- 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 ... specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , settlement, claims… more
- City of Minneapolis (Minneapolis, MN)
- Workers' Compensation Claims Analyst Print (https://www.governmentjobs.com/careers/minneapolismn/jobs/newprint/5047991) Apply Workers' Compensation Claims ... + Description + Benefits + Questions Position Description The Workers' Compensation Claims Analyst is responsible for investigating and processing workers'… more
- NJM Insurance (Trenton, NJ)
- …Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong ... dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker and has a… more
- Robert Half Technology (Tampa, FL)
- Description Robert Half has an exciting opening for a Claims Business Analyst with an Insurance client based here in Tampa, FL. Position kicks off on-site for ... industry (or Banking) + Experience w/ Guidewire Software and ClaimCenter Summary: The Claims Business Analyst will work with stakeholders across the enterprise… more
- Savers | Value Village (Bellevue, WA)
- **Description** Job Title: Claims Analyst (Remote, USA) Pay Range: $52,014 - $73,860 Savers Benefits Geographic & job eligibility rules may apply Healthcare ... Plans + Comprehensive coverage ( medical /dental/vision) at a reasonable cost + Specialized health programs...supplement our offerings. What you'll be working on: The Claims Analyst supports Saver's risk mitigation strategy… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in Claims . ... of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are appropriate… more
- JBS USA (Greeley, CO)
- **Description** Claims Analyst Purpose and Scope/General Summary: The JBS Prepared team is looking for a Claims Analyst . This person will respond to ... and/or count discrepancies. It is the role of the Claims Specialist to act as mediator between the outside...for the following compensation and benefits: + Benefits: Vision, Medical , and Dental coverage begin after 60 days of… more
- TYLin (Overland Park, KS)
- …for candidates with global insurance program experience. TYLin is seeking a Senior Analyst , Insurance & Claims Administration to support the execution of our ... Developing and maintaining processes, documentation, and reporting for insurance and claims management. + Responding to internal and external inquiries on… more
- CVS Health (Phoenix, AZ)
- …help people get well, but help them stay well in body, mind and spirit. The Claims Analyst is responsible for reviewing pharmacy claims submitted through the ... CVS Health claims processing systems. The Claims Analyst will identify and rectify claim...policies. We offer a comprehensive benefits package which includes medical , dental, vision insurance as well as a wide-ranging… more
- Alight (IN)
- …through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave, ... of the leaves. + Managing and processing employee leave claims in compliance with federal, state, and company policies.... and Backend Operations (International Voice /Non-Voice/Blended process) + Analyst Level hires: **5 - 8 years** of work… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $38,937.60 - $50,618.88 Entry level hospital billing and claims position. Qualifications: High school diploma or GED is required. AAS degree ... in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented,...timely manner. Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- TEKsystems (Deerfield Beach, FL)
- Job Title: Mechanical Claims Analyst Job Description Are you a skilled mechanic looking to shift gears in your career? We are seeking a Mechanical Claims ... knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace,...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Bank of America (Pennington, NJ)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Pennington, New Jersey **To proceed with your application, you must be at least 18 years of age.** ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Pennington/Wealth-Management-Fraud Claims Sr-Fraud- Analyst \_25037888) **Job Description:** Merrill Wealth Management… more
- Molina Healthcare (Jacksonville, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required Education**… more
- NJM Insurance (Trenton, NJ)
- Join NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Analyst , where you will play a key role in driving process improvement and ... expertise (SME) in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding of current… more
- TEKsystems (Deerfield Beach, FL)
- Shift Gears in Your Career - Become a Mechanical Claims Specialist Are you a seasoned automotive technician ready to trade the shop floor for a more comfortable, ... physical demands of hands-on repair work. We're hiring Mechanical Claims Specialists to join a growing team that helps...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- TEKsystems (Deerfield Beach, FL)
- Job Title: Mechanical Claims Specialist Location: Remote (with initial onsite training in Deerfield Beach, FL) Start Date: August 18th Employment Type: Full-Time ... to a more comfortable, office-based role? We're seeking Mechanical Claims Specialists to join a growing customer contact team...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Fluor (Fresno, CA)
- …direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
- WellSpan Health (York, PA)
- …HCPCS and ICD-10 codes as well as modifiers. + Conducts reviews comparing medical record documentation to validate charge capture, medical necessity, and coding ... and work queues, due to potentially inappropriate documentation, coding, medical necessity or charge entry. Communicates with departments, including Compliance… more
- St. Luke's University Health Network (Allentown, PA)
- …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 ... documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process....with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
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