- Robert Half Accountemps (Winter Garden, FL)
- …As a Medical Claims Analyst , your primary role will be to handle claims adjudication and oversee the payment and processing of medical claims . The ... Description We are in search of a Medical Claims Analyst to join our client's team located in Orlando, Florida.… more
- Commonwealth Care Alliance (Boston, MA)
- …specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication , clinical coding reviews for claims , settlement, ... Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims … more
- Carle (Urbana, IL)
- Claims Analyst Team A + Department: HA - Claims + Entity: Health Alliance + Job Category: Clerical/Admin + Employment Type: Full - Time + Job ID: 45246 + ... Requirements: no Email a Friend Save Save Apply Now Position Summary: The Claims Analyst accurately processes medical, dental, orthodontia and pharmacy claims… more
- Elevance Health (Morristown, NJ)
- **Business Analyst III** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles from one of our ... strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Business Analyst III** is responsible for serving as the liaison between the… more
- DXC Technology (Troy, MI)
- …and Customer personnel involving customer products, and processing product warranty claims . Representatives provide technical support and warranty adjudication ... and colleagues at DXC.com . Responsibilities include technical troubleshooting, warranty adjudication , product support and customer support related to contacts from… more
- Sevita (Sarasota, FL)
- …other. Join us, and experience a career well lived. The AR Credit Balance Analyst is responsible for the review, analysis and resolution of credit balances within ... the Revenue Cycle. Analyst responsibilities include oversight of credit balances on the...to solve complex issues, while demonstrating timely and accurate adjudication of credit balances. They will perform these duties… more
- Arkansas Children's (Little Rock, AR)
- …required attachments before being filed to payer (clean claim). 2. Expedites proper adjudication of claims by payer to maximize reimbursement and minimize older ... being adjudicated and how we might overcome lack of adjudication . 3. Reviews adjudicated claims to assure...institution that cares for children." Linda - Information Systems Analyst "We are an organization of care, love, and… more
- Allied Solutions (Plano, TX)
- …applicability of insurance coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst . The key responsibilities of this job are both ... and accurately to more senior level adjusting staff for adjudication and collection; + Adjudicate claims within the guidelines of the appropriate carrier on GAP… more
- AIG (Atlanta, GA)
- …and professional service with empathy and efficiency. How you will create an impact The Claims Analyst III will handle and analyze general liability claims ... claims involving litigation. The position also ensures ongoing adjudication of claims within the Company standards, industry best practices and specific… more
- CDPHP (Albany, NY)
- …support systems. QUALIFICATIONS: + Minimum three (3) years' experience that claims adjudication , progressive customer service, evaluation of business procedures ... to be a part of that experience. The Configuration Analyst II is responsible for leading the analysis, maintenance,...claims systems and any integrated systems. The Configuration Analyst II will recommend system and configuration solutions and… more
- CDPHP (Albany, NY)
- …that includes two or more of the following responsibilities is required; claims adjudication , progressive customer service, evaluation of business procedures and ... values and invites you to be a part of that experience. The Configuration Analyst I is responsible for analysis, maintenance, and configuration of CDPHP's core … more
- AdventHealth (Maitland, FL)
- …app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, CPT, HCPCS II, DRG ... (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- JBS USA (Greeley, CO)
- …or 5 years of insurance related field required. + Strong understanding of claims adjudication process and legal procedure. Claims adjuster licensure, ... **Description** Insurance Risk Analyst Purpose and Scope/General Summary: We are currently...Scope/General Summary: We are currently seeking an Insurance Risk Analyst to join our Risk Management Department. As an… more
- Prime Therapeutics (Columbus, OH)
- …every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Remote Preferably in California **Job Description Summary** This position ... and complex level benefit design requirements. A successful Senior Analyst will ensure a high level of quality and...as a subject matter expert on benefits and claim adjudication system coding setup. **Job Description** + Designs, analyzes… more
- City of Portland (Portland, OR)
- …and progress meetings, provides support to construction safety specialists, provides claims management, adjudication and settlement authority for each line ... Risk Insurance OCIP Manager ( Analyst III - CPPW) Print (https://www.governmentjobs.com/careers/portlandor/jobs/newprint/4699704) Apply Risk Insurance OCIP Manager… more
- Baptist Memorial (Memphis, TN)
- …controls designed to ensure that processes and practices lead to appropriate adjudication of claims . This role requires thorough understanding of regulatory ... and downstream revenue cycle activities that impact the adjustment processing of claims . + Conducts risk assessments to define audit priorities by evaluating… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr. Contract Compliance Analyst Date: Oct 24, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 58352 **Who we are** ... as Revenue Accounting and Gross to Net. + Understands fundamental mechanics of claims validation, rebate systems, and outside formulary tools such as MMIT and… more
- Insight Global (Dayton, OH)
- Job Description 2+ years of experience in managed healthcare, claims , or managed care 2+ years of experience with SQL, SAS, SSIS, MySQL, ORACLE, or PowerBI Bachelors ... Skills and Requirements Knowledge of FACETS / similar claim adjudication system. Knowledge of EDIFECS Encounter Management system. An...Dayton, Ohio area is looking for an Encounters Systems Analyst to join their team. This individual will join… more
- IQVIA (Milwaukee, WI)
- …business relationships with your clients. Those skills are pertinent because as an analyst , you will be responsible for multiple accounts and processes and be ... orally and in writing with a customer. o Research and resolve Chargeback claims . o Ensure accurate and appropriate responses to disputes. o Validate appropriate data… more
- UCLA Health (Los Angeles, CA)
- …with claims encounter strategies and processes * Knowledge of claims payment methodologies, adjudication processing, and Federal encounter regulations * ... you will be instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions. This will involve working with external trading… more