- Motion Recruitment Partners (Durham, NC)
- Appeals Analyst Durham, North Carolina **100% Remote** Contract $20/hr - $25/hr Our client, a nationally recognized and award-winning company in the health ... insurance vertical, has a contract opening for a Appeals Analyst . They have over 4 million customers and 5,000+ employees dedicated to providing innovative… more
- CVS Health (Raleigh, NC)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... of claim related participation and pricing issues. + Reading and interpreting appeals , standard reference materials, etc. **Required Qualifications** + 2+ years of… more
- Intermountain Health (Raleigh, NC)
- …the patient's account within Intermountain's policies and procedures. Revenue Integrity Analyst II 1.Analyze data, develop reports, review trends, and recommend ... updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals , to facilitate corrective action planning for improved processes. 7.… more
- Evolent (Raleigh, NC)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple ... Evolent's clinical services (ie, specialty care, utilization management, care management, appeals & grievances) + Using analytical tools to integrate various data… more
- Honeywell (Charlotte, NC)
- We are looking for an experienced, data-driven Sr. Benefits Analyst to manage our defined benefit (DB) administration and oversight for the Honeywell Retirement ... to increased volume of escalations or issues. + Manage the claims and appeals process ensuring timely and accurate responses back to participants. + Maintain a… more
- Intermountain Health (Raleigh, NC)
- …reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement. Interacts with ... Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed. + Acts as a mentor. As assigned, coordinates training, direction and review of those working with reimbursement functions. + Manages scope and completion of work, meeting… more
- UNC Health Care (Morrisville, NC)
- …employee relations issues. This position plays a key role in providing support analyst functions on special projects. Expertise is sought after to counsel and advise ... assistance and guidance. 3. **Technical assistance** : Provide support analyst functions on special projects in Recruitment, Position Compensation Management,… more