- Trinity Health (Niskayuna, NY)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** ** Medical Billing Analyst - Cardiology Associates of Schenectady - Niskayuna, NY - Per ... to the efficient and service oriented operation of a medical practice. The Billing Analyst will perform...outstanding claims to contact to ensure all claims are billed timely + Review each claim… more
- AdventHealth (Maitland, FL)
- …at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to...of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims… more
- CVS Health (Richmond, VA)
- …to make health care more personal, convenient and affordable. Position Summary The Medical Claim Analyst role is responsible for analyzing submitted ... claims payment issuesRequired Qualifications - 2 plus years experience as a medical assistant, office assistant, or claim processor - Benefits Management -… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medical Pharmacy Analyst - Remote **Job Description Summary** Responsible for leading ... solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Understanding of CPT and… more
- CVS Health (Hartford, CT)
- …analytics and consultative skills to positively impact our patients' health. As a Medical Economics Analyst , you will provide consultative support and medical ... financials (underwriting, sales, product development, network management) + Experience working with medical and pharmacy claims Education + Bachelor's degree or… more
- CVS Health (Hartford, CT)
- …analytics and consultative skills to positively impact our patients' health. As a Medical Economics Analyst , you will provide consultative support and medical ... sales, product development, network management) * Experience working with medical and pharmacy claims Education * High...* Experience working with medical and pharmacy claims Education * High school diploma/GED or equivalent experience… more
- Molina Healthcare (Albuquerque, NM)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Conduent (New York, NY)
- …where individuality is noticed and valued every day. **About the Role** As a ** Medical Credit Balance Analyst ,** you will review and audit provider credit ... backlog sessions. **Requirements** + Have Healthcare related insurance billing and/or claims experience. + Have excellent analytical and communications skills. Be… more
- Healthfirst (NY)
- …per week located at 100 Church Street, NYC. + As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation ... of program savings. + Provide data driven analysis to Finance, Claims , Medical Management, Network, and other departments to enable critical decision making.… more
- Fallon Health (Worcester, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Medical Economics Data/Financial Analyst will partner with Medical Economics ... analytical support for multiple regulatory filings. + Assist other Medical Economics team members on special projects or ad...SQL + Knowledge of managed care and health care claims + Excellent oral and written communication skills **COVID-19… more
- MyFlorida (Tallahassee, FL)
- 68064828 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: May 22, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For ... No: 829730 Agency: Agency for Health Care Administration Working Title: 68064828 - MEDICAL /HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number:… more
- Keystone Lab (Asheville, NC)
- …excellent interpersonal and customer relationship skills for interacti ng with patients regarding medical claims and payments. + Must possess a positive, open, ... Inc. - Asheville, NC An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medical /Financial Risk Evaluation Professional 2 / Analyst is responsible for supporting the ... implementation and monitoring of medical /financial risk. The Medical /Financial Risk Evaluation Professional / Analyst +...CMS and/or AHCA compliance + 2 or more years Claims experience + 2 or more years Audit and/or… more
- AON (IL)
- …will serve as the primary claim 's management contact for Med-Only Resolution Managers. The Analyst will review claims and determine if a claim needs to ... with Med-only Resolution Manager for release and MMI. (maximum medical improvement) The Analyst will work with...claim 's management contact for Med-Only Resolution Managers. The Analyst will review claims and determine if… more
- Trinity Health (Conshohocken, PA)
- …and summaries for management review and decision-making. 4. Utilizes claim valuation application, integrated financial systems, relational databases, business ... evaluation tools to measure the effectiveness of both internally developed medical management initiatives and externally purchased vendor programs. Tests and refines… more
- Robert Half Management Resources (Dallas, TX)
- Description We are offering a contract to hire employment opportunity for a Sr. Medical Claims Analyst based in Dallas, Texas.. This role is within the ... United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …+ Provides medical policy analysis to assign appropriate coding, designate claims processing scenarios to ensure accurate claims payment and interacts with ... This position will work closely with the Manager of Medical Policy and Medical Appeals to effectively...procedures. + Demonstrated experience with provider and/or payor healthcare claims systems is required + Experience verifying healthcare … more
- UPMC (Pittsburgh, PA)
- …revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes auditing ... working in collaboration with appropriate Health Plan departments including Quality Improvement, Claims , and Medical Directors as needed to facilitate the… 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 ... documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Trinity Health (Albany, NY)
- …clerical duties related to the efficient and service oriented revenue operations of a medical practice. The Revenue cycle Analyst will perform all job functions ... **Employment Type:** Full time **Shift:** **Description:** **Revenue Cycle Analyst ** If you are looking for a Revenue...outstanding claims to contact to ensure all claims are billed timely + Review each claim… more