- 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 Job Category: Accounting/Finance Department: Encounters Location:...required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical… more
- Adecco US, Inc. (Dublin, OH)
- …least 2 years or more of experience as Claims Analyst or Senior Claims Analyst with expertise in processing **complex claims ** and making ... Adecco is seeking for ** Claims Specialists** to support one of our clients...have excellent benefits and an awesome work environment! The Claims Specialist works on the full range of … more
- Zurich NA (Stevens Point, WI)
- …is to act as a leader in our Straight Through Processing initiatives in Travel Claims . The Claims STP Analyst , with support from our Senior Claims ... Claims STP Analyst 120713 **You are...our Straight Through Processing initiatives in Travel Claims . The Claims STP Analyst ,...Processing initiatives in Travel Claims . The Claims STP Analyst , with support from our… more
- New York State Civil Service (Albany, NY)
- …- Dormitory Authority of the State of New York Title Risk Managment Claims Analyst Occupational Category Other Professional Careers Salary Grade NS Bargaining ... Zip Code 12207 Duties Description Primary PurposeThe Risk Management Claims Analyst guides all aspects of the...* Serve on committees/teams as directed.* Review and recommend claims -related invoices and/or payments for processing and… more
- CAI (Columbus, OH)
- …**Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Claims Processor Analyst , you will receive, investigate, and triage expedited ... appeal requests, ensuring timely processing of health insurance claims and appeals...case assignments. **Job Description** We are looking for a ** Claims Processor Analyst ** , you will receive,… more
- Healthfirst (FL)
- …benefits, claims editing, reference data and system functionality within the claims processing system. + Analyze explanation of coverage documents to assist ... understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively...and eligibility administration systems (ie PowerMHS or any other claims processing systems). + Proficiency in medical… more
- Wolters Kluwer (Riverwoods, IL)
- …seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate will have a strong ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional team of application… more
- Kellermeyer Bergensons Services (Oceanside, CA)
- …legislation, ensuring adherence to requirements and advising management on needed actions Claims Processing and management * Ensure workers' compensation ... opportunity to join our team as a Workers Compensation Analyst . If you enjoy working in a fast-paced environment...HR, and Legal to facilitate the timely and accurate processing and closures of workers' compensation 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
- MyFlorida (Tallahassee, FL)
- VICTIM COMPENSATION CLAIMS ANALYST - 41000609 Date: Jan 31, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Office of the Attorney General Working Title: VICTIM COMPENSATION CLAIMS ANALYST - 41000609 Pay Plan: Career...clerical or administrative experience in the areas of: accounting; claims processing ; claims or benefits… more
- Eaton Corporation (Beachwood, OH)
- …for third-party vendors. * Collaborate with cross-functional teams to ensure seamless claims processing and reporting. * Provide detailed reports and updates ... Eaton's Corporate Sector division is currently seeking a Lead Analyst - Insurance Claims . This position will be located at our Beachwood, OH facility. We are… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Molina Healthcare (Columbus, OH)
- …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
- UPMC (Pittsburgh, PA)
- …level with UPMC Corporate Finance? We are seeking a dynamic and detail-oriented **Associate Claims Payable Analyst ** to join our team. This role is crucial in ... position is perfect for you! **Purpose:** As an Associate Claims Payable Analyst , you will be responsible...Update vendor bank files for EFT payments and ACH processing . + Perform any other duties as assigned. Join… more
- Kohl's (Menomonee Falls, WI)
- About the Role As Liability Analyst , you will compile facts and investigate customer injury claims to evaluate and negotiate resolution of complex non-litigated ... liability claims (moderate to highly severe injuries) to protect the...and detail oriented + Proficient working with database and processing software, Excel, Word and similar systems + Must… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, ... + Microsoft office with emphasis on spreadsheet application required, and claims processing system experience is preferred **Licensure, Certifications, and… more
- Healthfirst (NC)
- …(CPT4, ICD9 or ICD10, and HCPCS), provider contract concepts and common claims processing /resolution practices. + Experience working with and leading ... other time management system). + Experience with Power MHS or other claims processing systems necessary. + Comprehensive knowledge of managed care industry and… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...change to provide continuous improvements. **RESPONSIBILITIES** + Processes escalated claims , assesses the reason for the escalation, and provides… more
- Acosta Group (Charlotte, NC)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...change to provide continuous improvements. **RESPONSIBILITIES** + Process escalated claims , assesses the reason for the escalation, and provides… more
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