- 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
- Robert Half Office Team (Oakland, CA)
- Description The Claims Analyst will ct as liaison for clinicians as it pertains to clinical documentation and meeting county requirements. + Become familiar with ... United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
- TEKsystems (Fresno, CA)
- …Works Blue Cross JAA reports 4. Communicates with Anthem via emails regards to Claims status 5. Performs voids and reissues 6. Works JAA reconciliation reports 7. ... Splits RFF for Stoploss 8. Request provider/ member overpayments. 9. Oversees Third Party liability process. 10. Track error trends and provide feedback to appropriate departments. 11. Attends meetings and training sessions as required. 12. Maintains strictest… more
- Carle (Urbana, IL)
- …Requirements: no Email a Friend Save Save Apply Now Position Summary: The Claims Analyst accurately processes medical , dental, orthodontia and pharmacy ... Claims Analyst Team A + Department:... Claims Analyst Team A + Department: HA - ...LICENSURE REQUIREMENTS None Specified EXPERIENCE REQUIREMENTS One (1) year medical claims adjudication, healthcare billing or healthcare… more
- AIG (Chicago, IL)
- Senior Claims Analyst , Severity Join us as a Senior Claims Analyst to grow your experience in Claims . Make your mark in Claims Our Claims ... This challenging role involves negotiating, analyzing and resolving complex medical malpractice and GL claims at primary... senior management, underwriters, insureds and brokers. + The analyst will employ best claims handling practices,… more
- Kanaan Communications, LLC (Upland, CA)
- Discover a more connected Associate Analyst of Claims career At VCI Construction, LLC , as an Associate Analyst of Claims , you'll be the first point of ... in close cooperation with the Corporate, Insurance, and Legal Departments. The Analyst of Claims also provides risk management services in collaboration with… more
- Kelsey-Seybold Clinic (Houston, TX)
- …dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** ** Claims ** **Job Type: Full ... **Responsibilities** Responsible for the adjudication of complex facility claims including hospital, durable medical equipment, home health services, skilled… more
- The Cigna Group (Bloomfield, CT)
- …and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this highly technical role, ... all configurations were input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will have in depth… more
- Kelly Services (Mason, OH)
- …a great, new opportunity. Join the Kelly(R) Professional & Industrial team as a Claims Testing Analyst with a world-class equipment and services company that ... so let's get to work. Apply to be a Claims Testing Analyst today! As part of...resources. Kelly offers eligible employees voluntary benefit plans including medical , dental, vision, telemedicine, term life, whole life, accident… more
- AIG (Lenexa, KS)
- 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
- Kelly Services (Torrance, CA)
- What's next for you? This great job. We're seeking a **Dealer Claims and Registration Analyst ** to work at one of our largest key accounts in the automotive ... Friday 8:30am-5pm **Pay rate:** $20/hr **Why should you apply to be a Dealer Claims and Registration Analyst ** ? + Monday-Friday work schedule + Competitive pay… more
- The Cigna Group (Bloomfield, CT)
- …and Change Lives?** EviCore, a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly technical systems role requires ... were input correctly into the system per the specifications of the provider. The Claims System Configuration Senior Analyst will have in depth knowledge of the… more
- State of Indiana (Indianapolis, IN)
- Compensation Claims Analyst Date Posted: Sep 17, 2024 Requisition ID: 449590 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... costs of being a violent crime victim. As a Claims Analyst , you will receive and enter...+ Communicate via telephone, US mail, and e-mail with medical providers, prosecutors, law enforcement, victim service providers and… more
- Hartford HealthCare (Hartford, CT)
- …moment*. **Job:** **Legal / Compliance* **Organization:** **Hartford HealthCare Corp.* **Title:** * Claims Analyst / Claims Adjuster* **Location:** ... security of said insurance program while fostering its growth by handling medical professional liability claims /suits to conclusion. Candidate will have working… more
- The Cigna Group (Bloomfield, CT)
- …and Change Lives?** EviCore, a division of the Cigna Group is hiring a Claims System Configuration Lead Analyst . This highly technical systems role acts as ... the Subject Matter Expert (SME) for the Claims Configuration of the eviCore Claims Systems...your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs.… more
- Aston Carter (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst MUST have experience from/with: + Industry: pharmaceutical OR medical device OR state/state agency + Processed Medicaid ... Revitas/Flex Medicaid OR Flex Validata Job Description The Medicaid Claims Analyst is responsible for Medicaid Drug...programs. Hard Skills + 3+ years experience processing Medicaid Claims + Industry experience: pharmaceutical or medical … more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Claims Analyst is accountable for claims processing, research and adjudication to correctly apply benefit determination and pricing for ... reports / special projects to ensure prompt payment of claims . **KEY SUCCESS FACTORS** + Medical terminology,...payment of claims . **KEY SUCCESS FACTORS** + Medical terminology, CPT, HCPCS, ICD9, ICD10, and coding knowledge… more
- Elevance Health (Los Angeles, CA)
- ** Claims Analyst III- Overpayment Prevention (Business Analyst III)** _Location: This position will work a hybrid model (remote and office). The ideal ... Integrity, is determined to recover, eliminate, and prevent unnecessary medical -expense spending. Responsible for identifying, analyzing, and validating overpayment… more
- Fallon Health (Worcester, MA)
- …the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, ... BS - Mathematics, Finance, Economics, Management, other **Experience:** + Strong claims processing skill, understanding of medical terminology, and familiarity… more
- Guardian Life (Bethlehem, PA)
- …career? The next step is here with Guardian in the role of **Senior Financial Analyst - Disability Claims ** where you will use your knowledge and experience to ... and move the organization into the future. **You will** + Work closely with Claims Examiners and Managers to support the analysis of disability claims with… more