Allocation Analyst jobs in Hopkinsville, KY

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Denial Analyst
  • Emerald Therapy Center
  • Paducah, KY FULL_TIME
  • Company Background 

    Emerald Therapy Center, LLC is a multi-disciplinary behavioral health organization in Paducah, Kentucky. Our mission is to provide clients with counseling, medication management and addiction treatment services to function at their highest level. We opened our first office in Paducah, KY, in the fall of 2014. Since then, Emerald Therapy Center, LLC. has seen tremendous growth, and the need for more services and programs was quickly recognized. The owners have continued to diligently work towards expanding services and making Emerald the most certified and credentialed behavioral health organization in Western Kentucky. We can assess, diagnose, and treat adults, teens, and children. Various treatment options from individual, group, and family therapy are offered. Sessions may be conducted at our main office location, various facilities that we partner with, or within the community. Emerald Therapy Center, LLC., promotes emotional, physical, spiritual, and financial wellness by directing other resources to clients to live their healthiest and most productive lives. We use these four areas of wellness to help clients function at their highest level. We promote that our services should be uplifting and encouraging. We want our clients to leave our facility feeling better than when they came in, regardless of the issue.

    We are all on a journey to experience to achieve the best life possible.

    “Your Best Days are ahead.”


    • Performs advanced level work related to insurance denial management.
    • Responsible for managing claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, and others as assigned.
    • Conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a written appeal is needed, or if no action is needed.
    • Writes and submits professionally written appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language. Appeals are submitted timely and tracked through final outcome.
    • Handles audit-related / compliance responsibilities and other administrative duties as required.
    • Actively manages, maintains, and communicates denial/appeal activity to the RCM Director and reports suspected or emerging trends related to payer denials to Revenue Cycle management.  
    • Accounts for coding and abstracting of patient encounters, including procedural information, significant reportable elements, and complications.
    • Researches and analyzes data needs for reimbursement.
    • Analyzes medical records and identifies documentation deficiencies.
    • Serves as resource and subject matter expert to other coding staff.
    • Reviews and verifies documentation supporting diagnoses, procedures, and treatment results.
    • Identifies diagnostic and procedural information.
    • Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
    • Assigns codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines.
    • Follows coding conventions. Serves as a coding consultant to care providers.
    • Identifies discrepancies, potential quality of care, and billing issues.
    • Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors.
    • Identifies reportable elements, complications, and other procedures.
    • Serves as resource and subject matter expert to other coding staff.
    • Assists lead or supervisor in orienting training, and mentoring staff.
    • Provides ongoing training to staff as needed.
    • Handles special projects as requested.
    • Proficient in Excel Sorting, Pivots, and VLOOKUP
    • This is not a Remote Position

    Education, Experience, and Licensing Requirements:

    • High school diploma, GED, or equivalent
    • University/college degree, or experience medical records, claims or billing areas is an asset.
    • CCA (AHIMA) CCS (AAPC) or greater
  • 6 Days Ago

S
Behavioral Analyst
  • Sevita
  • Paducah, KY FULL_TIME
  • NeuroRestorative, a member of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a va...
  • 8 Days Ago

B
Business Analyst
  • Banterra
  • Paducah, KY FULL_TIME
  • This is a Work From Home Opportunity within 30 miles of a Banterra branch location Summary: Responsible for assisting in building sound processes and controls to deliver data reporting and analysis to...
  • 13 Days Ago

C
Resource Management Analyst I
  • Commonwealth of Kentucky
  • Nortonville, KY FULL_TIME
  • Advertisement Closes 10/23/2023 (8:00 PM EDT) 23-08799 Resource Management Analyst I Pay Grade 13 Salary $42,400.30 Yearly Employment Type EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18...
  • 19 Days Ago

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Board Certified Behavior Analyst
  • Healthcare Talent Support
  • Madisonville, KY FULL_TIME
  • Healthcare Talent Support is currently seeking a highly motivated and experienced Board Certified Behavior Analyst (BCBA) to join a leader in Applied Behavior Analysis (ABA) therapy for children and t...
  • 22 Days Ago

