Claims Analyst Insight GlobalClaims AnalystRed Bank, NJ$25–$29 / hourFull timeThis person will be responsible for working outstanding insurance claims, troubleshooting denials, reviewing EOBs, following up with payers, and helping resolve aged receivables across both in-network and out-of-network claims. This individual will join a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution, denials, AR follow-up, and collections across both in-network and out-of-network claims.
Technical Business Analyst - Claims Module 2 The Computer Merchant, LtdTechnical Business Analyst - Claims Module 2Remote$60–$62.50 / hourContractorWhile an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers.
NewBusiness Analyst - CMdS Claims, Member & Finance Implementation (MES) The Computer Merchant, LtdBusiness Analyst - CMdS Claims, Member & Finance Implementation (MES)Remote$50–$60 / hourContractorFunctional design (Claims, Member, Finance)Claims: Lead functional design for claim intake, claim type assignment, validity/pricing edits, adjustment/void, crossover, encounters, remittance, and related edit disposition behavior; map legacy rules to CMdS configuration and customizations. * While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations.
NewLead Claims Systems Analyst SchneiderLead Claims Systems AnalystGreen Bay, WISchneider is seeking a Lead Claims Systems Analyst in Green Bay to oversee risk management (RM) data and technology to improve systems, support operations and ensure teams get the most value from RM tools. The Lead Claims Systems Analyst will work with various departments and vendors to manage system improvements, maintain accurate data and ensure technology solutions are created to solve business needs.
Pricing Analyst II (Salesforce CPQ) JobotPricing Analyst II (Salesforce CPQ)Irvine, CARemote$90,000–$105,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. You will work directly with Sales, Account Management, Product, and Legal to coordinate pricing in Salesforce CPQ, support contract alignment, and ensure pricing accuracy across new business opportunities and renewals.
NewPayments Fraud Analyst (Banking) JobotPayments Fraud Analyst (Banking)Riverside, CA$65,000–$75,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role monitors transactions, analyzes data to identify fraud patterns, works closely with management to escalate incidents, and provides quarterly statistical metrics based on system performance and results.
NewCredit Analyst NucorCredit AnalystCofield, NCThe Credit Analyst is responsible for evaluating customer credit risk, monitoring accounts receivable exposure, and supporting timely cash collection while maintaining strong internal and external customer relationships. The role of Credit Analyst is primarily to: Review customer credit applications and analyze financial statements to determine the level of risk involved with extending credit to a new customer.
NewStaff Analyst Johnson Service GroupStaff AnalystSan Jose, CAThis person will support the Grants, Claims & Compliance Unit's Pre-Award Team by researching grant opportunities and assisting with grant application preparation to help secure funding for District projects. Directly related experience may substitute for the education requirement at the rate of 1.5 years of experience for one year of education, up to a maximum of two years.
NewAircraft Parts LHT Program Analyst (Remote) STS Engineering SolutionsAircraft Parts LHT Program Analyst (Remote)United States (Remote)RemoteThis role is responsible for overseeing the repair life cycle of company-owned aircraft materials, monitoring Lufthansa Technik aircraft part loans, reconciling billing and inventory records, coordinating warranty claims and working with vendors to control repair costs and turnaround times. This position monitors repair turnaround times, reviews costs not covered under warranty, manages reimbursement opportunities tied to fleet campaigns and analyzes operational data to identify issues and business opportunities.
NewActuarial Analyst II (Intermediate) – Forecasting Analytics USAAActuarial Analyst II (Intermediate) – Forecasting AnalyticsPhoenix, AZ$77,120–$138,810 / yearIndependently applies actuarial methodologies to complete structured projects (e.g., Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale). Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.
Vendor Management Analyst IconmaVendor Management AnalystHopewell, NJ$15.86–$24.82 / hourRequests and evaluates Corrective Action Plans for adequacy, works with vendor on required changes, communicates approval of CAP to the vendors, and monitors open Corrective Action Plans. Identifies and implements process improvements targeted to improve operational efficiencies and delivery of customer service.
