- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK)...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 5 am… more
- Stanford Health Care (Palo Alto, CA)
- …**This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue ... as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff,… more
- Jobleads-US (Washington, DC)
- Overview The Work: The Workers' Compensation Specialist supports Cayuse's core values by promoting a safe and healthy work environment, facilitating employee care, ... and suture removal, abrasions, minor musculoskeletal injuries, etc.). Provide medical consultations for illnesses which include non-occupational and occupational… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Technical Lead (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished ... of the management team and Senior staff, the Systems Analyst - Specialist requires a high degree...as a mentor for other analysts. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose… more
- Deloitte (Raleigh, NC)
- …in a collaborative environment. As an experienced Epic Resolute Hospital Billing and Claims Application Analyst Project Delivery Specialist , you will have ... you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic… more
- Commonwealth Care Alliance (Boston, MA)
- …the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , settlement, claims… more
- State of Minnesota (St. Paul, MN)
- **Working Title: T-MSIS Data Quality Analyst ** **Job Class: Agency Policy Specialist ** **Agency: Human Services Dept** + **Job ID** : 89686 + **Location** : St. ... in service delivery. + Experience working with Medicaid, healthcare, or electronic medical record data, especially claims , encounters, or eligibility data. +… more
- UIC Government Services and the Bowhead Family of Companies (Patuxent River, MD)
- **Overview** Bowhead seeks a Senior Acquisition Specialist /Management Analyst to support the PMA 261 program. **Responsibilities** * Supports and drafts program ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- State of Minnesota (St. Paul, MN)
- …support statistical analysis to predict program integrity and/or compliance; + Experience analyzing medical claims data for fraud, waste and abuse; + Data ... **Working Title: Data Analyst ** **Job Class: Agency Policy Specialist **...succinct, easily understandable fashion. + Prior experience as a medical professional. + Variety of experiences working effectively with… more
- State of Colorado (CO)
- …results while ensuring requirements trace ability for quality results for large scale medical claims processing systems or medical information systems. + ... Federal regulatory policy and audits of the systems, and resulting Medicaid claims reimbursement, provider enrollment and medical benefit coverage, by providing… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing...Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective… more
- Corewell Health (Grand Rapids, MI)
- …Resolves complex issues that results from the entire PH eco system, ie, medical authorization, provider contract setup, claims payment, finance, etc. + Manages ... Objects Report Writer, and/or comparable reporting tools + CRT-Provider Credentialing Specialist , Certified (CPCS) - NAMSS National Association Medical Staff… more
- The County of Los Angeles (Los Angeles, CA)
- …Supervises County employees providing disaster/emergency services, when required. Regional Disaster Medical and Health Specialist Program (RDMHS) Assists in the ... DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4684863) Apply DISASTER SERVICES ANALYST Salary $87,086.16 -… more
- Fairview Health Services (St. Paul, MN)
- …**Job Overview:** Fairview is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge Description Master ... Analyst serves as a liaison between organizational leadership, end-users,...updates to the CDM that contribute to generating clean claims , enabling the collection of expected payments. + Participates… more
- The Cigna Group (Bloomfield, CT)
- …coding * Familiarity with CMS regulations for Risk Adjustment programs helpful. * Medical claims , billing, or inpatient coding experience helpful * Competency ... The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical...other scoring instrument, as defined per policy. * Performs claims matching and auditing, as required, identifying missing or… more
- The Cigna Group (Bloomfield, CT)
- …be detail oriented, self-motivated, and have excellent organization skills * Understanding of medical claims submissions is preferred * Ability to meet timeline, ... Job Summary: The Risk Adjustment Quality & Review Analyst in IFP brings medical coding...(AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding Specialist… more
- Carle Health (Champaign, IL)
- …provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and response to coding-based denials ... for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials....In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters… more
- The Hartford (Lake Mary, FL)
- Sr Ability Analyst - C409ANAbility Specialist - C409BN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely,...medical , and financial claim management. The Senior Ability Analyst supports our mission of helping our customers rebuild… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, ... billing, coding, and reimbursement processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes… more
- The Cigna Group (Bloomfield, CT)
- …have excellent organization skills + Risk Adjustment/CMS knowledge helpful + Understanding of medical claims submissions, helpful If you will be working at home ... daily RA program operations, as identified. Participates in coding reviews of medical documentation for RA programs, as needed. Responsible for communication and… more
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