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 ho... more details
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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