MMIS Business Analyst The Computer Merchant, LtdMMIS Business AnalystQuincy, MA$60–$65 / hourContractorThe Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community. * While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations.
Program Analyst/Directors Action Group F-35 DIV (OZJ) - 1.1.01 CredenceProgram Analyst/Directors Action Group F-35 DIV (OZJ) - 1.1.01WPAFB, OHKeep the program office apprised as to progress, problems, and issues associated with the program; Summarize the major activities accomplished during the reporting period; Develop spreadsheets and databases to organize and store program data; Provide support in the planning, formulation, editing, development, and publication of finished products, to include but not limited to, audits, Freedom of Information Act (FOIA) requests, program documentation, plans, directives, reports, briefings and other presentations in the media format requested; and Provide support for internal and external briefings and reports by providing expert knowledge and capability in the use of government computers and operating systems to produce visual aids (e.g., slides, briefing charts, and other graphics) using appropriate software applications. Master’s or Doctorate Degree in a related field and ten (10) years of experience in the respective technical/professional discipline being performed, five (5) years of which must be in the DoW/DoD; OR Bachelor’s Degree in a related field and twelve (12) years of experience in the respective technical/professional discipline being performed, five (5) years of which must be in the DoW/DoD; OR fifteen (15) years of directly related experience with proper certifications as described in the PWS labor category performance requirements, eight (8) years of which must be in the DoW/DoD.
Financial Analyst 1 Way Forward ConsultingFinancial Analyst 1Plano, TX$28–$30 / hourContractorKEY RESPONSIBILITES/REQUIREMENTS: Pricing Audits: • Pillars of success: Timeliness, diligence and proofing work, clear/consistent communication, self-initiated investigations into issues while developing solutions independently, working collaboratively with the finance team, and engaging with team culture. • Submit daily pricing & audit claim/credits in SAP/ERP platform to submit and clear high volume deductions for Retail and Pro business channels.
Finance Analyst 1 Way Forward ConsultingFinance Analyst 1Plano, TX$28–$30 / hourContractorKEY RESPONSIBILITES/REQUIREMENTS: Pricing Audits: • Pillars of success: Timeliness, diligence and proofing work, clear/consistent communication, self-initiated investigations into issues while developing solutions independently, working collaboratively with the finance team, and engaging with team culture. • Submit daily pricing & audit claim/credits in SAP/ERP platform to submit and clear high volume deductions for Retail and Pro business channels.
OPD Product Manager Analyst Pinnacle Technical ResourcesOPD Product Manager AnalystCupertino,, California$55–$60 / hourContractorThe specific compensation for this position will be determined by a number of factors, including the scope, complexity and location of the role as well as the cost of labor in the market; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Successfully placed or hired candidates would only be asked for banking details after accepting an offer from us during our official onboarding processes as part of payroll setup.
NewQA Analyst III Pinnacle Technical ResourcesQA Analyst IIIMenlo Park, California$60–$65 / hourContractorAs a QA Analyst III, you will play a critical role in ensuring product quality by executing and improving test processes, collaborating with engineering and QA leads, and supporting the delivery of high-quality features. The specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment.
Procurement Analyst Pinnacle Technical ResourcesProcurement AnalystCincinnati,, Ohio$25–$35 / hourContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. Work collaboratively on a variety of TPP project work, directly communicating with vendors and the LOBs and maintain and independently complete project work as assigned.
Business Analyst III Pinnacle Technical ResourcesBusiness Analyst IIISanta Clara,, CaliforniaContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. Successfully placed or hired candidates would only be asked for banking details after accepting an offer from us during our official onboarding processes as part of payroll setup.
Business System Analyst Pinnacle Technical ResourcesBusiness System AnalystDallas,, Texas$50–$70 / hourContractorThe specific compensation for this position will be determined by a number of factors, including the scope, complexity and location of the role as well as the cost of labor in the market; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. This role involves serving as the Technology Development liaison and primary point of contact for requestors, whether Business or IT, and working across multiple organizations to align business strategies and functional architectures.
