- Health Plans, Inc. (Dallas, TX)
- …high-value care. Role and Responsibilities This role will be responsible for claims administration, roster management, and appeal resolution within the Network ... Operations Department. + Maintain and review all inbound claims for network and pricing accuracy. + Implement Quality Assurance measures to ensure contract… more
- State of Colorado (Lakewood, CO)
- Analyst III - Sales Tax Accounting Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4456138) Apply Analyst III - Sales Tax Accounting ... not eligible for overtime compensation. Department Contact Information Lakisha Boggs HR Analyst ###@state.co.us How To Apply Please submit an online application for… more
- Elevance Health (Woodland Hills, CA)
- …check, or ask you for payment as part of consideration for employment. **Grievances and Appeals Analyst I** + Job Family: CLM > Claims Support + Type: Full time ... and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve… more
- Elevance Health (Norfolk, VA)
- …you a check, or ask you for payment as part of consideration for employment. **Grievance/Appeals Analyst I** + Job Family: CLM > Claims Support + Type: Full time ... and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve… more
- R1 RCM (Salt Lake City, UT)
- …will experience working in Denials & AR:** + You will be investigating and analyzing claims to identify denial reasons and create appeal letters to resolve any ... As our Revenue Recovery Analyst II, you will help R1 clients by analyzing claims information so that they can resolve complex accounts. Every day you will… more
- Keystone Lab (Asheville, NC)
- …the appropriate follow up action that may include reviewing and writing an appeal for denials and submitting claims , when necessary, after payer contact. ... awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas...detection and workplace protection for nearly 30 years. We provide a comprehensive array of instant drug testing products… more
- The Cigna Group (Nashville, TN)
- …Determinations in order to ensure the correct processing of the appeal . + Excellent prioritization and organizational skills; effectively manage competing priorities ... + Review, research and understand how request for plan services and claims submitted by consumers (members) and physicians/providers was processed and determine why… more
- R1 RCM (Detroit, MI)
- …experience working in Denials & AR I:** + You will be investigating and analyzing claims to identify denial reasons and create appeal letters to resolve any ... R1 is the leading provider of technology-driven solutions that transform the patient...automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing… more
- Louisiana Department of State Civil Service (LA)
- Social Services Analyst 1/2/3 (ORLEANS REGION) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4188109) Apply Social Services Analyst ... a Special Entrance Rate (SER) see below: Social Services Analyst 1 - SER: $16.42/Hourly (Pay Level SS-410) Social...Job Concepts FUNCTION OF WORK: To assess, evaluate, and provide social services that are administered by the Department… more
- Beth Israel Lahey Health (Burlington, MA)
- …reduce denials. 20. Representation at scheduled meetings with assigned payers and provider representatives to address all outstanding claims processing issues. ... America) Under the managerial oversight of the Senior Manager, the Revenue Performance Analyst serves as a primary point of contact for Billing Director, Service… more
- Louisiana Department of State Civil Service (LA)
- SOCIAL SERVICES ANALYST 1/2/3 (ORLEANS REGION) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4353934) Apply SOCIAL SERVICES ANALYST ... Enforcement is a program that works with parents to provide emotional, financial, and medical support for their child...a Special Entrance Rate (SER) see below: Social Services Analyst 1 - SER: $16.42 hourly (Pay Level SS-410)… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Budget Analyst 3 Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4380322) Apply Budget Analyst 3 Salary $59,321.60 - $92,040.00 Annually ... a highly qualified candidate to serve as the Department'sBudget Analyst 3in the Bureau of Accounting. This person will... 3in the Bureau of Accounting. This person will provide key leadership and oversight for the Department's budget.… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** In collaboration with the Medical Director, the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and develop medical policies and ... operating procedures to support the corporate philosophy, provider and member contracts, and an accepted standard of...accepted standard of medical practice. The Senior Medical Policy Analyst will work closely with organizational teams to ensure… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …or approved negotiated agreements. + Manage daily work queue to prioritize high dollar claims . + Provide patient with cost estimates when asked. + Maintain both ... Bone and Joint is seeking a full-time Accounts Receivable Analyst to work in our Spine Billing Department. As...correct and prompt reimbursement. + Research denied / underpaid claims and send appeal promptly to ensure… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Social Services Analyst 1 (WAE) - Child Care Assistance Program Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4467831) Apply Social ... Services Analyst 1 (WAE) - Child Care Assistance Program Salary...Job Concepts FUNCTION OF WORK: To assess, evaluate, and provide social services that are administered by the Department… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4320334) Apply SENIOR DISASTER SERVICES ANALYST Salary ... training exercises, functional or large-scale drills, and tabletop exercises. + Provide support, expertise and guidance to stakeholders on best practices for… more
- Kelly Services (Chicago, IL)
- …a great, new opportunity. Join the Kelly (R) team as a Virtual Insurance Analyst (level 2) and work at a cutting-edge biopharmaceutical company. We're here every ... **Why you should apply to be a Virtual Insurance Analyst :** + Competitive pay + Benefits available. + Work...Act as the subject matter expert in insurance billing, claims processing, and prior authorizations. + Facilitate communication between… more
- Louisiana Department of State Civil Service (New Orleans, LA)
- SOCIAL SERVICES ANALYST (Team Specialist CW) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4478567) Apply SOCIAL SERVICES ANALYST (Team ... Job Concepts FUNCTION OF WORK: To assess, evaluate, and provide social services that are administered by the Department...Family Services. JOB DISTINCTIONS: Differs from the Social Services Analyst 2 by the presence of less independence and… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to ... provide cutting edge solutions that will directly improve the...all practices for all providers + Identify issues and appeal if necessary, using software or other resource tools… more
- TEKsystems (Phoenix, AZ)
- Teksystems is currently hiring for EXPERIENCED Remote Healthcare Insurance Analysts* *HEALTHCARE CLAIMS ONLY *Must be available to work an 8 hour shift between the ... in starting or continuing therapy or medication. An Insurance Analyst is a subject matter expert in insurance billing,... is a subject matter expert in insurance billing, claims processing, and prior authorizations. Agent will work between… more