Medical Claims Analyst
7 days ago
Key Responsibilities:
- Review and analyze UB-04 and CMS 1500 claim forms for accuracy and completeness.
- Re-price clean claims using appropriate software applications.
- Communicate effectively with vendors and patients regarding claims and repricing information.
- Maintain accurate records and provide reports on claim status and outcomes.
Requirements:
- Associate degree or equivalent in a related field, or 3 years of relevant administrative office support experience.
- Prior experience in purchase referred care or medical coding is preferred.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
Estimated Salary: $50,000 - $70,000 per year.
About Great Plains Tribal Leaders Health Board Inc: We are a tribal organization dedicated to providing quality healthcare services to our communities.
-
Purchased Referred Care Coordinator
1 week ago
Rapid City, South Dakota, United States Great Plains Tribal Leaders Health Board Inc Full timeJob Description: Medical Claims Analyst The successful candidate will be responsible for analyzing and re pricing outside vendor claims according to federal guidelines and OHC PRC policies. This role requires strong analytical and organizational skills, as well as excellent communication and interpersonal skills. Key Responsibilities:Review and analyze UB-04...
-
Medical Office Coordinator
2 weeks ago
Rapid City, South Dakota, United States Hanger Clinic Full timeAbout the RoleWe are seeking a highly skilled Medical Office Coordinator to join our team at Hanger Clinic. As a Medical Office Coordinator, you will be responsible for coordinating and administering front office activities, providing administrative support to patients, fellow employees and referral sources.Job SummaryThe ideal candidate will have a...
-
System Solutions Analyst
7 days ago
Rapid City, South Dakota, United States Monument Health Full timeJob DescriptionIn this role, the System Solutions Analyst will analyze, reviews, monitors, or modifies computer systems to maintain system functionality, increase operating efficiency, or adapt to new requirements to ensure system availability. They will also assess the needs and requirements of end-users to maximize applications functionality that...
-
Rapid City, South Dakota, United States FlexCare Imaging Full timeAbout the JobWe are seeking a highly skilled Medical Imaging Specialist to join our team as a travel CT Technologist in Rapid City, South Dakota. This 13-week assignment offers an exciting opportunity to work with top healthcare facilities and deliver premier staffing solutions.Job ResponsibilitiesOperate CT scanners to produce high-quality images for...
-
Medical Imaging Professional
4 weeks ago
Rapid City, South Dakota, United States FlexCare Imaging Full timeJob Title: Medical Imaging Professional - Travel Opportunity">About Us:FlexCare Imaging is a nationwide leader in travel nursing, therapy, and allied staffing services. Our mission is to improve the lives of everyone we touch by delivering premier staffing solutions with integrity and transparency.Salary and Benefits:We offer a competitive pay package based...
-
Physical Therapist Assistant Specialist
1 month ago
Rapid City, South Dakota, United States All Medical Personnel Full timeAbout the JobWe are seeking a skilled Physical Therapist Assistant to join our team at All Medical Personnel, a national leader in healthcare staffing. As a Physical Therapist Assistant Specialist - Home Health Care, you will have the opportunity to make a meaningful difference in the lives of patients and their families.Job Summary:The successful candidate...
-
Rapid City, South Dakota, United States FlexCare Imaging Full timeFlexCare Imaging is a nationwide leader in travel nursing and allied staffing services for top healthcare facilities. We are currently seeking a skilled Travel Radiology Technician to join our team in Rapid City, South Dakota.About the Job:This 13-week contract will require you to work 40 hours per week with an 8-hour shift schedule, including nights.You...
-
Mental Health Care Professional
2 weeks ago
Rapid City, South Dakota, United States Rula Health Full timeRula Health is a comprehensive behavioral health solution dedicated to making mental healthcare work for everyone.We take a patient-first approach, providing treatment that is more accessible, personalized, and effective. With Rula, finding a high-quality therapist or psychiatric clinician who accepts insurance and is actively accepting new patients is...
-
Travel Respiratory Therapist Role
1 month ago
Rapid City, South Dakota, United States Supplemental Health Care Full timeAbout the Job OpportunitySupplemental Health Care is seeking a skilled Registered Respiratory Therapist to join our team in Rapid City, South Dakota.Job DetailsDegree: Registered Respiratory TherapistExperience: 1-2 years acute care experienceCertifications: Active Basic Life Support (BLS), Active Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life...
