- MultiPlan (Naperville, IL)
- …transformational journey as we optimize the opportunity towards becoming a leading technology, data , and innovation voice in healthcare . Onward and upward Ideal ... - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends...claims may be received either via EDI (Electronic Data Interchange) or via Web Services (near real time… more
- A-Line Staffing Solutions (Atlanta, GA)
- … industry 2 years of relevant experience with Facets software or a similar healthcare enrollment/ claims management software system If you think this EDI ... A-Line is now hiring a (Remote) - EDI Analyst in Grand Rapids, MI. EDI Analyst...configuration is also a plus. Must have experience with healthcare EDI and must be able to communicate professionally… more
- A-Line Staffing Solutions (Atlanta, GA)
- …years of relevant experience with Facets, OnBase, or other similar healthcare enrollment/ claims /configuration management software system preferred A minimum of ... Title: EDI Analyst Location: Work from Home Note: This role...for managing a range of EDI transactions, including enrollment, claims , financial, and eligibility transactions using ANSI X12 HIPAA… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of the Payment Integrity Analyst is to ensure that all claims are paid at contracted rates by researching and resolving ... Valley Health System. This position is responsible for understanding healthcare contracting terms and requirements to address underpayments, overpayments, and… more
- The George Washington University (Washington, DC)
- I. JOB OVERVIEW Job Description Summary: The Senior Financial Analyst , Clinical Research is the primary contact in the GWCC Clinical Trials Office responsible for ... Assist with monthly billing/invoicing for funded clinical trials verifying financial data for accuracy, completeness and conformance with clinical trial study… more
- Rose International (Atlanta, GA)
- …PB certification(s)RHIA/RHIT/CPC certifiedrevenue cycle reporting, build, logic, claims adjudication, data , and trainingclearinghousePreferred:Public health, ... community health, physician clinic, FQHC, RHC revenue cycle experience Mississippi healthcare experienceProvide support to Revenue Cycle and Epic teams through the… more
- MultiPlan (Atlanta, GA)
- …transformational journey as we optimize the opportunity towards becoming a leading technology, data , and innovation voice in healthcare . Onward and upward Do you ... data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming...processing IQ batches with guidance for the Subrogation Business Analyst . 6. Obtaining information such as claims … more
- MultiPlan (Naperville, IL)
- …RESPONSIBILITIES:1. Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming mail (must be ... and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness...processing IQ batches with guidance for the Subrogation Business Analyst . 6. Obtaining information such as claims … more
- Segal (Washington, DC)
- …contracting, and negotiating elements and processes.| In-depth knowledge of Pharmacy benefits claims data and RFP analysis.| Expert level proficiency with SQL, ... This opportunity may be for you!Our Senior Consultant, Pharmacy Benefits Financial Analyst creates and analyzes pharmacy benefits financial data , contributes… more
- The MITRE Corporation (Mclean, VA)
- …choose MITRE-and make a difference with us. Department Summary: MITRE is seeking experienced healthcare claims data analysts with the ability to develop ... working comfortably in team settings. This position requires significant experience with CMS claims data and the ability to design studies and analyses,… more
- Molina Healthcare (Nicholasville, KY)
- …solution or configuration during warranty period. **KNOWLEDGE/SKILLS/ABILITIES** + Knowledge of healthcare claims and claim processing from receipt through ... root cause and extrapolate potential impact of issue. Validates data received on claims to identify billing...knowledge preferred + Edifecs knowledge preferred + Understanding of Healthcare EDI Claims transactions preferred + Understanding… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... and report outcome results on edits implemented. + Utilize data to examine large claims data...Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- Fallon Health (Worcester, MA)
- …of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic ... Job Responsibilities:** + Analyze, prioritize & support resolution of Claims / Encounter data errors by triaging to...written skills + * Working knowledge of the provider-based healthcare industry, claims processing, provider billing or… more
- Molina Healthcare (Owensboro, KY)
- …+ Locate and interpret regulatory and contractual requirements + Tailors existing reports or available data to meet the needs of the claims project + Evaluates ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Covington, KY)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- The Cigna Group (Bloomfield, CT)
- …work independently and as a team + Strongcommunicationskills + 5+ years of healthcare claims lifecycle; configuration design, editing, claims system ... a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst ....RC3 systems required + 3+ years of experience with claims adjudication, claims data types… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... is included in the US Retail Pharmacy and US Healthcare segments of Walgreens Boots Alliance, Inc. (Nasdaq: WBA),...claims system. + Experience with analyzing and reporting data in order to identify issues, trends, or exceptions… more
- Robert Half Accountemps (Plantation, FL)
- Description We are offering a long term contract employment opportunity for a Medical Claims Analyst to join our team in the insurance industry, located in ... guidance, training, and support to ensure productivity and quality of work. * Monitor claims data , generate reports, and analyze trends to identify areas for… 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** ... to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 24, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and… more
