- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... is hybrid in office Monday, Tuesday and Wednesday, and remote Thursday and Friday. **How You'll Shine:** + Manage...**How You'll Shine:** + Manage and support workers' compensation claims from investigation through resolution . + Compile,… more
- Travel + Leisure Co. (Orlando, FL)
- …inspiration into exceptional experiences for millions of travelers worldwide. The **Senior Property Claims Analyst ** will play a crucial role as part of a ... high-performing, results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all...and taking appropriate action to help the properties move claims toward resolution . Coordinates and liaises with… more
- TEKsystems (Fort Wayne, IN)
- Job Description Position: Mid-Level Epic PB/PB Claims Analyst Location: 100% Remote Contract Type: 6-Month Contract-to-Hire Vaccination Requirement: None ... Client Our Client is seeking a Mid-Level Epic PB/PB Claims Analyst to join their team. This...resolution and project execution + Certifications: Epic PB/PB Claims , SBO Soft Skills: + Customer-centric mindset + Ability… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The **Epic Professional Billing Sr Application Analyst ** role will provide technical expertise and leadership, including configuring, documenting, ... by translating the business requirements into software specifications. This position is ** remote ** and requires on call rotation 1 week after hours and weekends… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and ... **Job Description:** **Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research,… more
- CareFirst (Baltimore, MD)
- …setup of code sets used for configuration in benefits & pricing for claims processing, claims editing configuration set-up and maintenance. Analyzes business ... to day operational support, including product configuration error handling and issue resolution by analyzing back-end logs + Participates in government and industry… more
- NTT DATA North America (Lincoln, NE)
- …organization, apply now. We are currently seeking a Business Systems Analysis Analyst to join our team in Lincoln, Nebraska (US-NE), United States (US). ... **Posisition: Claims Case Manager** **This position is eligible for company...Work with team members to ensure high-quality service and resolution of issues. + **Record Keeping:** Maintain accurate records… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
- Subaru of America (Camden, NJ)
- …high-impact claims to management or vendor partners to ensure timely resolution . Contributes to the continuous improvement of claims workflows, documentation ... ROLE SUMMARY The Senior Risk Management Analyst helps keep Subaru safe and protected by...keep Subaru safe and protected by supporting our insurance, claims , and safety programs. You'll manage claim reporting, underwriting… more
- Fairview Health Services (St. Paul, MN)
- …**Job Overview:** Fairview is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge Description Master ... Analyst serves as a liaison between organizational leadership, end-users,...period) + day shift + no weekends + fully remote , salaried position **Responsibilities** + Performs in-depth analysis of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & ... make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the strategic needs of the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …considered. * 3 years of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting applicable to ... Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/Operations About… more
- Zelis (St. Petersburg, FL)
- …interests that shape who you are. Position Overview At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility and provider ... will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence...FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Program Integrity Analyst /Investigator Associate Location: Hybrid | Eagan, Minnesota Career Area: Legal About ... will be responsible for the prospective and retrospective investigation of suspect claims and assisting in initial development of fraud, waste, abuse and… more
- COOLSOFT (Columbia, SC)
- BachelorS Degree In A Technical Or Business Field Healthcare Operations Analyst Requirement id 156351 Job title Analyst Job location in Columbia, SC Skills ... DOE Status requirement Job interview type Email Recruiter:coolsoft Job Description Analyst : Business Processes, Azure DevOps, Atlassian JIRA, BachelorS Degree In A… more
- Cognizant (Baton Rouge, LA)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, ... with project stakeholders, including status reporting, priority setting, and timely issue resolution * Reviews project deliverables from the perspective of QA, and… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** This is not a remote work from home position Monday - Friday, Day Shift Schedule **Position: ... Clinical Risk Management Analyst ** **Mission Statement:** We, St Joseph's Health and Trinity...and oral communication skills, strong interpersonal, motivational and conflict resolution skills. + Strong management and administrative skills. +… more
- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial ... and be part of the team that works towards resolution and improvement of the revenue cycle processes. Directly...Contact payer to resolve appeals and final solution to claims . Collaborate with the Director of Insurance Strategy in… more
- Molina Healthcare (UT)
- …and validate provider complaints and payment disputes, ensuring accurate and timely resolution in line with policy and contractual guidelines. + Partner with ... payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. +...potential problems. + Ability to work independently in a remote environment. + Ability to work with those in… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of Minnesota Position Title: Care Manager PreService & Retrospective - Autism Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of ... identification of referrals to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care… more
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