Healthcare Claims Analyst

Job SummaryThe Supervisor, Claims Administration is responsible for the daily oversight of a claims administration functional team handling requests related to Government claims.This position may manage one or more work types including, but not limited to, claims research, reconsideration, correspondence, inquiries & escalations, and audits.The Supervisor,...

Job SummaryHealth Services Advisory Group (HSAG) is a leading organization in healthcare data analysis, measure development, and survey research. We are seeking a talented Analyst I to join our Data Science & Advanced Analytics division. As a key contributor to our team, you will support innovative analytic plans that provide healthcare decision and policy...

About the Role:CareOregon is seeking a highly skilled Data Science Analyst II to join our team. As a Data Science Analyst II, you will be responsible for proactively identifying opportunities and developing algorithms, models, data structures, and data products to facilitate the production of insights from healthcare claims, enrollment, and other related...

Job Summary: We are seeking a highly skilled Medical Claims Clerk to join our team at UnisLink. As a Medical Claims Clerk, you will be responsible for ensuring the accurate and timely printing and processing of healthcare claims.Key Responsibilities:Accurately print and assemble healthcare claims documents, ensuring compliance with established formatting and...

Job SummaryWe are seeking a highly skilled Accounts Receivable Process Analyst to join our team at BrightSpring Health Services. As a key member of our finance team, you will be responsible for analyzing and managing our company's financial data to ensure accurate and timely revenue recognition.Key Responsibilities:Analyze aging for assigned operations and...

Job DescriptionWe are seeking a Medical Claims Clerk to ensure the accurate and timely printing and processing of healthcare claims. The ideal candidate will have strong attention to detail and excellent organizational skills.Key Responsibilities:Accurately print and assemble healthcare claims documents, ensuring compliance with established formatting and...

Medical Claims Specialist OpportunityWe are seeking a dedicated Medical Claims Specialist to join our dynamic onsite team. As a Medical Claims Specialist, you will be responsible for reviewing and processing medical claims submitted by healthcare providers. Your attention to detail and strong communication skills will be essential in ensuring accurate and...

Job Title: Pharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Scottsdale, AZ.This is a full-time position, Monday to Friday, 8:30 am to 5 pm Arizona time. The ideal candidate will be located within driving distance to our pharmacy and have a hybrid work style.As a Pharmacy...

Job Summary:The Housing Claims and Prior Authorization Manager is responsible for ensuring that prior authorizations and claims for Health and Housing Opportunities (H2O) services are reviewed and processed promptly. This role involves verifying that claims documentation from provider organizations adheres to State, Federal, and AHCCCS regulations, policies,...

Key Responsibilities:Reviews insurance claims and denials to determine the next course of action and obtain necessary information to resolve any outstanding issues.Insurance Verification:Verifies patient demographic information and insurance eligibility, including coordination of benefits and coverage verification.Denial Resolution:Works with patients and...

Job SummaryThis position is responsible for proactively identifying opportunities and developing algorithms, models, data structures, and data products to facilitate production of insights from healthcare claims, enrollment, and other related data.Key ResponsibilitiesDevelop research methods and data analysis plans related to healthcare utilization, cost...

Job Title:Medical Claims SpecialistLocation:Remote OpportunitySchedule:Flexible; 5x8-hour shifts or 4x9-hour shifts with a 4-hour FridayJob Overview:LHH Recruitment Solutions is seeking a detail-oriented Medical Claims Specialist to work with a healthcare organization in Arizona. The primary focus of this role will be working with claims pertaining to...

Job OverviewWe are seeking a highly skilled Medical Claims Advocate to join our team at LHH Recruitment Solutions. As an Appeals Negotiator, you will play a critical role in managing the appeals process for denied or underpaid medical claims.Key ResponsibilitiesReview and analyze denied or underpaid medical claims to identify the reasons for the denial or...

Job SummarySouthwest Service Administrators Inc is seeking a skilled Claims Inquiry Specialist to join our team. As a Claims Inquiry Specialist, you will be responsible for reviewing and researching claims history, verifying process, and responding to inquiries in a timely manner. Key Responsibilities:Gain and maintain a thorough understanding of plan...

Job SummaryWe're seeking a detail-oriented and analytical Data Analyst to join our mPulse Client Analytics team. This role will enable you to contribute to the mPulse mission by helping our healthcare customers make data-driven decisions. In this position, you will transform complex data into actionable information that will inform health insurance and...

Job SummaryThis is a leadership role that oversees the claims and litigation management team, clinical risk management team, and patient relations team. The successful candidate will provide strategic and operational leadership to ensure cost-effective and successful management of liability claims and litigation.Key ResponsibilitiesProvides leadership and...

Medical Benefits & Claims Representative Job DescriptionAbout the Role:We are seeking an experienced Medical Benefits & Claims Representative to join our team onsite in Columbus, Ohio. As a Medical Benefits & Claims Representative, you will be responsible for reviewing and processing medical claims submitted by healthcare providers, verifying claim...

Job SummaryWe are seeking a highly skilled and detail-oriented Senior Biller Contract Analyst to join our team at The Center for Orthopedic and Research Excellence. The ideal candidate will have a strong background in healthcare contract analysis, financial modeling, and data analysis.Key ResponsibilitiesPrepare in-depth analysis of healthcare contracts,...

Job Title: Business System Analyst - Healthcare IT SpecialistJob Summary:We are seeking a skilled Business System Analyst to join our team at Irvine Technology Corporation. As a Business System Analyst, you will play a vital role in determining the scope and requirements of each IT project. You will work closely with both the IT department and business...

Job Title: Patient Support Medical Claims Processing RepresentativeJob Summary: We are seeking a highly skilled Medical Claims Processing Representative to join our team at IQVIA INC (US10). As a Medical Claims Processing Representative, you will be responsible for receiving medical claims from healthcare professionals and patients, ensuring the adequate...