Medical Claims Analyst jobs

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MEDICAL CLAIMS CONTRACT ADMINISTRATOR - REMOTE

Pursue, negotiate, and maintain contracts with all payers, e.g., insurance companies, IPAs, TPAs and government programs. Understand insurance policies and regulatory guidelines to implement systematic parameters to ensure complia...

CompanyHollister Incorporated
AddressPort Saint Lucie, FL
CategoryHealthcare
Salary$55,190 - $102,496 a year
Date Posted 2 months ago See detail

Medical Claims Contract Administrator - Remote

Hollister Incorporated

Port Saint Lucie, FL

$55,190 - $102,496 a year

Pursue, negotiate, and maintain contracts with all payers, e.g., insurance companies, IPAs, TPAs and government programs. Understand insurance policies and regulatory guidelines to implement systematic parameters to ensure complia...

Medical Claims Trainer

Allied Benefit Systems, Llc

Remote

$42.8K - $54.2K a year

Work closely with the Audit Team and department leadership to determine ongoing training needs. Assist with auditing on trainees. Develop training materials for all training classes. Perform all new hire training according to sche...

WC CLAIMS MEDICAL BILLING ADMIN

Hereford Insurance Corp

Long Island City, NY

$40,000 - $45,000 a year

Mail checks to provider with copy of EOB/Invoice. Respond to calls/email inquiries within 24 hrs. of receipt. Process and mail denial forms for full or partial payment of bills within 45 days of receipt. Process check inquiries wi...

Medical Staff Analyst (CVO)

Ucla Health

Los Angeles, CA

$60,100 - $123,900 a year

DescriptionTake on a role within a high-volume, goal-driven environment (estimate target about 75-100 files per week across a team). Salary Range: $60,100 - $123,900/annuallyQualificationsWere seeking a self-motivated, detail-ori...

Clinical Claim Review RN - Medical Disability - Remote

Optum

Nashville, TN

$28.03 - $54.95 an hour

Remain up to date with the contract requirements. Use clinical judgement to ensure a clear, comprehensive, and concise exam documentation that is reflective of the patients service level conditions and in compliance to contract r...

Medical Only Claims Examiner

Harford Mutual Insurance Group

Bel Air, MD

$56.3K - $71.2K a year

Receive, review and timely process claims. Proper claim coverage and file documentation. Enter and update claims in claim management system. Establish and update claim reserves promptly. Provide prompt claim acknowledgement to the...

Medical Records Analyst

Southwest Healthcare System

Temecula, CA

$17.50 - $30.06 an hour

Auditing medical record charts Accurately reviewing them according to established Medical Staff Bylaws, Medical Staff Rules and Regulations and Federal and State Statutes. High School Graduate or equivilent required. Associates d...

Medical Economics Analyst II

Provider Network Solutions

Florida, United States

$55,000 - $70,000 a year

Responsible for both requesting and receiving external data (i.e., claims utilization files, membership files etc..) and collaborating with external counterparts and necessary internal teams to ensure that the established SOPs o...

Analyst, Medical Economics

Cvs Health

Hartford, CT

$40,600 - $89,300 a year

Analyze and research utilization and unit cost medical costs drivers. Turn data into usable information by telling the story through data visualization. Support the development of scoreable action items by identifying outlier cost...

MEDICAL RECORDS ANALYST

Montefiore Medical Center

Bronx, NY

$28.52 an hour

Interacts with Risk Management, Legal and FOJP to process cases in response to Notice of Claim or Court Orders. Reviews MEDICAL RECORDS for response to requests for information from attorneys, insurance companies, providers, gover...

Medical Revenue Analyst- Healthcare Only

Atrius Health

Chelmsford, MA

$42,000 - $60,000 a year

Bachelors degree (or equivalent education, training or experience) required. Certification in medical coding is preferred including CCS, CCS-P, CPC or other relevant certification thru AHIMA or AAPC. Minimum of 3-5 years of exper...

Reporting Analyst - Healthcare Claims Savings(Hybrid)

Carefirst Bluecross Blueshield

Baltimore, MD

$48,312 - $95,953 a year

Collaborates with stakeholders to understand data needs to create reports that meets the needs of the business. Identifies functional requirements through process analysis, review of documents and procedures, and interviews and me...

Business Analyst I- Claims Operations

Sunshine State Health Plan

Lorida, FL

$25.97 - $46.68 an hour

Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems Identify and analyze user requirements, procedures, and problems to improve existing processe...