NewBusiness Operational Readiness Analyst - Underwriting Pinnacle Technical ResourcesBusiness Operational Readiness Analyst - UnderwritingMcLean,, Virginia$50–$55 / hourContractorThe Business Operational Readiness Analyst – Underwriting is responsible for ensuring the underwriting organization is prepared to successfully adopt new business capabilities, technology platforms, process improvements, and operational changes. The specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment.
NewVPP Technology Analyst Pinnacle Technical ResourcesVPP Technology AnalystPlano,, Texas$42–$45 / hourContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. Successfully placed or hired candidates would only be asked for banking details after accepting an offer from us during our official onboarding processes as part of payroll setup.
NewInformation Technology Application Support Analyst I Pinnacle Technical ResourcesInformation Technology Application Support Analyst IHoover, AlabamaContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. This role ensures that application support documentation is maintained to the highest quality and works closely with end users to resolve technical issues and improve system functionality.
NewSenior Data Science Analyst Pinnacle Technical ResourcesSenior Data Science AnalystRichmond, Virginia$57–$61 / hourContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. The role involves collaborating with cross-functional teams to ensure high-quality data solutions that meet business needs while adhering to best practices in data governance, security, and performance.
SAP Business Systems Analyst Quote to Revenue Pinnacle Technical ResourcesSAP Business Systems Analyst Quote to RevenueSanta Clara,, California$80–$85 / hourContractorThe specific compensation for this position will be determined by a number of factors, including the scope, complexity and location of the role as well as the cost of labor in the market; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. The ideal candidate will play a critical role in analyzing, designing, and implementing SAP solutions to optimize business operations and support revenue generation.
Revenue Operations and Monetization Analyst Vaco LLCRevenue Operations and Monetization AnalystNew York, NY$60,000–$65,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
NewInsurance Quality Analyst Vaco LLCInsurance Quality AnalystDurham, NC$98,000–$120,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
Channel Marketing Analyst, Trade KOHLERChannel Marketing Analyst, TradeKohler, WI$60,000–$72,000 / yearSee Kohler Terms & Conditions at https://www.kohlercompany.com/legal/ and Privacy Policy at https://www.kohlercompany.com/privacy/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Fluency in Excel, PowerBI, Salesforce, and PowerPoint is a must, as are excellent oral and written communication skills, and the ability to communicate with leadership confidently and succinctly.
NewTechnical Service Representative II TTECTechnical Service Representative IIMelbourne, FLPlease note that neither Percepta nor any of the agencies that recruit on our behalf will ever ask for any payments or personal information such as bank account details from applicants at any point in the recruitment process. Percepta requires all employees hired in the United States to successfully pass a background check and depending on location and client program a drug test, as a condition of employment.
Junior Legal Invoice Analyst AxelonJunior Legal Invoice AnalystMinneapolis, MN$28–$30 / hourOrganizational skills, including the ability to organize work in an orderly fashion conducive to the prompt, efficient review of an appropriate number of legal invoices in a given day or time period. Excellent ability to review, analyze, and evaluate legal fee and cost/expense invoice entries and to exercise discretion and sound judgment when making audit and adjustment decisions.
FMLA/Leave Analyst Sunbelt RentalsFMLA/Leave AnalystFort Mill, SC$64,790–$89,086.80 / yearCollects and compiles HR metrics and data from a variety of sources, including core human resource information system (Workday) and related modules, pay and time inputs and outputs, case management and telephony, surveys, interviews, employment records, government labor statistics, competitors' practices, and other sources. Communicates and coordinates with employees throughout the process: their initial need for leave and/or modified work schedules, their responsibilities, documentation, and notice required to qualify for and to take leave, and necessary actions to facilitate smooth and timely return to work, including any necessary accommodations.
New1035 Exchange Analyst (NRF) Northwestern Mutual1035 Exchange Analyst (NRF)Brookfield, WI$20.51–$30.76 / hourSee Northwestern Mutual Privacy Policy at https://www.northwesternmutual.com/online-privacy-statement/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Insurance Products: Leverages knowledge of the general components, characteristics, principles, philosophy, and advantages of specific Northwestern Mutual insurance products to inform approach to situations such as innovation, development, and improvement.
