), surgical, and diagnostic services. Ensure accurate CPT, HCPCS, and ICD-10-CM code assignment by physicians for all PB claims... edit, and denial claim reviews ensuring revenue metrics do not exceed claims submissions. Coordinates monthly external...
industry customers and internal content creators. As a Usability Specialist, you will play a critical part in understanding... models (LLM). #LI-MB1 #LI-Hybrid About Us: For over 50 years, Verisk has been the leading data analytics...
analytics technology that's reshaping the insurance industry. About the Role As Senior Sales Director for our North America... and software solutions to data analytics and SaaS platforms, we help clients stay competitive in an evolving industry. Through...
will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates..., compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing...
Overview: As a Data Engineer (Analytics Specialist), you will build robust data warehouse/marts/sets... analytics data needs align with organizational goals and priorities and elevate our business processes. Develops ETL processes...
Overview As a Data Engineer (Analytics Specialist), you will build robust data warehouse/marts/sets which will enable... algorithms. Responsibilities Collaborates with stakeholders, data engineers, and data scientists to ensure analytics data...
claims. This role manages daily deliverables, monitors and supports team task completion, and serves as the primary contact... for employer submissions. Maintain COBRA eligibility dates and process updates in the system as required. Assist the Specialist...
on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services... including claims, billing, redelivery issues, and service standards. Maintain CRM records and generate performance reporting...
, and recommendations for improvement. Collaborate remotely with underwriting, claims, and risk management teams to support account..., and predictive analytics—into property evaluations. Stay current on evolving codes, standards, and risk mitigation technologies...
healthcare costs Develop actionable strategies using medical and pharmacy claims data to drive better health outcomes... on high-cost claimants and collaborate with carrier case management to ensure appropriate care Use data analytics tools...
contract pricing and pricing matrices. Coordination with Pricing Specialist on maintenance of item cost and customer price... claims to Suppliers. Input/Upload of Supplier Price Updates from price files. Coordinate and maintain Special Pricing...
ROLE DESCRIPTION: Angel Rodriguez - State Farm Agent is seeking an organized and efficient specialist to fulfill... summary reports including BOD, CLAIMS, PFA Recon, Miscellaneous Recon, and weekly reports. Conduct call report activities...