Healthcare Claims Analyst

Position Overview: At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions. In this role, you will work as part of the Product team to...

Position Overview At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions. In this role, you will work as part of the Product team to facilitate...

Job Description Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement...

The Regulated Claims Settlement Coordinator supports the Claims Settlement Team through leading the review and response to disputed claims submitted through state and federal arbitration processes. The Regulated Claims Settlement Coordinator will be responsible for supporting Zelis' settlement offers and pricing after disputes have been filed to federal and...

Position Overview: The Claims Support Specialist position provides comprehensive administrative support as part of the Client Experience. This role includes supporting various departments within Zelis Enterprise. A person who is successful in this role will demonstrate adeptness in managing and prioritizing multiple tasks while having a meticulous attention...

Position OverviewAt Amerifleet Transportation, Inc., we prioritize a positive workplace culture. We value employee feedback and actively implement suggestions to enhance our environment.As a Claims Specialist, your primary responsibilities will include reviewing and assessing claims and associated expenses, processing new claims, and finalizing outstanding...

A large global corporate insurance company is hiring a Sr. Complex Claims Analyst to handle Directors & Officers (D&O) insurance claims. You will investigate, evaluate, and negotiate resolution of primary and excess claims, with a primary focus on complex Directors and Officers (D&O) claims, both private and public. You will be responsible for ensuring all...

Position OverviewAt Amerifleet Transportation, Inc., we prioritize a vibrant workplace culture. We actively seek input from our team to enhance our operations, and we value your suggestions.As a Claims Specialist, your primary responsibilities will include evaluating and processing claims and expenses, managing new claims, and finalizing outstanding ones...

Job OverviewAt Amerifleet Transportation, Inc., we prioritize a collaborative and engaging workplace culture. We value input from our team members and actively implement their suggestions for improvement.As a Claims Specialist, your responsibilities will include evaluating and processing claims, managing expenses, and collaborating with various internal...

Position OverviewCompany Overview:Ethos Risk Services stands as a premier provider in the realm of insurance claims investigation and medical oversight. Our commitment lies in delivering superior data that enhances decision-making processes for our clients. We pride ourselves on being innovators in our industry, fueled by a dedicated team that is passionate...

Job OverviewCompany Overview:Ethos Risk Services stands as a premier entity in the realm of insurance claims investigation and medical oversight. Our commitment lies in delivering superior data that enhances decision-making for our clients. We pride ourselves on being innovators in our industry, fueled by a dedicated team that is enthusiastic about providing...

Job OverviewCompany Overview:Ethos Risk Services stands as a premier entity in the realm of insurance claims investigation and medical management. Our mission is to furnish superior data that empowers our clients to make informed decisions. We pride ourselves on being at the cutting edge of innovation within our industry, driven by a team dedicated to...

Job OverviewCompany Overview:Ethos Risk Services stands as a premier organization in the realm of insurance claims investigation and medical management. Our commitment lies in delivering superior data that empowers our clients to make informed decisions. We pride ourselves on being innovators in our industry, driven by a team dedicated to providing...

Job Description:Our employees whom we call "caregivers," take pride in the contribution they make to lowering the cost of healthcare and improving the patient billing experience. Our caregivers work together to provide a collaborative, friendly environment and provide quality and individualized service.Our Claims Production Manager leads a team of highly...

Opportunity: Zelis seeks to recruit an Analyst to work in one of the most high-growth areas of our company: Provider. The Provider business was recently elevated to a General Manager structure as a result of the consistently strong results it has achieved, and the highly strategic role it plays in our go-forward growth plans. The GM, Provider Network is...

Description Introduction Do you want to join an organization that invests in you as a(an) Application Analyst II? At HCA Florida Northside Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. PART TIME POSITION Benefits HCA Florida Northside Hospital,...

Job DescriptionAdditional Information About the Role Do you have experience with insurance denials? BJC is looking for a Patient Accounts Analyst! Remote Position Monday-Friday Flex Schedule Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St....

Position Overview:The Senior Financial Analyst plays a pivotal role in utilizing financial, operational, clinical, and strategic data to develop sophisticated models and analyses. This position collaborates closely with various leaders across the organization to enhance financial performance and align with strategic goals.Key Responsibilities:1. **Model...

Position Title: Revenue Integrity Charge Capture AnalystAbout Us: At Johns Hopkins Medicine, we pride ourselves on being a premier institution in patient care, dedicated to serving our community and beyond. Our team of skilled professionals is committed to providing exceptional support across various departments, ensuring a seamless experience for our...

Job SummaryZelis Healthcare is seeking an experienced Implementation Support Specialist to join our team. As an Implementation Support Specialist, you will collaborate closely with our Implementation Team to facilitate seamless client implementations. You will work alongside healthcare payer clients to analyze their data and print fulfillment needs,...