A
Associate Analyst - Manufacturing
  • Altria
  • Hopkinsville, KY FULL_TIME
  • OverviewAre you looking for a role where you will execute priorities in support of manufacturing, Natural Work Teams (NWT), and data analytics? We want to speak to you!US Smokeless Tobacco Company’s r...
  • 23 Days Ago

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0 Allocation Analyst jobs found in Hopkinsville, KY area

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CDL-A Truck Driver - Home Weekly - Earn Up to $90k/Year
  • Dollar General Fleet
  • Hopkinsville, KY
  • Dollar General Fleet is now hiring CDL-A Drivers in Bowling Green, KY Home Weekly - Earn Up to $90,000/Year* - 401k with...
  • 3/28/2024 12:00:00 AM

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Experienced CDL-A Truck Driver - Earn Up to $1,600/Week + Benefits
  • J&R Schugel - CDL-A Dry Van Driver - OTR
  • Hopkinsville, KY
  • J&R Schugel is Now Hiring CDL-A Dry Van Drivers - OTR Earn up to $1,600 per Week - 99% No-Touch - Full Benefits J&R Schu...
  • 3/27/2024 12:00:00 AM

C
CDL Truck Driver - Solo and Team Positions + Sign-On Bonus
  • CFI
  • Hopkinsville, KY
  • Excellent Pay and Benefits Regional Routes Top Drivers Earn $100k+ Annually 90% No-Touch Freight Why Drive for CFI: Solo...
  • 3/27/2024 12:00:00 AM

C
CDL-A Owner Operator Truck Driver - Solo & Team Drivers + Sign-On
  • CFI
  • Hopkinsville, KY
  • CFI is Immediately Hiring OTR Drivers & Owner Operators Competitive Pay Rates Top drivers earn $100k+ annually Solo driv...
  • 3/27/2024 12:00:00 AM

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Class A CDL Truck Driver DRY VAN - HIRING IMMEDIATELY Up to $90K!
  • Western Express
  • Hopkinsville, KY
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 383-2974 Real Miles. Real Money. Western Express has immed...
  • 3/26/2024 12:00:00 AM

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CDL-A OTR Team Drivers - Top Team Pay + Great Benefits
  • U.S. Xpress
  • Hopkinsville, KY
  • U.S. Xpress is Now Hiring CDL-A OTR Team Drivers! CDL-A Teams: Top Team Pay in the Nation & Up To $15,000 Sign-On Bonus/...
  • 3/25/2024 12:00:00 AM

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Entry Level Class A CDL Truck Driver - HIRING IMMEDIATELY NO EXPERIENCE!
  • Western Express
  • HOPKINSVILLE, KY
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 383-2693 Why wait to earn more? Western Express has immedi...
  • 3/25/2024 12:00:00 AM

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Class A CDL Truck Driver LEASE PURCHASE - Take Home $1,500+ weekly!
  • Western Express
  • HOPKINSVILLE, KY
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 383-8751 Have you ever dreamed of owning your truck and be...
  • 3/25/2024 12:00:00 AM

Hopkinsville is a home rule-class city in and the county seat of Christian County, Kentucky, United States. The population at the 2010 census was 31,577. Hopkinsville is located south of the center of Christian County at 36°51′17″N 87°29′20″W / 36.85472°N 87.48889°W / 36.85472; -87.48889 (36.854712, -87.488872). Madisonville is 35 miles (56 km) to the north, Russellville is 35 miles (56 km) to the east, Oak Grove is 15 miles to the south, and Clarksville, Tennessee, is 26 miles (42 km) to the south. According to the United States Census Bureau, Hopkinsville has a total area of 30.8 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Allocation Analyst jobs
$48,174 to $60,427
Hopkinsville, Kentucky area prices
were up 1.2% from a year ago

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