- PrideStaff (Mesa, AZ)
- …process, resolve and respond to written or electronically submitted correspondence. Research and process claims /system editing according to business regulation, ... stay familiar with current procedural policies for appropriate computer system and coding guidelines. Provide claims and/or correspondence updates as requested.… more
- Cambia Health Solutions, Inc (Renton, WA)
- …Must reside in ID, OR, UT or WAWHO WE NEEDThe Policy and Implementation Analyst uses Medical coding knowledge and experience and evaluates, recommends and ... reimbursement policy.Preferred Key Experience:Clinical knowledge (Understands clinical reviews)Understanding of claims , billing and codingFacets/ claims systems in appeals,… more
- Blanchard Valley Hospital (Findlay, OH)
- …capture which is supported by clinical documentation. Coordinate with the Professional Coding Integrity Auditor/Educator to research coding questions from ... quarterly internal quality audits of the PCISS, in coordination with the Coding Claims Resolution Specialist. Provide feedback and documented education to… more
- CVS Health (Nashville, TN)
- …medical records inventory, ongoing monitoring, responding to program inquiries, trend research outcomes, and updating project documentation as needed. Identifies and ... + Minimum of three to five years industry experience with health care claims , claim processing, and claim platforms + Proficient in QuickBase + Ability to… more
- Centene Corporation (Tallahassee, FL)
- … claims editing and perform state specific reviews. + Assist in the research , analysis, and resolution of claims compliance issues. + Complete monthly, ... particular HIPAA, and state regulations. **Preferred Skills:** Medical Billing and Coding Appeals experience Working with claims editing, researching guidelines… more
- Point32Health (Boston, MA)
- …within Harvard Medical School's Department of Population Medicine (www.populationmedicine.org) as a Research Analyst . TIDE is the home of several large, complex, ... health plans, delivery systems, and public health agencies. The Research Analyst plays a crucial role in...research methods. + Knowledge of common electronic healthcare coding systems (eg, NDC, RxNorm CUI, LOINC, ICD-9-CM/ICD-10-CM, HCPCS).… more
- CareOregon (Portland, OR)
- …responsible experience in areas that integrate with configurations such as claims processing, coding , auditing, billing, or encounter data Preferred ... Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title...+ 2 years' experience in claims processing, coding , or auditing + 1… more
- AdventHealth (Maitland, FL)
- …the full spectrum of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, ... (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Performance Integrity Innovation Analyst (PI Innovation Analyst ) is responsible for a thorough understanding of software system configuration ... shoot, monitor and support improved utilization of the system. The PI Innovation Analyst will lead the development of requirements specific to changes and updates to… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- … and provider reimbursement related system problems, including claims coding and processing issues, coordinates research , audit, and recommendations with ... new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well… more
- Army National Guard Units (Marietta, GA)
- …5 EXCEPTED SERVICE POSITION. This position is for a Financial Management Analyst , Position Description Number T5127P01 at the Georgia Joint Forces Headquarters ... Open to All United States citizens. Responsibilities As a Financial Management Analyst , GS-0501-09, you will: Possess the responsibility to have extensive knowledge… 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 ... accepted standard of medical practice. The Senior Medical Policy Analyst will work closely with organizational teams to ensure... resources, as well as analyze quantitative and qualitative claims utilization data within the scope of research… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …determine business initiatives' success. With strong communication and organizational skills, the claims data analyst assists leadership and team in achieving ... Not a Remote Position-Only Local Applicants The Clinical Data Analyst is accountable to use their knowledge of data...and insights from the analysis of data from healthcare claims + Be responsible for standard and ad-hoc extracts/reports… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …+ Follow existing billing/collection protocols to ensure correct and prompt reimbursement. + Research denied / underpaid claims and send appeal promptly to ... Lakeshore Bone and Joint is seeking a full-time Accounts Receivable Analyst to work in our Spine Billing Department. As the region's dedicated experts in exceptional… more
- Providence (CA)
- …them._** **Providence Health Plan is calling an Associate System Configuration Analyst who will:** + Be responsible for handling service requests, operational ... technology use within Ayin Operations + Receive business needs from customers, research issues, coordinate with impacted operational areas and convert all inputs… more
- Providence (Beaverton, OR)
- …this is NOT an IT role and it will be configuring our Facets claims payment operating platform** **Providence is seeking a Facets Configuration Analyst , who ... + Be responsible for healthcare configuration solutions within PHP's core claims processing products (Facets, Networx, Optum Pricing, Optum CES). + Understand… more
- SSM Health (Jefferson City, MO)
- …vendor software updates and the impact to the business for Epic applications in analyst 's area of expertise. + Oversees the coding of Epic applications, ... MO-REMOTE **Worker Type:** Regular **Job Highlights:** SSM Health's IT Billing and Claims Team is seeking a project focused, technically skilled team member with… more
- LogixHealth (Bedford, MA)
- …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... Hybrid in Bedford, MA This Role: As a Cash Analyst at LogixHealth, you will work with both independently...fast-paced, collaborative environment and will bring your expertise to research , resolve, and respond to all banking and client… more
- UCLA Health (Los Angeles, CA)
- …CPT coding initiatives, ICD-10 coding standards, and revenue/HCPCS coding * Extensive experience with claims encounter strategies and processes * ... you will be instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions. This will involve working with external trading… more
- SSM Health (Madison, WI)
- …growing team searching for a results driven and intellectually curious Senior Epic Systems Analyst who shares our passion to make a difference. If you're great at ... systems and enhancements with system goals to deliver business results. Leads research on possible solutions and makes recommendations based on findings. Develops… more
