- Usaa (Nashville, TN)
- …guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance ... and regulations and policies and procedures. This role is remote eligible. However, you must currently live in the...on any questionable or suspect first or third part claims . Participates in the development of fraud prevention strategies.… more
- Usaa (Chesapeake, VA)
- …Injury Examiner , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, determining ... liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge… more
- TEKsystems (Milwaukee, WI)
- Claims Analyst II - Remote /Hybrid (Wisconsin Residents Only) Pay: $19.25/hour Schedule: Full-time, Monday-Friday, 8:00 AM-5:00 PM About the Role We're ... looking for a detail-oriented Claims Analyst II to join our team!...+ Must reside in Wisconsin. + Flexible work options: remote (home office with reliable internet), hybrid, or on-site… more
- TEKsystems (Fort Wayne, IN)
- Job Description Position: Mid-Level Epic PB/PB Claims Analyst Location: 100% Remote Contract Type: 6-Month Contract-to-Hire Vaccination Requirement: None ... Client Our Client is seeking a Mid-Level Epic PB/PB Claims Analyst to join their team. This...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Insight Global (Hartford, CT)
- Job Description Looking for a detail-oriented and analytical Business Analyst with strong experience in healthcare claims and workflow management tools like ... between business needs and technical solutions, focusing on optimizing claims workflows, ensuring regulatory compliance, and improving operational efficiency within… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... **Preferred Qualifications:** Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing … more
- Travel + Leisure Co. (Orlando, FL)
- …inspiration into exceptional experiences for millions of travelers worldwide. The **Senior Property Claims Analyst ** will play a crucial role as part of a ... high-performing, results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all...is hybrid in office Monday, Tuesday and Wednesday, and remote Thursday and Friday. **How You'll Shine:** + Functions… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... would consist of proactive claim administration for workers' compensation claims by providing analysis on each open claim, as...is hybrid in office Monday, Tuesday and Wednesday, and remote Thursday and Friday. **How You'll Shine:** + Manage… more
- TEKsystems (Milwaukee, WI)
- MUST LIVE IN WISCONSIN TO BE CONSIDERED Job Description We are seeking a Claims Analyst II to examine and process paper and electronic claims . In this role, ... will determine whether to return, pend, deny, or pay claims in accordance with established policies and procedures. Key...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... **About the Role** **Location*: Southern California / Los Angeles area** **_( remote , periodic area travel required)_** Are you confident speaking in public, a… more
- Insight Global (Irvine, CA)
- …One of Insight Global's customers is looking to onboard an Epic Professional Billing & Claims Analyst , II to their team to support the Professional Billing (PB) ... and Claims applications within Epic. This role is ideal for...hoc requests from stakeholders. This is a permanent and remote opportunity and will require flexibility to work PST.… more
- Carrington (Jackson, MS)
- …and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Centene Corporation (Columbus, OH)
- …healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including ... Excel and Access preferred. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care… more
- Ochsner Health (Jefferson, LA)
- …the job description to determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will work from the following ... areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland,Massachusetts, Minnesota, New Jersey, New York, Vermont,… more
- Providence (OR)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive… more
- Prime Therapeutics (Lansing, MI)
- …Come build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data using… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst serves as the preeminent Epic analytical resource tasked with improving revenue ... back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The **Epic Professional Billing Sr Application Analyst ** role will provide technical expertise and leadership, including configuring, documenting, ... the business requirements into software specifications. This position is ** remote ** and requires on call rotation 1 week after...role + Epic Certification in Hospital Billing / PB Claims / HB Claims would be ideal.… more
- Prime Therapeutics (Baton Rouge, LA)
- …Come build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads ... to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 years of experience using Tableau,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a job, you're making a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied ... claims with the purpose of reducing overall denials and...Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research, develop and maintain… more
