- Fifth Third Bank, NA (Cincinnati, OH)
- …related experience. + Prior PC experience to include advanced Excel, Word and Access. Claims Analyst I At Fifth Third, we understand the importance of ... Bank. GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's...of the default cycle. This results in approximately 200 claims being filed on a monthly basis and $30.0… more
- Molina Healthcare (Covington, KY)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** * Serves as … more
- Deloitte (Cincinnati, OH)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... ideas and collaborate on projects without the extensive demands of travel. The Project Delivery Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients,… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research ... Third Bank. GENERAL FUNCTION: Under general supervision, the Dispute Intake Analyst provides outstanding customer service while capturing accurate customer account… more
- Elevance Health (Cincinnati, OH)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- ClarkDietrich (West Chester, OH)
- …and benefits. Join the ClarkDietrich team by applying to the Credit & Treasury Analyst position at our West Chester, OH location. The Credit & Treasury Analyst ... coverage + Coordinate the annual insurance renewal process and support claims management + Maintain accurate records of all insurance policies, certificates,… more
- Molina Healthcare (Covington, KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- HUB International (Cincinnati, OH)
- **POSITION SUMMARY:** HUB International is seeking to add a Data Analyst Intern in our Cincinnati office! This internship will provide experience conducting in-depth ... analysis on medical and pharmacy claims and utilization to identify trends and key indicators...result in actionable plans for HUB's clients. The Data Analyst intern will report to the Analytics Director and… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- First Student (Cincinnati, OH)
- …transportation industry has to offer.** Serves as the third party liability claims administrator (GLICRS) and the technical examiner for the workers compensation ... for financial data integrity purposes, state regulators for self- insurance purposes, claims vendors for financial data integrity purposes, and RMIS vendors for RMIS… more
- Molina Healthcare (Covington, KY)
- …care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of ... claim system configurations, payment policies, and audit processes. + Exceptional analytical, problem-solving, and documentation skills. + Ability to translate complex business problems into clear system requirements and process improvements. + Proficiency in… more