Data Analyst, Department of Oncology, Dell Medical School (Hybrid)

The University Of Texas At Austin

Austin, TX

Develop and implement innovative computational approaches for the analyses of large genomic datasets from several technologies. These datasets may utilize several types of available data sources, including public domain. Supports...

Business Intelligence Analyst - (JORA) - Georgetown University Medical Center

Georgetown University

Washington, United States

Bachelor's degree in Mathematics, Statistics, Economics or Engineering. 4 to 7 years of experience analyzing data and creating data-driven visualizations. Experience using programming languages, such as Python, R or SQL. Extensive...

Senior Medical Writing Analyst (Remote)

Stryker Corporation

Sacramento, CA

$75,300 - $156,900 a year

Dedicated achievers. People who thrive in a fast-paced environment and will stop at nothing to ensure a project is complete and meets regulations and expectations. Self-directed initiators. People who take ownership of their work...

Medical Echo Core Laboratory Analyst

Cardiovascular Research Foundation

New York, NY

$105,000 - $120,000 a year

Analyses echocardiographic images of subjects that participate in ongoing research studies that collaborate with the CRF Echo Core Lab. Works independently and trains Echo sonographers/new Research Fellows taking an active role in...

Medical Program Billing Analyst

Soteria Solutions Llc

Arlington, VA

$80,000 - $95,000 a year

Review aged A/R (Accounts Receivable) balances and work with the appropriate team(s) to identify and resolve accounting errors. Assist with reconciliations by calculating complex charges and payments received in accordance with th...

Senior Analyst, Claims

Oscar Health

New York, NY

Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions. Utilize data analysis skills and tools to develop accurate,...

Claims Adjustment Analyst

Integranet Health

Houston, TX

$55,000 - $70,000 a year

Group benefits include medical, dental, vision, company-paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k matching, and a variety of supplementa...

Epic IS Analyst--Professional Billing/Claims Remote

Arizona Community Physicians

Remote

$57.6K - $73K a year

401(k). Dental insurance. Employee assistance program. Flexible spending account. Health insurance. Health savings account. Life insurance. Paid time off. Retirement plan. Vision insurance. Work from home. 8 hour shift. Remote....

Claims Quality Assurance Analyst

San Joaquin County Health Commission

Modesto, CA

Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. Identifies errors and analyzes to determine cause. Documents findings and sends back for correction and adjudication. Provides feedbac...

Medical Records Analyst

Spinecare Of Ny

New York, NY

From $25 an hour

401(k). 401(k) matching. Dental insurance. Health insurance. Paid time off. Monday to Friday. No weekends. New York, NY 10021: Relocate before starting work (Required)....

Systems Analyst - Claims

Mindlane

Hartford, CT

$102K - $129K a year

Work with Reserving team to sunset existing Reserves application and to create a new design solution that will meet the current business need. Involves working with multiple IT areas (IM, FDS) to determine where the solution shoul...

Medical Malpractice Claim Specialist

Healthcare Risk Advisors, Inc.

New York, NY

$89,362 - $178,297 a year

Minimum of 5-10 years of related Medical Malpractice experience. 2 years professional liability claims and claims management experience preferred. JD degree preferred. Excellent interpersonal and organizational skills. Strong know...

Analyst Sr. – Commercial Claims

Elevance Health

NORFOLK, VA

Works on complex business needs develops epics and user stories manages backlog in tools and research issues. Thorough subject matter expertise and an understanding of business processes. Responsible for working with the Business...

Analyst Sr. – Commercial Claims

Elevance Health

Indianapolis, IN

$92,352 - $138,528 a year

Job Family: Business Support Type: Full time. Date Posted: Mar 20, 2024 Anticipated End Date: Apr 12, 2024 Reference: JR109613. Works on complex business needs develops epics and user stories manages backlog in tools and research...

Business Information Analyst II - Medical Economics

Elevance Health

Atlanta, GA

$72.6K - $91.9K a year

Job Family: Data Warehousing and Business Information Type: Full time. Date Posted: Mar 21, 2024 Anticipated End Date: Apr 15, 2024 Reference: JR110022. Conduct analysis for cost of care ideation, modeling, and initiative tracking...

Uniform Medical Plan (UMP) Contract Analyst (WMS1/ERB)

State Of Washington

Olympia, WA

Produce critical information for senior level management and other decision makers used in the process of developing strategies, identifying strategic priorities, and measuring program performance for the UMP pharmacy contract. Co...

MEDICAL AUDIT ANALYST

Montefiore Medical Center

Tarrytown, NY

Humanity. Innovation. Teamwork. Diversity. Equity....