- The Cigna Group (Bloomfield, CT)
- …or GED required + 5+ years of healthcare claims lifecycle; ** Claims systems configuration** design, editing , claims system requirements, and analysis ... a division of the Cigna Group is hiring a Claims Systems Configuration Senior Analyst . For this...3+ years of experience with claims adjudication, claims data types and editing rules (ICD,… more
- Elevance Health (Norfolk, VA)
- …you a check, or ask you for payment as part of consideration for employment. **Rating/ Claims System Analyst ** + Job Family: IFT > IT Bus Systems Solutions ... Date:May 06, 2024 + Reference: JR111007 **Location:** + VA, NORFOLK **Description** **Rating/ Claims System Analyst ** **Location:** This position will work a… more
- Apex Health Solutions (Houston, TX)
- Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system ... processing including Texas Department of Insurance and CMS. Expert understanding health care claims data, pricing and claims editing concepts, including UB04… 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 and ... contracts, and an accepted standard of medical practice. The Senior Medical Policy Analyst will work closely with organizational teams to ensure medical policy and… more
- Highmark Health (Harrisburg, PA)
- …understanding of the data flows generated by corporate systems (ie those supporting claims , billing, lab and Rx business processes) in the preparation and analysis ... the terminology, techniques, and reimbursement mechanisms employed in the delivery of healthcare , both within the healthcare industry as well as within… more
- TERROS, Inc. (Phoenix, AZ)
- …to share an exciting and rewarding opportunity for a RCM Training Coordinator - Healthcare w orking at our Central Avenue location in Phoenix,AZ . Reporting to the ... Cycle , the ideal individual is flexible, compassionate and professional. The Systems Analyst will possess a strong understanding of the revenue cycle work-flow, be… more
- Providence (AK)
- …Manage certified Coding Policy Analysts and all coding-related reviews, work queues, and analyst metrics + Ensure appropriate review and payment of coding related ... claims in a timely fashion across all lines of...oversight of the coding policy edits in the claim editing system to ensure consistent and accurate adjudication of… more