Home
/
Comprehensive
/
SBO Managed Care Denial Analyst
SBO Managed Care Denial Analyst-March 2024
Aurora
Mar 28, 2026
About SBO Managed Care Denial Analyst

  Responsible for analyzing the hospital’s current accounts receivable for Medicaid Managed Care, finding underpayments and rebilling the insurance carriers to maximize reimbursement under our contracts. Bills all special devices per contract to receive the additional reimbursement and suggests ways to improve future cash flow, providing ad hoc reports to management. Responsible for accurate knowledge of and familiarity with, major managed care contracts, referencing contracts as needed. Must have EPIC experience and understand the Medicaid replacement process with all the Medicaid MCO replacements.Have a High School diploma. Have 3- 5 years Hospital patient accounting experience. Demonstrate a strong knowledge of third party payers including Medicare, Medicaid, and local HMO/PPOs. Proficient in the use of information technology, with a focus on Windows NT, MS Word, MS Excel. Excellent communication skills.

  Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status and other legally protected characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting [email protected].

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Commercial Operations Officer (US)
427418BR Job Title: Commercial Operations Officer (US) Company Overview: Our Values At TD, we're guided by our purpose to enrich the lives of our customers, communities and colleagues, and share a se
Production Associate: Retread Tire Technician - El Paso, TX
IMMEDIATELY HIRING!!! – APPLY TODAY!!! Thank you for your interest in a career at Goodyear Commercial Tire & Service Centers. Our mission statement is 'SERVICE EXCELLENCE – ALWAYS'. This position
Account Executive - HR Solutions
Overview Selling Company's products and services by developing new clients and increasing the client base to increase profits in the Sale of Human Resource Services and PEO Sales organizations. Respo
forklift operator - sit down
forklift operator - sit down. austin , texas posted 10 days ago job details summary $19 per hour temporary category transportation and material moving occupations reference1010168-1 job details As a
Psychiatric / Mental Health Technician
Overview ERP International is seeking a full time Psychiatric/Mental Health Technician in support ofDavid Grant Medical Center, Travis AFB, CA (https://www.airforcemedicine.af.mil/MTF/Travis/About-Us
Speech Language Pathologist School Job In Aurora, CO - Make
Aya Education has an immediate opening for the following position: SpeechLanguage Pathologist School in Aurora, CO. Job DetailsProfession: Therapy/RehabilitationSpecialty: Speech Language Pathologist
Program Manager
Overview Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to imp
Restaurant Crewmember – Cook
Overview: Starting hiring pay range (based on location, experience, qualifications, etc.): $12 / hour Restaurant Crewmembers at Raising Cane’s will wear many hats (including a Raising Cane’s hat) whi
Machine Operator
Join the production team of a thriving manufacturing organization! This Machine Operator job is great for someone who likes to work with their hands and be active all day.  This position and company
RESOURCES MANAGER
Summary THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a Resources Manager, Position Description Number T5126P01 and is part of the Deputy Chief of St
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved