-Party Administrator (TPA) clients in Health Insurance Claims Analyst positions. Responsibilities include: Conduct... claims analyst experience with insurance carrier or TPA with specific: Medical Billing & Coding, Medical Claims...
to clients/accounts in order to assist client facing Account Managers / Producers with such things as service inquiries, claims... of client coordination and/or claims management experience. License required. Preferred: Behaviors: Excellent verbal...
to clients/accounts in order to assist client facing Account Managers / Producers with such things as service inquiries, claims... of client coordination and/or claims management experience. License required. Preferred: Behaviors: Excellent verbal...
Job Title- AS400/Rx Claim Production Support Analyst Location- Remote Long Term Contract...
from unauthorized transactions. The Account Takeover Team is the top tier Detection Analyst role, utilizing skill sets in Card, Deposits... Qualifications Prior experience in Retail Fraud Servicing, Claims or Fraud Detection. Experience working in an environment...
a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency..., and elevate the quality of services provided to these individuals. As an Analyst, you will have the opportunity to collaborate...
a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency..., and elevate the quality of services provided to these individuals. As an Analyst, you will have the opportunity to collaborate...
a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency..., and elevate the quality of services provided to these individuals. As an Analyst, you will have the opportunity to collaborate...
. SOAZ – Posting ID # 7965 -AZDCS - Finance and Administration - SSA Review Analyst (Hybrid) Description DCS SSA Benefits... Security Insurance (SSI) applications/claims for children/youth in DCS care. This includes administrative duties, including...
Job Title: SSA Review Analyst Location: Phoenix, AZ (Hybrid) Agency/Department: Arizona Department of Child Safety... Level: Entry Level Position Overview: The SSA Review Analyst will support the DCS SSA Benefits Unit in processing...
Analyst is responsible for verifying the accuracy of DRG claims submitted for review by selecting claims for medical record... Analyst (aka Clinical Bill Review Analyst) will conduct clinical audits including, but not limited to, Diagnosis Related...
all shared risk claims, capitation, risk pool settlements, and various reports submitted by the health plans. Submit shared risk.../claims data that will then be used to develop analytical and statistical models to help customers make informed business...
Analyst will conduct clinical audits including, but not limited to, Diagnosis Related Grouper Validation (DRG), medical record... billing discrepancies, and prior authorization discrepancies per policies. The DRG Analyst is responsible for verifying the...
. Growing together. As a Report Analyst with E&I UMR, you'll have the opportunity to report and analyze data to support the... Certification Knowledge of PBM, Pharmacy claims, and benefit structure Proven to be a team player *All employees working...
's license appropriate to the assignment. SOAZ – Posting ID # 5343 -AZDCS - Finance and Administration - SSA Review Analyst... reports · Complete and assist with SSA Initial Claims · Screening of potential SSA candidates Required Skills Customer...
in Actuarial Analyst positions. Responsibilities include: Assist with pricing studies to evaluate the profitability of company.... Perform trend analysis to understand changes in the frequency and severity of insurance claims. Lead state and product rate...
all shared risk claims, capitation, risk pool settlements, and various reports submitted by the health plans. Submit shared risk.../claims data that will then be used to develop analytical and statistical models to help customers make informed business...
. We are looking for a Claims Systems Technical Analyst that has hands on Testing experience that could run claims through the system for testing.... Healthcare Insurance experience on hand-on Claims Adjudication experience, configuration, and/or financial background...
! Overview: As an EDI Analyst, you will be responsible for the development, implementation and ongoing maintenance of the... Electronic Data Interchange (EDI) transactions including HIPAA 270/271 eligibility inquiry and response, 276/277 claims status...
on customer's claims of fraud by utilizing internal data and open-source research tools to substantiate/unsubstantiate claims... Maintain ownership of assigned claims and conduct consumer interviews to establish event timelines, gain additional information...