NewInvestment Client Srvcs Analyst (Asset Movement) - Hybrid Northwestern MutualInvestment Client Srvcs Analyst (Asset Movement) - HybridKenosha, WI$23.11–$34.66 / hourEducational Background: Associate's degree in business or a related field, or an equivalent combination of education and experience, specifically in customer service: For customer service a minimum of 4 years of customer service experience preferably with a focus on asset movement, related transactions, or financial services demonstrating proven customer service skills. Provide Exceptional Service: Deliver a personalized and remarkable experience for our field partners and their staff by answering questions related to asset movement, providing detailed servicing options, and assisting them through asset movement transaction procedures or services in a call center environment.
EDI Analyst/Programmer I, El Paso Health University Medical Center of El PasoEDI Analyst/Programmer I, El Paso HealthEl Paso, TXThree years of experience in managed care applications, of which two years should be working with SQL, creation of DTS packages, Stored Procedures, current Microsoft Windows platforms, Visual Basic, and Microsoft Access. Works closely with Director of Information Systems (IS), and as part of the EDI team to ensure EDI interface tasks are completed on schedule according to contractual or organizational needs.
New(v) Software Engineer – FACETS Extensions / Application Development System One(v) Software Engineer – FACETS Extensions / Application DevelopmentBaltimore, MD$45–$73 / hourWe are seeking a Software Engineer – FACETS Extensions / Application Development to design, develop, and support applications and integrations that enhance the FACETS platform and related claims processing workflows. As part of this strategic transformation, we are building a strong FACETS talent bench to support multiple project waves across engineering, application development, integrations, and platform modernization.
NewProduct Owner - Group Health Prime Health ServicesProduct Owner - Group HealthFranklin, TNThis role requires expertise in Commercial Group Health claim processing, including the No Surprises Act, ERISA-related claim considerations, Qualifying Payment Amounts, claim scrubbing, large dollar negotiations, PPO network workflows, and out-of-network cost containment solutions. Reporting to the Director of Product, this role is responsible for translating product priorities and business needs into clear, actionable work for Engineering and supporting the successful delivery of enhancements, features, and product improvements.
Claims Analyst - LHB Health Care Service CorpClaims Analyst - LHB$14.97–$28.12 / hourThe life and disability claims analyst are responsible for securing and analyzing claim information to make accurate benefit determinations on disability claims or other claim types as assigned, in accordance with policy provisions, established claim processing guidelines and appropriate state and federal laws; achieving results by effective use of all appropriate resources. The Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups.
Claims Analyst III Integrated Resources, IncClaims Analyst IIIDoral, FloridaContractorWill be utilizing Microsoft Excel heavily.*A minimum of 1-2 years' experience in claims processing with professionals or hospitals *Top 3 skills:Computer skills - Microsoft Excel (intermediate to advanced skills, i.e. pivot tables, v-look ups)Attention to detailStrong written communication skillsMust Haves:Claims backgroundKnowledge of billing guidelinesKnowledge of contract interpretationKnowledge of billing/coding - CPT & ICD-10Kind Regards,Arnab GhatakTechnical RecruiterIntegrated Resources, Inc. IT Life Sciences Allied Healthcare CROCertified MBE | GSA - Schedule 66 I GSA - Schedule 621IGold Seal JCAHO Certified for Health Care Staffing"INC 5 0 0 0 's FASTEST GROWING, PRIVATELY HELD COMPANIES" (8th Year in a Row)
Claims Analyst Contractor Addison GroupClaims Analyst ContractorOklahoma City Metro Area, Oklahoma$19–$22 / hourThis position works closely with internal teams, pharmacies, and third-party vendors to research issues, resolve discrepancies, and maintain data integrity across operational systems. Job Description: The Claims Analyst Contractor will be responsible for reviewing pharmacy claims and vendor program data to ensure accuracy, completeness, and timely processing.