-
Financial Professional NJ Opportunity
4 weeks ago
Rapid City, South Dakota, United States BCforward Full timeAbout the OpportunityBCforward is seeking a highly motivated Financial Analyst for an exciting opportunity in Pennington, NJ.Job DetailsJob Title: Financial ProfessionalLocation: Pennington, NJDuration: 6 MonthsJob Type: FULL TIME, CONTRACT, HYBRID (3-days on-site/2-days WFH)Pay Range: $25.90/hrAbout the RoleThis position involves project management of GWIM...
-
Substation Power Engineer Position
1 month ago
Rapid City, South Dakota, United States HDR Full timeAbout HDRAt HDR, we are passionate about creating an unshakeable foundation for progress through our multidisciplinary teams. Our team of scientists, economists, builders, analysts, and artists work together to create innovative solutions that make a positive impact on communities. We believe in the importance of diversity and strive to create an inclusive...
-
Medical Claims Analyst
2 weeks ago
Garden City Park, New York, United States The Bachrach Group Full timeJob OpportunityThe Bachrach Group LTD. (TBG) offers a unique chance for an experienced Medical Biller to grow their career in a dynamic environment.Annual Salary: $65,000 - $80,000Main ResponsibilitiesVerify patient insurance details and update Nextech records.Manage complex claims and create task lists for timely resolution.Analyze operative reports and...
-
Medical Claims Specialist
1 week ago
Elk City, Oklahoma, United States Great Plains Regional Medical Center Full timeAt Great Plains Regional Medical Center, we are seeking a highly skilled Medical Claims Specialist to join our team. This is a unique opportunity to leverage your expertise in medical billing and coding to ensure accurate and timely payment for patient services.Job DescriptionThe Medical Claims Specialist will be responsible for reviewing and submitting...
-
Claims Data Examiner
2 weeks ago
Jersey City, New Jersey, United States Arch Capital Group Ltd. Full timeAre you passionate about solving complex business problems and working with talented colleagues? Do you have an innovative mindset and want to make a meaningful impact?Job DescriptionWe are seeking a highly skilled Data Quality Analyst to join our Claims Operations Team. As a Data Quality Analyst, you will play a critical role in examining complex data to...
-
SDC - Claims and Customer Care Specialist
4 weeks ago
Ohio City, United States Medical Mutual Full timeFounded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare...
-
Medical Claims Examiner
7 days ago
Oklahoma City, Oklahoma, United States Red Rock Behavioral Health Services Full timeJob SummaryWe are seeking a skilled Medical Claims Technician I to join our team at Red Rock Behavioral Health Services. As a Medical Claims Technician, you will be responsible for researching insurance claim denials, determining their validity, and adjusting and resubmitting claims as necessary.
-
Medical Claims Auditor
1 month ago
Jersey City, United States Della Infotech Full timeDescription: • Carefully examine medical claims documentation, including medical records, bills, and supporting documents, to verify the accuracy and completeness of information submitted by healthcare providers. • Apply appropriate coding guidelines (e.g., ICD-10, CPT, HCPCS) to ensure that diagnoses, procedures, and services are correctly coded, in...
-
Insurance Claims Analyst
1 week ago
Kansas City, Missouri, United States Kansas City Life Insurance Full timeJob OverviewKansas City Life Insurance Company is seeking a highly skilled Claims Associate I to join our team. This role involves analyzing claims, determining their validity, and providing exceptional customer service to policyholders.In this exciting position, you will be responsible for reviewing claims, calculating benefits, and ensuring prompt payment...
-
Medical Claims Specialist
2 weeks ago
Oklahoma City, Oklahoma, United States Healthcare Partners Investments Full timeHealthcare Partners Investments is seeking a Medical Claims Specialist to join our team. As a key member of our revenue cycle department, you will play a critical role in ensuring timely and accurate reimbursement from third-party carriers.We are looking for an experienced professional with a strong background in medical billing and claims management. Your...
-
Medical Data Analyst I
2 weeks ago
Carson City, Nevada, United States Baylor Scott & White Health Full timeJob OverviewBaylor Scott & White Health seeks a skilled Medical Data Analyst I to join its team. As a key member of our analytics department, you will play a vital role in extracting, analyzing, and interpreting data to identify areas of opportunity and guide cost-saving initiatives.The ideal candidate will have a strong background in mathematics,...
-
Healthcare Claims Professional
1 week ago
Neptune City, New Jersey, United States Winston Medical Staffing Full time**Job Description:** Healthcare Claims ProfessionalWinston Medical Staffing is seeking a detail-oriented Healthcare Claims Professional to manage the billing and coding process for our clients. The ideal candidate will have 2+ years of experience in medical billing and coding, with expertise in Medicaid billing and computer skills, including Microsoft Office...
-
Healthcare Claims Analyst
6 days ago
Bossier City, Louisiana, United States New Era Full timeAbout the RoleThis Medical Billing position requires strong attention to detail, organizational skills, and the ability to work independently. If you have experience in medical billing or a related field, familiarity with medical records management and terminology, and knowledge of DRG systems and ICD-10 coding, we encourage you to apply.Estimated Salary:...
-
Medical Claims Coordinator
7 days ago
Park City, Utah, United States Christian Center of Park City Full timeJob Description:We are seeking an experienced Billing Coordinator to join our team at the Christian Center of Park City. This role will be responsible for managing all aspects of billing operations, ensuring accurate and timely payments from various sources. The ideal candidate will have a strong background in medical billing, excellent organizational...
-
Corporate Warranty Analyst
2 weeks ago
Kansas City, United States MHC Kenworth Full timeJob Title Corporate Warranty Analyst Business Function Corporate Branch Name Murphy-Hoffman Company Date 12-18-2024 City Kansas City State MO Job Overview & Essential Functions Murphy-Hoffman Company, LLC is North America's largest Kenworth truck dealership group and leasing group. As MHC continues to grow, we have an opening for a Warranty...
-
Supervisor, Claims Medical Only
1 month ago
Salt Lake City, United States AmTrust Financial Services, Inc. Full timeOverview AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims, Medical Only Supervisor. The Workers' Compensation Claims, Medical Only Supervisor is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of...
-
Medical Only Claims Specialist
1 month ago
Salt Lake City, United States CorVel Corporation Full timeThe Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and...
-
National Sales Manager
1 week ago
Jersey City, New Jersey, United States Claims Solutions Full timeAbout Claims SolutionsWe empower communities and businesses to make better decisions on risk, faster. With a focus on innovation and ethics, we provide data analytics and technology solutions that help organizations succeed. Our employees enjoy a work environment that values collaboration, growth, and well-being.Benefits of Working at Claims Solutions:-...
-
Technical Business Analyst
6 months ago
Ohio City, United States Emerald Resource Group Full timeRole: I.T. Business Analyst - Claims Data and Analytics Location: Eastlake, Ohio, United States Work Type: Only U.S. Citizens or current Green Card holders will be consideredSchedule: Hybrid Salary: $90,000 to $100,000 annually Position Overview We are seeking a skilled I.T. Business Analyst specializing in Claims Data and Analytics. The role allows for a...
-
Claim Examiner
2 weeks ago
Garden City, United States EPITEC Full timeClaims Examiner, remote position Based out of Garden City, New York. Must Have Active New York Adjusters License. $16-$18 hourly rate.Responsibilities:• Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.• Adjust reserves or...
-
Board Certified Behavior Analyst
2 months ago
Rapid City, United States Arms Wide Open ABA Full timeBoard Certified Behavior Analyst (BCBA): Pay: $80.00 - $90.00 per hour, based on experience Expected hours: 15 - 25 per week Benefits for Board Certified Behavior Analyst (BCBA): Continuing education credits Flexible schedule Mileage reimbursement Paid time off Professional development assistance Referral program Compensation Package: Bonus opportunities...
-
Kansas City, United States High Risk Pregnancy Center of Kansas City Full timeMedical Claims Coordinator OpportunityWe are seeking a highly organized and detail-oriented Medical Claims Coordinator to join our team at the High Risk Pregnancy Center of Kansas City.About UsThe High Risk Pregnancy Center of Kansas City is a leading Maternal Fetal Medicine Specialist serving 17 counties throughout Kansas and Missouri. Our center provides...