- Aston Carter (Deerfield Beach, FL)
- Description The Claims Payment Analyst is responsible for reviewing, analyzing and processing claims payment requests for automotive repairs. The ... (may include, but not all encompassing): * Reviewing and processing claims payment requests for automotive repairs. * Determine the appropriate payment… more
- TEKsystems (Deerfield Beach, FL)
- …structured workflows and repetitive tasks. * Basic proficiency in Microsoft Excel and other payment or claims processing tools * Comfortable in a hybrid work ... person will be a financial gatekeeper, reviewing, validating, and approving payment requests submitted by dealerships and repair facilities, all while maintaining… more
- TEKsystems (Earth City, MO)
- …structured workflows and repetitive tasks. + Basic proficiency in Microsoft Excel and other payment or claims processing tools + Comfortable in a hybrid work ... person will be a financial gatekeeper, reviewing, validating, and approving payment requests submitted by dealerships and repair facilities, all while maintaining… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Management All Locations: 300 Ocean Avenue - Revere Position Summary: Position Summary: The Claims Analyst , under the direction of the Manager of PACE Claims ... referral authorization process as it relates to timely and accurate claims payment and improvements to utilization management. + Responsible for maintaining… more
- WelbeHealth (Columbus, OH)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... pre- payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. **Essential Job… more
- Highmark Health (Topeka, KS)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 2, 2026 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're ... and new people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Highmark Health (Harrisburg, PA)
- …product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, ... accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules, prioritizing… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $38,937.60 - $50,618.88 Entry level hospital billing and claims position. Qualifications: High school diploma or GED is required. AAS degree ... Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, and have… more
- DXC Technology (Nashville, TN)
- …beneficiaries, and other departments regarding policies + Willingness to learn new payment processes and/or other processes within death claims depending on ... Diploma completed + **2+ years of life insurance death claims business experience is mandatory** + **Death claims... claims business experience is mandatory** + **Death claims full cycle processing experience is mandatory** + Working… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, ... on claims , provider data, enrollment data, medical policies, claim payment policies for payment integrity concepts for recovery opportunities. Performs… more
- Albany Medical Center (Albany, NY)
- …preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, and ... to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials.Able to communicate effectively and successfully with team… more
- City of New York (New York, NY)
- …Office is recruiting for one (1) PAA III position to function as the Human Services Payment Analyst in the DHS Human Services Unit who will: - Perform quality ... Bureau of Accounts Payable (BAP). As the Agency's primary payment office, BAP issues authorized payments to service providers...and CARES within the prescribed period. - Reconcile monthly claims and maintain a claim-control register to ensure the… more
- Elevance Health (Atlanta, GA)
- **Business Information Analyst Senior - Carelon Payment Integrity** **Locations:** + GA-ATLANTA, 740 W PEACHTREE ST NW + IN-INDIANAPOLIS, 220 VIRGINIA AVE ... recover, eliminate and prevent unnecessary medical-expense spending._ The **Business Information Analyst Senior - Carelon Payment Integrity** is responsible for… more
- Bank of America (Richmond, VA)
- Operations Analyst - Global Payment Operations Wires Customer Service Richmond, Virginia **To proceed with your application, you must be at least 18 years of ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Richmond/Operations- Analyst Global- Payment -Operations-Wires-Customer-Service\_25045446) **Job Description:** At Bank of… more
- PPL Corporation (Louisville, KY)
- …not support a fully remote/work from home schedule.** \#LI-HY #INDPPL The Insurance Analyst or Senior Insurance Analyst position will assist with corporate ... and management of routine department processes. As directed, the Analyst /Sr. Analyst will perform a number of...renewals for property and casualty lines, captive insurance management, claims , contract reviews for a wide variety of risks,… more
- UPMC (Pittsburgh, PA)
- …SIU policies and procedures. Identify trends for improvements internally, such as claims payment , to determine appropriate training needs and suggest ... UPMC Health Plan has an exciting opportunity for a Clinical Auditor/ Analyst Intermediate! The Clinical Auditor/ Analyst Intermediate is an integral part of the… more
- Elevance Health (Louisville, KY)
- …calls to healthcare providers to verify the accuracy of billed services and ensure claims were submitted and processed appropriately. The analyst will assess the ... **Provider Outreach** **Business Analyst II** **Hybrid** : This role requires associates...Experiences:** + **2-4 years** of experience in healthcare claims analysis, payment integrity, or related field… more
- City of Toledo (Toledo, OH)
- Occupational Safety and Workers' Compensation Analyst Print (https://www.governmentjobs.com/careers/toledooh/jobs/newprint/1015516) Apply Occupational Safety and ... Workers' Compensation Analyst Salary $74,776.00 - $78,707.20 Annually Location Toledo, OH...Weekly reporting and contact with the divisions on new claims , and existing work statuses (off work, restricted duty,… more