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Protingent
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Position Title: Denials Analyst.
Position Description: Protingent Staffing has an exciting contract opportunity for Denials Analyst with our client that is located in Rancho Mirage, CA.
Job Responsibilities:
Job Qualifications:
Job Details:
Benefits Package: Protingent offers competitive salaries, 2 insurance plans (100% paid for employee only - HDHP plan, and a buy-up POS plan), education/certification reimbursement, pre-tax commuter benefits, Paid Time Off (PTO) and an administered 401k plan.
About Protingent: Protingent is a niche provider of top Engineering and IT talent to Software, Electronics, Medical Device, Telecom, and Aerospace companies nationwide. Protingent exists to make a positive impact and contribution to the lives of others as well as our community by providing relevant, rewarding, and exciting work opportunities for our candidates.
Denials Analyst
Posted: 05/24/2024
2024-05-24
2024-08-26
Employment Type:
Contract
Industry: Core Technologies - Contract
Job Number: 28930
Job Description
Position Title: Denials Analyst.
Position Description: Protingent Staffing has an exciting contract opportunity for Denials Analyst with our client that is located in Rancho Mirage, CA.
Job Responsibilities:
- Collaborate with all levels of clinical staff, facilities, health technology management, architects and other stakeholders to identify medical and non-medical equipment standards for various departments.
- Maintain standards list in equipment database for the org.
- Research, evaluate, and recommend appropriate equipment and supplies based on the hospital's requirements, budgetary considerations, and industry best practices.
- Coordinate with suppliers and procurement teams to ensure timely and cost-effective equipment acquisition.
- Knowledge of compliance with local, state, and federal regulations, as well as hospital policies and procedures.
- Develop and assist with the budgetary planning of projects. Monitor expenses, negotiate contacts, and identify cost-saving opportunities without compromising patient safety or quality of care.
- Ensure equipment standards are being followed from the beginning of the design phase to the go-live phase.
- Collaborate with BCH legal to review equipment contracts as needed.
- Report out and prepares monthly EST/EPT project progress or as needed.
- Benchmark quotes using our benchmarking tool ECRI as well as other available sources.
- Review approved requests coming in via our capital equipment software system Hyperion.
Job Qualifications:
- Required High School diploma or equivalent, Preferred Associate degree
- Required Minimum of two years of Professional Billing with an emphasis in Managed Care denial follow up and appeals processing Prior hospital billing experience a plus. Preferred, three to five years of Patient Accounting in a high volume environment.
- Strong Analytical skills, Proficient in Microsoft Windows with emphasis on Excel.
- Ability to prioritize and coordinate workflow and attention to detail.
- Knowledge of CPT, HCPC and ICD 10 coding requirements with emphasis on modifiers and diagnosis association.
- Working knowledge of LCD’s, NCCI and MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims, authorization and documentation requirements.
Job Details:
- Job Type: Contract.
- Pay rate: $20-$22/hr.
- Location: Rancho Mirage, CA.
Benefits Package: Protingent offers competitive salaries, 2 insurance plans (100% paid for employee only - HDHP plan, and a buy-up POS plan), education/certification reimbursement, pre-tax commuter benefits, Paid Time Off (PTO) and an administered 401k plan.
About Protingent: Protingent is a niche provider of top Engineering and IT talent to Software, Electronics, Medical Device, Telecom, and Aerospace companies nationwide. Protingent exists to make a positive impact and contribution to the lives of others as well as our community by providing relevant, rewarding, and exciting work opportunities for our candidates.
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Escape the ordinary and discover exciting job opportunities in scenic Rancho Mirage, California! Nestled in the heart of the Coachella Valley, Rancho Mirage offers a unique blend of desert beauty and modern amenities, making it an ideal place to grow your career. From the world-renowned golf courses like The River at Rancho Mirage to the vibrant arts scene at The Westin Mission Hills Golf Resort & Spa, there is no shortage of enchanting experiences to enjoy. Indulge in the region's delectable date shakes, explore the exhibits at the Tolerance Education Center, or catch a show at the McCallum Theatre. Join us in Rancho Mirage and immerse yourself in a community that blends relaxation with endless opportunities for professional and personal growth. Explore our job listings today and embark on a fulfilling career in this captivating desert oasis!