- The Cigna Group (Bloomfield, CT)
- …within The Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this **highly technical senior configuration** role, ... were input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will have in depth knowledge… more
- AIG (Chicago, IL)
- Senior Claims Analyst , Severity Join us as a Senior Claims Analyst to grow your experience in Claims . Make your mark in Claims Our Claims ... create an impact + This position will ensure high quality claim handling in the Healthcare Professional Liability ("HPL")... senior management, underwriters, insureds and brokers. + The analyst will employ best claims handling practices,… more
- JBS USA (Greeley, CO)
- …as deductions balances, and claims losses. It is the role of the Analyst to identify customer trends and suggest methods of improvement involving payment and ... **Description** Deductions Analyst Purpose and Scope/General Summary: We are looking... will be responsible for reporting on deductions and claims data, including past due invoices, DSO and general… more
- Flynn Restaurant Group (Independence, OH)
- **Position Description** The Liability Claims Analyst / Bodily Injury Analyst is responsible for assuring the quality and cost-effectiveness of the ... and damages, strategy development, analysis of risk and plans to move claims to closure. **General Liability Analyst ** **Essential responsibilities will… more
- Randstad US (Phoenix, AZ)
- claims analyst iii. + phoenix , arizona... III (CAIII) works on the full range of claims , correspondence, quality assurance and escalations to ensure ... added bonus of REMOTE? Holidays and weekend off. Paid weekly We are looking for Claims Analyst III with a heavy finance background to add to our team. Must pass… more
- City of New York (New York, NY)
- …in terms of funding stream eligibility. DFS Childcare Claims is seeking a Childcare Claims Analyst who will report to the Childcare Claims Supervisor and ... data on a comprehensive level as part of a quality review before claim preparation, putting together claim data...claim data. The duties and responsibilities of the Childcare Claims Analyst will include, but will not… more
- Zurich NA (Overland Park, KS)
- General Liability Claims Analyst 117471 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... our General Liability team. As a General Liability (GL) Claims Analyst , you will work with a...and make decisions in a timely manner. + Meet quality standards by following best practices. **Basic Qualifications:** +… more
- The Cigna Group (Bloomfield, CT)
- …and Change Lives?** EviCore, a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly technical systems role requires ... the system per the specifications of the provider. The Claims System Configuration Senior Analyst will have...vendors to ensure configurations have met client requirements and quality standards. **What you'll do** + Resolve non-routine issues… more
- Healthfirst (FL)
- …to production to reduce the potential for migration conflict. + Ensure the quality and integrity of claims configuration change requests using production ... easy to understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively communicate with all levels of the organization,… more
- The Cigna Group (Bloomfield, CT)
- …Then read on EviCore, a division of The Cigna Group is hiring a ** Claims Systems Configuration Senior Analyst .** For this senior level role, you'll be ... direction and guidance to the team regarding policies, procedures, workflows, and claims service quality + Completes day-to-day Configuration tasks without… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Nov 19, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... producer, committed to improving health and increasing access to quality health solutions worldwide. Our employees are at the...on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug… more
- Molina Healthcare (MI)
- …+ Recommends updates to Claims SOP's and Job Aid's to increase the quality and efficiency of claims processing + Fields claims questions from ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are appropriately applied. Manages… more
- Molina Healthcare (UT)
- …Interfaces with the customer in developing requirements for major complex claims testing projects within Medicare, Medicaid and Marketplace; prepares system test ... business and business systems **PREFERRED EXPERIENCE:** Medicare, Medicaid and Marketplace claims knowledge Complex SQL and Excel expert knowledge SQL query and… more
- Healthfirst (VA)
- **Duties & Responsibilities** : + Conducts routine assessments of current claims edits and ensures comprehensive and defensible editing across all Healthfirst ... systems and edits. + Monitors and reports on performance of current claims editing packages + Supports claims editing escalated provider disputes/appeals… more
- Molina Healthcare (WA)
- …efforts to ensure the claims teams and other departments have access to quality claims data through processes which are efficient, accurate, and timely to ... **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims...Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and accurate… more
- The Institute for Family Health (New Paltz, NY)
- HIT ANALYST - Claims / Professional Billing Job Details Level Experienced Job Location New Paltz Family Health Center - New Paltz, NY Remote Type Fully Remote ... Job Category Information Technology Description SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and skills in… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise and ... code and programs prior to releasing them to the quality assurance (QA) team. Resolve all unit test issues...members of the technology and business teams to ensure quality and minimize impact on other applications and business… more
- Randstad US (Appleton, WI)
- claims analyst . + appleton , wisconsin...and/or as a team to achieve goals committed to quality and service * Ability to Learn: Learns quickly, ... experiments to find new solutions and extracts lessons learned from failures and mistakes. * Action-Oriented: Identifies and seized new opportunities and steps up to handle tough issues. * Attention to Detail: Achieves thoroughness and accuracy when… more
- Catholic Health Services (Melville, NY)
- …Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or ... will be implemented. Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/ Claims program. Is competent to work on all phases of Epic Resolute… more
- Adecco US, Inc. (Phoenix, AZ)
- …Processing/Reviewing Experience** + Strong Computer Skills + Works full range of claims , correspondence, quality assurance and escalations. + Attention to detail ... We are currently looking for Claims Representatives for a Remote Opportunity. **You MUST be located within the Phoenix area and have the following qualifications** :… more
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