · - 5/10/2024 5:00:00 PM · **Salary** · - $ $34.24/hour; $56, $66,768.00/year · **Employment Type** · - Permanent Full-Time Employment**HR Analyst** · - Rosario Jones · **Department** · - Auditor-Controller · **Work ...
-
Financial Analyst, Experienced
1 week ago
Blue Shield of California Oakland, United States**Your Role** · The Managed Care Finance team administers the financial terms and conditions of our capitated contracts with IPA/Medical Groups, Hospitals, and Vendors. The Financial Analyst, Experienced will report to the Manager of Managed Care Finance. In this role you will be ...
-
Business Analyst(Ez-cap)
2 weeks ago
emids California City, United States**Role: Business Analyst(EzCAP)** · **Location: Bakersfield, CA (Hybrid/Remote)** · **Mode of Hire: Fulltime** · **Must have Skills** · - Business Analysts (BAs) that know EzCAP · - Have expertise to assist with configuration activities like contracts, benefits, fee schedules etc ...
-
Associate Analyst
1 week ago
Judicial Council of California San Francisco, United StatesUnder general supervision, the Associate Analyst will support the Appellate Court Appointed Counsel Program (CAC Program) by performing a variety of tasks in the District Courts of Appeal - Court Appointed Counsel System (DCACS) database to review, analyze, and make an initial ap ...
-
Healthcare Financial Analyst
3 weeks ago
Global IT Resources San Francisco, United States**Financial Analyst** · Location: REMOTE · Duration: 26 week contract with possibility of extension · Hours: 8:00 am to 5:00 pm · - Collaborate closely with budget, contract management, revenue cycle, operations, and decision support to resolve net revenue issues. · - Responsible ...
-
Assistant Division Manager
3 weeks ago
University of California San Francisco San Francisco, United StatesWith strong knowledge of financial and operations management, the **Assistant Division Manager (ADM)** is critical to the daily operations of the Division of General Internal Medicine (DGIM), supporting the Division in a variety of management activities. The individual works repo ...
-
Public Utilities Regulatory Analyst Iii
1 week ago
Public Utilities Commission San Francisco County, CA, United StatesVirtual interviews via web portals or phone may be offered as deemed appropriate and feasible by the hiring manager - standard in-person interviews will still be offered if conditions permit. · - Under the general direction of a Program and Project Supervisor of the Communication ...
-
Associate Governmental Program Analyst
2 weeks ago
Department of Parks & Recreation Alameda County, CA, United States**ASSOCIATE GOVERNMENTAL PROGAM ANALYST - PERMANENT INTERMITTENT/ DIABLO RANGE DISTRICT** · The reporting location for this position is the District Office in the Altamont hills of Livermore. This position will work under the supervision of the Senior Environmental Scientist (Sup ...
-
Human Resources Analyst Ii
2 weeks ago
Superior Court of California, County of Alameda Alameda, United StatesSalary Range · $93, $121,180.80 · **Job Description**: · The Human Resources Analyst II is the journey-level class of the class series in which incumbents under direction perform a wide variety of professional assignments of increasing difficulty. The position is assigned to the ...
-
Human Resources Technician
3 weeks ago
County of Contra Costa, California Martinez, United States**The Position**: · **Why join the Contra Costa County Human Resources Department?** · Contra Costa County recognizes that our employees are our strongest and greatest asset. The Human Resources Department has a staff of just over 50 employees organized into four Divisions that p ...
Healthcare Claims Analyst - Alameda, United States - Boost Healthcare
Description
Location:
Remote. Office is headquartered in Alameda, California.
What We Do:
Boost Healthcare is focused on helping healthcare providers identify and recover revenue. Our service lines include Zero Balance, AR Solutions, and Financial & Strategic Advisory.
Our team works with hospitals and physician groups to improve overall revenue by recovering denied and underpaid claims from both commercial and government payers.
We provide clients with claims data showing payer performance and root cause analysis of denial and underpayment issues.We assess their overall business performance so they can focus on the patient experience and quality of care and let us reduce administrative burden and help drive their bottom line.
Our services are contingency based with no upfront costs to our clients.Position Summary:
As a Healthcare Claims Analyst, you will work closely with your team on assigned project(s) to be a trusted point of contact for our clients and team members.
The Healthcare Claims Analyst will support the success of the Zero Balance department by evaluating and reviewing contracts between hospitals and insurance carriers and researching trends and why underpayments are occurring.
The ideal candidate for this position will have a demonstrated interest in healthcare and a desire to strengthen their analytical, team, leadership, and client relations skills.
Primary Duties and Responsibilities:
Required Qualifications:
Detail-oriented and organized with the ability to manage time effectively and prioritize competing tasks
Excellent communication skills both written and verbal
Effective documentation skills
Strong organizational skills
Possesses analytical capabilities and financial acumen
Must have private and dedicated workspace that ensures confidentiality
Base internet download speed of 10 MBPS and upload of 35 MBPS
Must reside inAZ, FL, GA, IL, LA, MA, MN,OH, OR, PA, SC, TX, or WA
Nice-to-Have Qualifications:
Undergraduate degree or internship in a healthcare related field
Understanding of health insurance, EHR's, EMR's, and claims handling
Healthcare operations experience
Understanding of auditing and reporting tools such as SQL
Presentation skills and client relations experience a plus
Who We Are:
Boost Healthcare is a remote team of 70+ employees and growing with a nationwide clientele base lead by Liana Hamilton, founder and managing partner.
Culture
The culture at Boost Healthcare embraces a passion for continual process improvements, collaboration and building trusted long-lasting partnerships within our team and partners.
We believe that every voice matters, needs to be heard and we value all perspectives as inclusiveness is key to our success.
Maintaining a strong workplace culture is a top priority for us so if you want to focus on people first, join our team.
CompensationThe salary range for a Healthcare Claims Analyst ranges from $52,300-$79,500.
Benefits
Boost Healthcare provides a competitive benefits package including medical, dental, vision, and 401k benefits as well as a flexible schedule and stipends that cover education and remote work.
Boost is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of background check.#J-18808-Ljbffr
