- AdventHealth (Maitland, FL)
- …and healthcare administrative claims data + Works alongside Senior Medical Economics Analyst in identify risk/exposure associated with various reimbursement ... Onsite** **T,F Remote - Altamonte Springs, FL** **The role you'll contribute:** A Medical Economics Analyst is responsible for supporting the Senior Medical… 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
- Gentiva (Mooresville, NC)
- …experienceproven ability working as an analyst in the healthcare industry with medical claims , membership, and provider data + Strong knowledge of and ... lives every day. **Overview** We are looking for a ** Medical Economics Analyst Senior** to join our...and address business challenges by applying a knowledge of medical claims analysis, critical-thinking skills, and healthcare… 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
- Fallon Health (Worcester, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Medical Economics Data/Financial Analyst will partner with Medical Economics ... analytical support for multiple regulatory filings. + Assist other Medical Economics team members on special projects or ad...SQL + Knowledge of managed care and health care claims + Excellent oral and written communication skills **Fallon… more
- MyFlorida (Tallahassee, FL)
- 68064934 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: Jul 18, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 833541 Agency: Agency for Health Care Administration Working Title: 68064934 - MEDICAL /HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number:… more
- MyFlorida (Tallahassee, FL)
- 68064844 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: Sep 19, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 837912 Agency: Agency for Health Care Administration Working Title: 68064844 - MEDICAL /HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number:… 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
- Robert Half Office Team (Oakland, CA)
- Description The Claims Analyst will ct as liaison for clinicians as it pertains to clinical documentation and meeting county requirements. + Become familiar with ... United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… 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
- Molina Healthcare (Florence, KY)
- **JOB DESCRIPTION** **Job Summary** Responsible for conducting analyses of insured medical populations with the goal of identifying opportunities to improve ... from various sources to identify risks and opportunities. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and other data sources to identify early signs of trends or… more
- TEKsystems (Fresno, CA)
- …Works Blue Cross JAA reports 4. Communicates with Anthem via emails regards to Claims status 5. Performs voids and reissues 6. Works JAA reconciliation reports 7. ... Splits RFF for Stoploss 8. Request provider/ member overpayments. 9. Oversees Third Party liability process. 10. Track error trends and provide feedback to appropriate departments. 11. Attends meetings and training sessions as required. 12. Maintains strictest… more
- Rush University Medical Center (Chicago, IL)
- …clinical, quality improvement, and business data analysis needs of Rush University Medical Center. The Analyst will assist clinical faculty and Principal ... **Job Description** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** Research Computing **Work Type:** Full Time (Total FTE… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. **Position Summary** As a Medical Economics Senior Analyst you will support local market network teams ... and administration of Value Based Contracting (VBC) agreements. The Medical Economics Senior Analyst is essential for...more years of experience with financial analysis and/or administrative claims data Be able to work in a fast-paced… 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
- 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
- Elevance Health (Atlanta, GA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Business Analyst II** works within the ... **Business Analyst II** **Supports the Payment Integrity line of...in using Facets, SQL and MACESS highly preferred. + Medical billing and/or claims processing experience is… more
- G-TECH Services, Inc. (Detroit, MI)
- …the billing process, ICD codes, procedure codes, diagnosis codes. * Strong knowledge of medical claims benefits processing. * Detailed knowledge of medical , ... designs, testing and validation of system enhancements. Top 3 Required Skills/Experience - * Strong medical and facility claims background, understanding of… more