- Aequor (Parsippany, NJ)
- …degree of accuracy in data processing and reviews.Position Summary:The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes ... Job Title: Medicaid Claims Analyst Location: Parsippany, NJ Duration:...Medicaid rebate experience in pharm enviornment.- Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company… more
- A-Line Staffing Solutions (Tempe, AZ)
- Claims Analyst openings with a Major...adjudicate claims , claims adjudication, medical claims , claims processing , review medical ... Billing, Medical coding, adjudicate claims , claims adjudication, medical claims , claims processing , review medical records, deny claims , denied … more
- Rose International (Torrance, CA)
- Experience3-5-years previous experience.Main Duties:1.The Dealer Claims and Registration Analyst is responsible for the handling of Dealer submitted claims ... in CICS mainframe (20 per month). Validation & processing Co. Vehicle Maintenance and repair claims ...& processing Co. Vehicle Maintenance and repair claims in CICS mainframe (800 per month). Reimbursement for… more
- MultiPlan (Naperville, IL)
- …responsible for the electronic setup, testing and go-live of IT projects that involve Client Claims Processing . These claims may be received either via EDI ... or via Web Services (near real time technology). The analyst is involved end to end in the process...they access/utilize MultiPlan Products using EDI and Web Services claims processing workflows. It includes but is… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …This position will be a subject matter expert in insurance billing, claims processing , and prior authorizations. This position liaises between departments, ... Job Title: Insurance Analyst I Duration: 6 Months Location: (Remote) Shift...insurance benefits and financial assistance opportunities, in addition to processing and monitoring prior authorizations to assist the patient… more
- Sunbelt Rentals, Inc. (Fort Mill, SC)
- …with disability provider to ensure proper administration of disability claims .Collaborates, educates, and informs key stakeholders regarding change management, ... statistics for trends and patterns with attention to leave of absence payroll processing and audits.Research best practices and emerging trends as well as metrics… more
- MultiPlan (Naperville, IL)
- …Generating and processing IQ batches with guidance for the Subrogation Business Analyst . 6. Obtaining information such as claims and plan documents from ... Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming...client remote systems. 7. Processing outgoing mail and certified mail. 8. … more
- VA Department of Transportation (Richmond, VA)
- …State benefits and leave programs, detailed elements of Risk management, Insurance Claims processing , Program Administration, and HR software databases as well ... Title: Human Resources Benefits Specialist State Role Title: Human Resource Analyst I Hiring Range: $51,242 - $83,269 Pay Band: 4 Agency:… more
- CVS Health (Providence, RI)
- …work experience from 1 to 3 years (retail pharmacy, PBM, banking/health insurance claims processing , analyst preferred) + Strong analytical, critical ... **Position Summary** The primary responsibility of the Third Party Medical Account Analyst is to support the Third Party Medical Account Management team to… more
- LA Care Health Plan (Los Angeles, CA)
- …a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing , encounter processing . Skills Required: Competent ... Business Analyst III - Encounters Data Job Category: Accounting/Finance...required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Claims Analyst is accountable for claims processing , research and adjudication to correctly apply benefit determination and pricing ... claims , and Rx-drug claims (CMS 1500 and UB04), by claims processing guidelines. **ESSENTIAL FUNCTIONS OF THE ROLE** + Processes and adjusts professional… more
- Randstad US (Austin, TX)
- claims analyst - workers compensation full-time. + austin , texas + posted august 28, 2024 **job details** summary + $28 - $30 per hour + temp to perm + bachelor ... and administrative support occupations + referenceAB_4596611 job details Job Title: Claims Analyst - Workers' Compensation Salary: $30/hour Location: Austin… more
- Entergy (Little Rock, AR)
- …+ Desired: Associates degree. **Minimum experience required of the position** + **Associate Analyst - Claims :** 3+ years of property & casualty claims ... experience, litigation paralegal/secretarial work or equivalent experience. + **Associate Analyst - Claims , Sr:** 7+ years of property & casualty claims … more
- Consolidated Electrical Distributors (Irving, TX)
- Summary Job title: Loss Control Analyst ( Claims Coordinator) Job ID: 202496380002 Department: Loss Control Location: TX-Irving Description Summary: Consolidated ... Inc. (CED), a large, nationwide wholesale electrical distribution company, is seeking a Claims Coordinator to join the Loss Control Department. The Claims … more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective … more
- Molina Healthcare (Owensboro, KY)
- …claims projects + Assists with reducing re-work by identifying and remediating claims processing issues + Locate and interpret regulatory and contractual ... standard principles and applicable state specific policies and regulations to identify claims processing errors + Applies claims processing and technical… more
- Walgreens (Deerfield, IL)
- …and apply knowledge of all laws and practices pertaining to the investigation, processing and settlement of Liability claims . + Develops and recommends the ... Opportunity Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment… more
- Aston Carter (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Job Description The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, ... and changes to state programs. Hard Skills + 3+ years experience processing Medicaid Claims + Experience manipulating large datasets and negotiating/conflict… more
- Fallon Health (Worcester, MA)
- …BS - Mathematics, Finance, Economics, Management, other **Experience:** + Strong claims processing skill, understanding of medical terminology, and familiarity ... Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department....+ * Working knowledge of the provider-based healthcare industry, claims processing , provider billing or Risk Adjustment… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 22, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57784 **Who we are** ... and new people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
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