- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Function as an Analyst , Claim Data Integrity for EDI rejections with Waystar client support, trading partners and intermediaries. ... Analyst must fully understand payer rejections, payer edits and...claim level acknowledgements for both rejected and accepted claims + Continuously encourage and evaluate the use of… more
- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless 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 and timely review and resolution of coding...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- The Cigna Group (Bloomfield, CT)
- …Growth and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Senior Analyst . For this crucial senior level role, ... client implementations, internal integration/migration efforts, and large scope projects. The Claims Systems Configuration Senior Analyst will be… more
- Elevance Health (Norfolk, VA)
- **Rating/ Claims System Analyst ** **Location:** This position will work a hybrid model (remote and office). An ideal candidate must live within 50 miles of ... Health PulsePoint locations listed here: Norfolk, VA preferred. The **Rating/ Claims System Analyst ** is responsible...support, configuration, design, testing and implementation for ratings or claims systems . **How you will make an… 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 ... subject matter experts for the analysis and evaluation of claim systems , software, equipment and programs and...working relationship with internal and external customers + Coordinates claim system related tasks in conjunction with… more
- Crawford & Company (Lake Zurich, IL)
- …Under the general direction of the Claims Data Operations Manager, the Claim Sys Ops Analyst provides a variety of critical operational support services ... questions related to handling of Prefund requests and the claim system processes. + Manages the ...tags, uploads and maintains required State forms in various claim systems . + Creates, tags, formats testes… more
- New York State Civil Service (Albany, NY)
- …Dormitory Authority of the State of New York Title Senior Cost Control / Claims Analyst - Albany, NY Occupational Category Other Professional Careers Salary ... Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on complex… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing ... FHA Part B mortgage insurance claims for accuracy and submitting the claim ...ensure corrections are completed accurately and timely. + Document system with appropriate tasking and comments. + Ensure accurate… more
- System One (Owings Mills, MD)
- HEALTHCARE CLAIMS ANALYST - NASCO, Mainframe Billing or Enrollment 100% Remote $42/hr. W2 Benefits available ALTA IT Services has a 100% remote, 12 month + ... contract opening for a Healthcare Claims Analyst with NASCO, Mainframe and Billing...+ NASCO Group Enrollment & Billing/Finance experience + Mainframe systems navigation PURPOSE: The Business Analyst will… more
- Walmart (Bentonville, AR)
- …information received on each claim in the claim /image management system . + Handles monetary aspects of assigned claims by establishing reserves within ... reside within commuting distance of the primary job location** + Leads claim investigations by conducting ongoing medical and legal reviews; commissioning field… more
- WestRock Company (West Point, VA)
- …Customer Service group within WestRock Global Paper has an opportunity for a Board Claims Analyst who has the overall responsibility for processing claims ... Mills. The position coordinates all activities relating to a claim to include claim initiation, information gathering,...various topics as well as ensuring the responsibilities of Claims Analyst are understood throughout the department.… 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 ... and claims editing concepts, including UB04 and HCFA 1500 claim content for varying business lines including Medicare Advantage, Commercial Fully Insured,… more
- Elkay (Milwaukee, WI)
- …Water Solutions Corporation family! **Job Description** The Freight Audit and Claims Analyst reports to the Logistics Systems & Analytics Manager and will be ... Freight Audit and Claims Analyst **_The Company_** Zurn Elkay...File freight claims utilizing 3rd party freight claims management software. + Investigate each claim … more
- Equitable (Charlotte, NC)
- Special Claims Analyst ( 2400001Z ) **Primary...the rider. + Responsible for the processing of the claim in our administrative systems . + Prepares ... will help unlock your potential? Responsibilities of the Special Claims Analyst include: + Responsible for the...the riders and determine if the insured qualifies for claim approval based on the medical condition and the… more
- Equitable (Charlotte, NC)
- …The Technology Strategy Claims Lead Analyst will serve as a lead analyst for claims processes and systems , helping to ensure that our technology ... to define required features across claims process, claims intake and claims systems ....team to plan and execute monthly releases of the claims system . Review and approve the release… more
- Guardian Life (Pittsfield, MA)
- …We create experiences for you to grow and enrich your career and future as a Claims Business Systems Analyst . We believe in your aspirations for purpose, ... a high level of customer satisfaction and enhance divisional system performance and efficiencies. **You will** + Business Analysis...prior relevant work experience + Strong knowledge of IM Claims and key Corporate systems (ex. Client… more
- System One (Owings Mills, MD)
- ALTA IT Services is staffing a remote contract to hire opportunity for a Claims /Enrollment Analyst to support a leading health insurance customer. The individual ... Pay: $30/HR 100% Remote Job Functions: + Supports operations systems by providing operating information to team members. +...operating information to team members. + Work with 834 claims . + Document EFT & ERA and process according… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Compliance Data Validation Analyst II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Claims Compliance Data Validation Analyst II supports...translation of Medicare and/or Medicare-Medi-Cal (MMP) business needs into system requirements. This position serves as a key liaison… more
- Equitable (Charlotte, NC)
- …business to define required features across claims process, claims intake and claims systems . A business analyst works closely with the IT team and ... Employee Benefits Claims Business Analyst II ( Claims...analyze and document business needs and requirements for the claims process and systems . Translate business requirements… more
- Magellan Health Services (Hodge, LA)
- …which would provide an equivalent background may be considered. General Job Information Title Claims Analyst Grade 21 Work Experience - Required Claims Work ... The Claims Internal Resolution Analyst is responsible...at the health plan by actively researching and analyzing systems and processes that span across multiple operational areas.… more