- CareOregon (Portland, OR)
- Candidates hired for remote positions must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department ... role is available to candidates residing in Oregon or Washington. Job Summary The Medicare Encounter Data Analyst leads the process for the end-to-end … more
- State of Indiana (Indianapolis, IN)
- Medicare Claims Analyst Date Posted: Jun 6, 2024 Requisition ID: 443202 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... is fully engaged with this mission. Role Overview: The Medicare Claims Analyst will serve as the...Health Coverage Programs (IHCP) claims reimbursement function related to Medicare Claims and Managed Care Encounter Claims.… more
- The Cigna Group (St. Louis, MO)
- …support from others. + Develop and support analytics of claims, adjustment, and PDE/ Encounter data to support client initiatives + Oversee the timely completion ... Prescription Drug Event (PDE)/encounters reporting and regulatory communications. The Lead Analyst will support analytics of operational data , specific to… more
- UCLA Health (Los Angeles, CA)
- …with CMS processes required + Computer proficiency with Microsoft Office, SQL, and data visualization tools + Knowledge of encounter regulatory reporting and ... at UCLA Health. As a key member of our Medicare Advantage Operations team, you will develop detailed requirements...to contractual requirements + Ability to research and resolve encounter issues + Understanding of the healthcare model, capitation,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Technology staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by ... system specifications that support claims payment and criteria for data bases that support analysis as well as training...use. Designated staff may focus primarily on supporting the Medicare Advantage line of business. **NATURE AND SCOPE** +… more
- Commonwealth Care Alliance (Boston, MA)
- …guidance of the Manager of Billing, Coding, & Provider Documentation the Revenue Cycle Analyst will enhance our FFS & Encounter process, corrective coding, and ... to the coding and billing responsibilities, the Revenue Cycle Analyst will work with Clinicians to perform charge entry...procedures to ensure proper billing charge entry + Direct Data Entry of claims + Process and reconcile payments… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …competitors, and Medicare . + Utilizes financial pricing models and financial data analysis under the director of the department director to support modifications ... Administration, Network Operations, IT, Medical Management, Benefits Administration and Medicare Advantage. Providers, provider representatives, vendors and consultants to… more
- Adelante (Phoenix, AZ)
- …research, analyze, and present financial information combined with large sets of clinical data including encounter , claims, and patient data to communicate ... field with at least 5 years in a financial analyst or similar role. + Must have supervisory experience....present financial information combined with large sets of clinical data including encounter , claims, and patient … more