- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade ... seeking an experienced Registered Nurse to serve as a Medical Analyst in its New York City...out of more than $4 Million in false Medicaid claims .Duties: * Assisting with screening and evaluating complaints of… more
- AdventHealth (Maitland, FL)
- …at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to...of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims… more
- Robert Half Accountemps (Winter Garden, FL)
- Description We are in search of a Medical Claims Analyst to join our client's team located in Orlando, Florida. As a Medical Claims Analyst , your ... adjudication and oversee the payment and processing of medical claims . The role also involves maintaining...* Respond effectively to policy-related queries from school personnel, medical providers, and parents. * Ensure all claim… more
- Robert Half Accountemps (Chicago, IL)
- …Medical Billing Analyst , you will be responsible for handling medical billing, claims , collections and working with accounting software systems. ... Description We are seeking a Medical Billing Analyst to join our...software systems to manage customer billing information * Handle medical billing, claims , and collections efficiently *… more
- Atrius Health (Chelmsford, MA)
- …to payer claim audits including Medicare program, writing complex clinical medical necessity appeals, analysis of claims data and billing related issues ... medical necessity and billing policy related to denied claims for all payers. In accordance with department policies...EXPERIENCE * Minimum of 3-5 years of experience in medical billing/denial management or claim data analysis… more
- TEKsystems (Minneapolis, MN)
- Now Hiring for a Medical Claims Analyst for a PBM to help analyze and correct medical claims !! MUST HAVES: 2+ years of claims experience with ... emphasis on researching / auditing not processing or production Claims software experience with RxClaims being preferred Description: This role is responsible for… more
- Commonwealth Care Alliance (Boston, MA)
- …the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Keystone Lab (Asheville, NC)
- …excellent interpersonal and customer relationship skills for interacting with patients regarding medical claims and payments. + Must possess a positive, open, ... Inc. - Asheville, NC An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most… more
- Crawford & Company (Brea, CA)
- …have been settled and the claim is only open for payment of medical benefits (ie maintenance claims not requiring actuarial reserves). + Contacts, by ... Everything We Touch Position Summary Under direct supervision, processes medical only claims within authority, processes other... claims , other than "M" cases, where all medical issues have been settled and the claim… more
- Trinity Health (Niskayuna, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Medical Billing Analyst - Cardiology Associates of Schenectady - Niskayuna, NY - Full ... to the efficient and service oriented operation of a medical practice. The Billing Analyst will perform...outstanding claims to contact to ensure all claims are billed timely + Review each claim… more
- TEKsystems (Bay City, TX)
- TEKsystems is looking to hire REMOTE Medical Insurance Verification Specialists for a large healthcare company out in Austin, TX. They are looking for candidates in ... **if you are interested and have 3+ years of medical insurance verification experience, please send your most updated...eligibility verification with both members and providers * Provides claim status and information * Promotes the use of… more
- Sevita (Sarasota, FL)
- …other. Join us, and experience a career well lived. The AR Credit Balance Analyst is responsible for the review, analysis and resolution of credit balances within ... the Revenue Cycle. Analyst responsibilities include oversight of credit balances on the...or equivalent experience * Three years of experience with Medical Collections in a high volume environment preferred *… more
- The Cigna Group (Bloomfield, CT)
- …conducting customer negotiations with other underwriting areas and Sales. + Evaluates medical claim experience and analyzes total case profitability. + Develops ... Finance, Accounting, Management, Mathematics, and/or Business + 2-5 years of medical underwriting experience required + Strong analytical and problem solving skills… more
- Healthfirst (NY)
- …accurate estimates of program savings.** **Provide data driven analysis to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **Duties and Responsibilities** **Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best… more
- Trinity Health (Albany, NY)
- …variety of clerical duties related to the efficient and service oriented operation of a medical practice. The Billing Analyst will perform all job functions in a ... Medical Associates. **Responsibilities:** Responsible to monitor and resolve Claims Work queues; Specifically, Front End, Referrals & Authorizations, and… more
- UPMC (Pittsburgh, PA)
- …revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes auditing ... working in collaboration with appropriate Health Plan departments including Quality Improvement, Claims , and Medical Directors as needed to facilitate the… more
- Carle (Urbana, IL)
- …Requirements: no Email a Friend Save Save Apply Now Position Summary: The Claims Analyst accurately processes medical , dental, orthodontia and pharmacy ... Claims Analyst Team A + Department:...LICENSURE REQUIREMENTS None Specified EXPERIENCE REQUIREMENTS One (1) year medical claims adjudication, healthcare billing or healthcare… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Samsung SDS America (Santa Ana, CA)
- …Group, as well as the Samsung SDS's Management/Finance Group. Sr. Claims Analyst will work on tracking and analyzing claim data, including warehouse and ... into a global top-level third-party logistics company. Senior Logistics Claim Analyst ("Sr. Claim ...progress. The position tracks and reports progress on complex claims with customers, shippers, consignees, and carriers relating to… more
- AIG (Boston, MA)
- Claims Analyst III As a Claim Analyst III, you will be responsible for handling all aspects of third-party Professional Liability/EPL/D&O claims from ... is an ideal opportunity to develop your expertise in handling and investigating complex claims . The aim is deal with genuine claims through a proactive, best… more