Business Consulting/Analyst experience 5 years prior ITS/BlueCard experience a plus Experience with Health Plan Claims... will play a pivotal role in driving the successful implementation and optimization of healthcare claims software solutions...
and problem resolution. The AMS team partners with health plan clients to become an extension of their organization. The highly... seasoned staff is dedicated to managing Claims Edit System (CES) as well as looking at where CES fits in the clients "Ecosystem...
skills and discover what you excel at—all from Day One. Job Description The Mortgage Loss Analyst is responsible... for performing financial reconciliation on liquidated loans, ensuring all claims comply with investor/insurer requirements...
within 30 days and full financial recovery within 60 days As Supply Chain Analyst (Procurement): Collate purchase orders... and freight claims as needed. Identifies and drives best practices within total supply chain, including the development...
Staff and Business Analyst team to ensure client satisfaction and effective problem resolution Developing strong Manager... understanding of the Disability marketplace with LTD claims or clinical experience is strongly preferred. This position reports...
project progress, risks, and dependencies to client stakeholders. Facilitate issue resolution across business and technical... in Product Owner, Business Analyst, or Product Management roles. Strong hands-on experience in Mortgage and/or Insurance...
Job Summary Reporting to the Regulatory and Quality Reporting Manager. The analyst's primary responsibilities include... Care, Specialty Care, Inpatient Care Transitions, and Resource Utilization Efficiency. The Analyst demonstrates knowledge...
, renewal and marketing process, open enrollment and special projects. Manages claims and coverage issue resolution... management, claims management, day-to-day client oversight, and underwriting services that make us a leading sales and service...
payable claims including invoices, leases, purchases, and other claims. Input and maintain accounts payable information... of policies and procedures for agency vendors and coordinate the resolution of disputed amounts. Minimum Qualifications: Two...
, and service issue resolution. Requires a working knowledge of processes and procedures for New Business, Claims, and In-force... EDX Analyst If you want to work for a company that is always considering its employees while working towards sustainable...
with local resources to manage worker’s compensation claims, identifying and implementing return-to-work plans Participate..., specialist, analyst, or business partner (required) – or – Bachelor’s degree in Business, Human Resources, or related field...
spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects..., Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of integrity within the unit...
employees. Lead a Data Analyst focused on trend analysis, SLA and KPI achievement, process improvement identification... plans, and provide reporting to leadership. Guide Employee Service programs including unemployment claims, employment...
Job Title: Mainframe Quality Assurance Analyst – Advanced (9827) Work Location: 100% Remote (Must reside..., and documenting test scenarios and test cases 4+ years of experience in Healthcare Claims Processing systems Preferred Skills...
and claims scrubbing edit resolution. Monitors and trains co-workers on specific Craneware/Trisus modules/tasks including Trisus... and other ancillary areas; completion of pre-billing workflows including Meditech Account checks and SSI claims edits; and post-billing...
Staff and Business Analyst team to ensure client satisfaction and effective problem resolution Developing strong Manager... understanding of the Disability marketplace with LTD claims or clinical experience is strongly preferred. This position reports...
reimbursement claims. Advises and provides support for victims in order to reduce their stress and anxiety by keeping them informed... Resolution or Memorandum of Understanding (MOU) prevail over this listing. NOTES: As a condition of employment, prospective...
of medical claims data sets. Other Related Responsibilities Actively promote and participate in process improvement... and adoption of new technologies. Conduct detailed claims analysis and ad-hoc reporting as prioritized by management. Produce...
on the Invoice Analyst steps. Interpret contract provisions to help resolve claims including voiding invoices/payments... communicating the resolution of discrepancies to the appropriate party. Prepare payable expense reclassifications and check...
and outpatient insurance and authorization processes as it relates access to care and to timely and efficient claims submission... and resolution to maintain no greater than $21million (charges), on a weekly basis, held for incomplete information associated...