- Elkay (Milwaukee, WI)
- Freight Audit and Claims Analyst **_The Company_** Zurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things. ... Zurn Elkay Water Solutions Corporation family! **Job Description** The Freight Audit and Claims Analyst reports to the Logistics Systems & Analytics Manager and… more
- Apex Health Solutions (Houston, TX)
- Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system ... (3) years of experience working in a healthcare data or regulatory environment; payment integrity and claims experience preferred. Effective oral and written… more
- Crawford & Company (Lake Zurich, IL)
- …the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support services to the ... Claim Department, its business partners and its clients related to the handling...tasks in conjunction with Finance team for any Break Payment items; maintains and monitors monthly list of clients… more
- Amazon (New York, NY)
- …Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance programs, ... review, and implementing risk management tools and techniques for new and existing business initiatives. Additionally, the Sr. Risk Analyst will manage the… more
- City of New York (New York, NY)
- …280,000 annually, totaling more than $2.04 billion dollars in expenditures. The Payment Analyst 's responsibilities include the timely review and processing of ... (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE OF STAFF ANALYST * The ACS Division of Financial Services (DFS) is...DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies… more
- MTA (New York, NY)
- Senior Accounting Analyst - Electronic Payment and Refunds Job ID: 6724 Business Unit: MTA Headquarters Location: New York, NY, United States ... Revenue Management Date Posted: Apr 24, 2024 Description JOB TITLE: Senior Accounting Analyst - Electronic Payment and Refunds SALARY RANGE: $84,460 - $94,133… more
- Oriental Bank (San Juan, PR)
- The Analyst , Payment Systems (Digital Fraud Prevention) is responsible for proactively identifying and investigating suspicious or fraudulent schemes as well as ... the implementation and continuous analysis of fraud prevention rules for digital payment transactions to mitigate the risk of financial exposure without affecting… more
- CVS Health (Hartford, CT)
- …and deploy the next set of innovations to power the growth of tomorrow's business ! Job Summary: P osition dedicated to supporting the Payment Accuracy Self ... identifies solutions and leads resolution of issues working with internal business partners, external vendors, and providers.Collaborates with Program Manager, Data… more
- Medical Mutual of Ohio (OH)
- …rate loading. . Performs other duties as assigned. **Qualifications** **Provider Reimbursement Analyst II** . Bachelor's degree in business or healthcare ... Works on various projects related to the analysis of claims , clinical and financial data, with a focus on...relational databases. . Knowledge of provider contracting. **Provider Reimbursement Analyst III** . Bachelor's degree in business … more
- Elevance Health (Columbus, OH)
- … processing. + Responsible for monitoring Medicare changes as they relate to claims payment and methodologies, benefits and coding and billing. + Develop ... control measures. + Responsible for directing the processing and payment of claims . + Provides guidance on...of study and a minimum of 8 years systems analyst or business analyst experience;… more
- Medical Mutual of Ohio (OH)
- …and consumers. . Performs other duties as assigned. **Qualifications** **Provider Analyst II** **.** **Bachelor's degree in business administration, economics, ... as well as be comfortable with management exposure.** **Senior Provider Analyst ** **.** **Bachelor's degree in business administration, economics, statistics,… more
- CDPHP (Albany, NY)
- …processes and rules, including benefits, pricing, enrollment, provider structure, payment and/or claims processing for each line of business . + Must have a ... of the CDPHP core claim system and integrated support systems. The Configuration Analyst II will represent various business units in the analysis, development… more
- MyFlorida (Tallahassee, FL)
- …provided to division staff during oversight reviews to justify costs, expenditures, claims for reimbursement or requests for payment . Gathers, organizes and ... FINANCIAL EXAMINER/ ANALYST II - 42005685 Date: May 3, 2024...is occurring unless an agreement is in place. Analyzes claims and payment requests against federal cost… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external ... and implementation. Essential Qualifications + Minimum 6-7 years of experience as a business analyst in healthcare payer industry. + Expertise and experience in… more
- Securitas Security Services USA, Inc. (Parsippany, NJ)
- **JOB SUMMARY:** The Sr. Business Analyst , Credit and Collections, supports the Regions with all Accounts Receivable related issues: processing refunds, managing ... + Proficient in various key financial ratios, DSO, bankruptcy and preference payment claims . + Knowledge of accounting fundamentals, P&L's and balance… more
- HCA Healthcare (Nashville, TN)
- …of Operations: participate in the strategic resolution and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed ... that invests in you as a Payer Engagement Senior Analyst ? At HCA Healthcare, you come first. HCA Healthcare...care book of business . Note: This is a position within the Company,… more
- Arkansas Children's (Little Rock, AR)
- …billing requirements and software products essential to performing job duties. Analyzes claims for payment . Resolves denials. Identifies problem trends and works ... am - 5:00 pm - Hybrid Prepares accurate and complete medical claims /billings for timely submission to third-party payers. Responsible for follow-up and collection… more
- CDPHP (Albany, NY)
- …and impacts of member benefits, pricing, enrollment, provider structure, payment and/or claims processing, for each line of business . + Must have a ... (Self-Funded, Administrative Services Only) and State and Government Programs. The Configuration Analyst I will represent various business units in the analysis,… more
- CDPHP (Albany, NY)
- …and rules, including benefits, pricing, enrollment, billing, provider structure, payment and/or claims processing for each line of business . + Must have an ... CDPHP's core claims systems and any integrated systems. The Configuration Analyst III will be responsible for the technical oversight of all departmental audit… more
- Keystone Lab (Asheville, NC)
- …and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country, ... Laboratory, Inc. WOLFE, Inc. / Keystone Laboratory, Inc., has been in the business of drug detection and workplace protection for nearly 30 years. We provide… more