NewSr Claims Analyst - LHB Luminare Health BenefitsSr Claims Analyst - LHBIn addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. Minimum Requirements: Minimum three-years life and/or disability claim administration experience: solid investigation, analytical and organizational skills along with attention to detail; or the equivalent combination of relevant experience.
Sr Claims Analyst - LHB HCSCSr Claims Analyst - LHBIn addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. Minimum Requirements: Minimum three-years life and/or disability claim administration experience: solid investigation, analytical and organizational skills along with attention to detail; or the equivalent combination of relevant experience.
Sr Claims Analyst - LHB Health Care Service CorpSr Claims Analyst - LHB$18.07–$33.92 / hourIn addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. Minimum Requirements: Minimum three-years life and/or disability claim administration experience: solid investigation, analytical and organizational skills along with attention to detail; or the equivalent combination of relevant experience.
Employment Practices Liability Claims Analyst The Hartford Insurance Group IncEmployment Practices Liability Claims AnalystScottsdale, AZ$82,800–$124,200 / yearCandidates should demonstrate the following competencies: Excellent oral and written communication skills; Strong strategic thinking abilities and execution skills; An ability to communicate thoughts clearly and concisely, and to influence and persuade others; Superior interpersonal skills, with an ability to work well as part of a team and/or in supporting roles. Experience, education and skills: Bachelor's degree required; professional designation and/or legal degree a plus; Insurance company (or law firm) experience a plus; Basic knowledge/understanding of professional lines, and/or litigated coverage and liability exposure desired; EPL a plus.
New["HB Claims Analyst II","HB Claims Analyst II"] Hartford Healthcare["HB Claims Analyst II","HB Claims Analyst II"]HartfordTitle: *HB Claims Analyst II * Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566) Requisition ID: 25164097 Other Locations: Connecticut-Newington-Curtis-181 Patricia Genova Dr (10016) . Position Summary The Epic Hospital Billing Claims and Remittance Analyst II is responsible for supporting and optimizing Epic's Resolute Hospital Billing (HB) module, focusing on claims processing and remittance workflows.
NewMDR Marketing Expert / Medical Device Claims Analyst Stark Pharma Solutions IncMDR Marketing Expert / Medical Device Claims AnalystRaynham Center, MAThe ideal candidate will review and substantiate product claims, analyze technical documentation, manage claims data, and collaborate with cross-functional teams to ensure compliance with regulatory and quality requirements. We are seeking an experienced MDR Marketing Expert / Medical Device Claims Analyst to support regulatory affairs and medical device claims management activities.
Construction Claims Analyst/Lead Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncConstruction Claims Analyst/Lead Construction Claims Analyst (Full Time)Richmond, VA$82,000–$115,000 / yearMBP is looking for Construction Claims Analyst/Lead Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Claims Analyst Lumen Solutions Group, Inc.Claims AnalystBaltimore, MDThe ideal candidate will have strong experience in claims research, data validation, data entry, and Excel, with the ability to analyze issues, maintain accurate records, and support day-to-day claims operations. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.
NewClaims Analyst HomeServe USA CorpClaims AnalystChattanooga, TNPosition Overview: The Contractor Operations Claims Analyst will be responsible for data analysis, reporting, and auditing to ensure that internal operations teams and HomeServes third- party contractor network are administering claims in accordance with policy terms and conditions, processes, and pre-negotiated rate schedules. Conduct audits based on findings to analyze the unfavorable trends impacting business claims performance as well as identify and audit any contractors, and/or internal operations team members, not adhering to pre-negotiated rate schedules, processes, and/or policy terms and conditions.
NewClaims Analyst Workplace OptionsClaims AnalystBirmingham, ALFull timeBHS 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. 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.
Insurance Claims Analyst (Full-Time, Monday - Friday, 8:00Am-4:30Pm) Washington Regional Medical CenterInsurance Claims Analyst (Full-Time, Monday - Friday, 8:00Am-4:30Pm)Fayetteville, ARHunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors. This position is responsible for verifying patient information, checking for coding errors (like ICD-10 and CPT), effectively and efficiently communicating with healthcare providers and internal departments, and maintaining detailed records.