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Denials Analyst

Rancho Mirage, CA 92270

Posted: 05/24/2024 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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About Rancho Mirage, CA

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!