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...
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...
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 to assist in reviewing incoming Identity theft claims, account takeover claims, and evaluating consumer relationships... for potential risk. What You'll Do: Conduct thorough investigations on customer's claims of fraud by utilizing internal data...
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...
adherence to terms and conditions. Process and adjudicate warranty claims in a fair and timely manner. Partner with internal...
of warranty claims Adhering to Global Trade compliance regulations. Bachelors degree is required, Preferred Qualifications...
and disposition of warranty claims Adhering to Global Trade compliance regulations. Bachelors degree is required, Preferred...
Must have Essential Job Functions: HealthRules Payer (HRP) Experience Healthcare Insurance experience on hand-on Claims Adjudication...