UNKNOWN

FEED

Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members. Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.

HOUR

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Medical Claims Analyst

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BHS operates one of the nation's largest specialty preferred provider organizations (PPO), which is comprised of psychiatrists, psychologists, social workers, EAP providers as well as facility networks including hospitals, rehab/residential treatment centers, partial hospitalization programs and intensive outpatient programs. Responsibilities: Under the general direction and guidance of the Director, Claims Administration, and through direction provided by other managers for whom work is performed: Transferring data from paper formats into computer files or database systems.

Workplace Options

Claims Analyst

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TEMPORARY

FULL_TIME

CONTRACTOR

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Program Support & Audit Participation Assist in the development, implementation, maintenance, and documentation of the Agency’s privacy program, including participation in federal and state audits conducted by organizations such as: Social Security Administration (SSA) Internal Revenue Service (IRS). This position reviews, tracks, coordinates, and documents privacy-sensitive requests and incidents involving: Medicaid applicants, recipients, and beneficiaries.

SH Global Solutions is a certified Service Disabled Veteran Owned Small Business (SDVOSB) headquartered in Maryland. Established in 2016 to modernize commercial and government technology&nbsp;to mitigate cybersecurity threats and to secure data centers from increasingly more frequent&nbsp;cyber attacks, we specialize in providing Information Technology (IT) solutions and services to&nbsp;government and commercial organizations. Our core areas of core expertise are focused in:
● Datacenter consolidation/optimization - this includes designing, procuring, and installing turnkey secure, modern infrastructure solutions including scalable and modular systems
● Professional program and project management services for large and complex projects
● In-building wireless solutions to enable 5G technology and connect to the growing Internet of Things (IoT)
Our team is comprised of highly skilled and dedicated professionals, uniquely qualified in cutting-edge&nbsp;technology, and engineering, and in the rapid deployment and implementation of new technologies. &nbsp;Our&nbsp;CEO is a retired United States Air Force Colonel and entrepreneur with over 25 years supporting the&nbsp;DOD, US Government agencies, and NATO worldwide.

TPI Global Solutions

IT - Medicaid - Senior Privacy Analyst

This role is responsible for accurate claim submission, follow-up, and resolution of Medicare hospital billing issues to ensure timely reimbursement and compliance with CMS guidelines. Proficiency navigating the WPS Medicare website, including ADRs, medical record uploads, appeals, and claim review.

Springhill Medical Health Systems

Billing Claims Analyst - Business Office

Springhill Hospitals Inc

Develops forecasts and capacity models that help Claims leadership anticipate staffing needs, identify capacity gaps, balance workloads, and align available resources to business priorities. Develops and maintains Claims Operations demand and capacity forecasts using historical volumes, production trends, staffing assumptions, employee ramp, PTO/LOA, overtime, and other operational factors.

Workforce Management Analyst, Claims Operations - Meritain TPA

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.

Medical Claim Analyst

In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.

YEAR

StratAcuity Staffing Partners Inc

Claims Adjuster

Claims Admin

In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Technical Skills: Proven leadership capability with hands-on claims knowledge, familiarity with workers compensation claims systems, and the ability to drive process adoption and regulatory compliance are required.

Claims Manager

Overview of job: The Medicaid Claims Operations Consultant provides coordination and support for MES existing MMIS initiatives affecting operations related to the modernization of the MMIS and planning and support for the transition to the new Claims Processing and Management Services (CPMS) and Enterprise Data Services (EDS) environment and structure. These include transition to a new location, if needed, transition and cutover of operational units including call center, provider enrollment, mail room, prior authorization units, pharmacy operations, and EDI operations.

NTT DATA Services, LLC

Medicaid Claims Operations Consultant

The Director of Retirement Claims provides leadership to the Annuity Claims and Executive Benefits Claim teams to ensure optimal service delivery throughout the Claims payout process. The ideal candidate should have strong Annuity and financial services knowledge and experience; as well a passion for helping Protective to become a first in class Annuity provider.

Protective

Director, Retirement Claims Case Management

The role uses SQL, analytical and reporting tools, healthcare data, and business knowledge to analyze and validate data, research complex issues, develop reporting and analytics solutions, support regulatory and industry submissions, and translate operational requirements into actionable insights. Clear written and verbal communication and collaboration skills, including the ability to explain financial, healthcare, and technical topics to technical and nontechnical audiences and work effectively with end users, business stakeholders, technical teams, leaders, and external partners.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior)

Bachelor's degree in a related field from an accredited institution as approved and accredited by the University of South Alabama and four years of related professional experience in a legal or risk management setting. Conducts various risk investigations and prepares reports on findings to Risk Management, including interacting with University faculty, staff, administrators and outside entities.

University of South Alabama

Risk Management and Insurance Analyst - 006658

Monitor testing activity progress for each testing phase, actual versus planned testing progress as reported on by the testing team (contractor or UAT testers). NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses.

Quality Analyst

As an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Deloitte

Accounts Receivable Analyst

The ideal candidate will be responsible for system configuration, workflow analysis, troubleshooting, testing, implementation, and ongoing support of Epic Resolute HB modules. Job Summary: We are seeking an experienced Epic Resolute Hospital Billing (HB) Analyst to support and optimize Epic HB applications within a healthcare environment.

ClinDCast LLC

Epic Resolute HB Analyst

Deloitte Touche Tohmatsu Ltd

OTHER

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The Team AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure.

Epic Resolute Hospital Billing Associate Analyst

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Education/Experience: Required A Bachelor's Degree in a related field: Required or equivalent work experience in technical data analysis, conducting system analysis meetings, developing system design documents, developing project plans with achievable milestones and deadlines, and mediating different department demands to gain approvals on system scope and design. Analyzes provided requirements, procedures, and data needs to automate processing, improve existing business systems, and support production-ready SAS code for Encounter Risk Adjustment Prioritization and Encounter Risk Adjustment Chart Process workflows, with future Snowflake migration support.

Claims Analyst Jobs in Alabama

Medical Claims Analyst CVS Health Corp

Claims Analyst Workplace Options

IT - Medicaid - Senior Privacy Analyst TPI Global Solutions

Billing Claims Analyst - Business Office Springhill Medical Health Systems

Billing Claims Analyst - Business Office Springhill Hospitals Inc

Workforce Management Analyst, Claims Operations - Meritain TPA CVS Health Corp

Medical Claim Analyst CVS Health Corp

Claims Adjuster StratAcuity Staffing Partners Inc

Claims Admin StratAcuity Staffing Partners Inc

Claims Manager StratAcuity Staffing Partners Inc

Medicaid Claims Operations Consultant NTT DATA Services, LLC

Director, Retirement Claims Case Management Protective

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior) Blue Cross and Blue Shield Association

Risk Management and Insurance Analyst - 006658 University of South Alabama

Quality Analyst NTT DATA Services, LLC

Accounts Receivable Analyst Deloitte

Epic Resolute HB Analyst ClinDCast LLC

Accounts Receivable Analyst Deloitte Touche Tohmatsu Ltd

Epic Resolute Hospital Billing Associate Analyst Deloitte

Senior Business Technical Analyst Centene Corporation Group

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