- Aston Carter (Deerfield Beach, FL)
- Job Title: Payment Claims AnalystJob Description The Claims Payment Analyst is responsible for reviewing, analyzing, and processing claims ... adhering to internal policies and procedures. Responsibilities + Review and process claims payment requests for automotive repairs. + Determine the appropriate… 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
- 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
- Ford Motor Company (Livonia, MI)
- …the Parts Policy & Procedure Manual (PPP) and FMC Dealer as related to claims and freight payment + Work closely with various departments, including Marketing ... this position ** As Business Owner of the Parts Claims System, administer claims for US Dealers...manages the relationship with US Bank and the freight payment team. This involves working with the 3PL provider… 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
- Elevance Health (Norfolk, VA)
- ** Payment Integrity Business Analyst III** **Hybrid** : This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Payment Integrity Business Analyst III** is responsible...and Experiences:** + 2-4 years of experience in healthcare claims analysis, payment integrity, claims … 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 ... High School Diploma completed + **2+ years of relevant life insurance death claims business experience are mandatory** + **Death claims processing experience is… 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
- 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
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… 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
- HCA Healthcare (San Antonio, TX)
- …you want to join an organization that invests in you as an Senior Underpayment Analyst ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... opportunity to make a difference. We are looking for a dedicated Senior Underpayment Analyst like you to be a part of our team. **Job Summary and Qualifications**… more