Review provider contracts, configure the terms and rates within the multiple claims pricing systems used to prices provider claims. We have 12-month contract to hire position open for an Medi-Cal/Medicare Operations Configuration and Integration Analyst position. The candidate needs to have a strong...
Analyze denied, underpaid and unpaid claims. Appeal underpaid and denied claims within timely filing periods. ...
Because scheduling techniques have legal implications with respect to the contractor’s ability to obtain equitable adjustments in the time and cost of performing the contract work, either through prosecution of change orders or claims, the Scheduler/Claims Analyst must be able to carefully review th...
Claims Analyst - Hybrid - Orange County, CA. We have a great opportunity for an experienced Claims Analyst/Specialist in the Orange County area. ...
About the roleClaims Analyst IV - Financial Lines -Cyber Media & TechnologyWhat you need to know:As a Claims Analyst IV, you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network Security, Business Interruption, Media an...
Reports will include UM reporting activities, Provider Dispute Resolution, Re-Opening for Senior Claims, FEHBP, Claims Inventory, Misdirected Claims, Medicare Interest Rate and Claims Pricing, MTR, Monthly NSS, Board Foundation, and Regional Report. Business Data Analyst - Claims Compliance Missi...
Providence is seeking an Epic Applications Analyst - AP Claims, who will:. ...
Providence is seeking an Epic Applications Analyst - AP Claims, who will:. ...
Claims Analyst - Hybrid - Orange County, CA. We have a great opportunity for an experienced Claims Analyst/Specialist in the Orange County area. ...
Analyst, Claims Revenue Analytics role will be responsible for supporting analytical work and strategic decision-making to maximize the revenue potential of our prescriptions marketplace while helping patients save money. ...
We are searching for a smart and bright Auto Insurance Claims Analyst to join our client's office in Studio City, CA. You have at least 3 or more years of experience working with Commercial Liability Claims, which include Auto, Property Damage, Auto Inventory, and Bodily Injury claims. You will be r...
As a Claims Analyst IV, you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network Security, Business Interruption, Media and Technology exposures and be responsible for investigating & evaluating coverage, analyzing ...
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
The claims examiner reports directly to the claims manager. Top Hospital Network is Hiring a Medical Claims Examiner!!. UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients. Minimum of 2 years claims ADJUDICATION related experience in ambulat...
Insurance Patient Account Representative - Commercial Claims. Patient Account Representative. Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. Representatives will perform any and all job-related duties a...
Gather data and File third party property damage claims, third party injury claims, automobile accident claims, property claims, and workers compensation claims with the carrier. The Claims Specialist will play a crucial role in managing various types of insurance claims, ensuring accuracy, efficien...
The Billing Administrator is responsible for ensuring that information is processed accurately and timely, and is Familiar with concepts, practices, and procedures for all billing claims to Department of Mental Health (DMH) using the Electronic Health Record (EHR) software EXYM. The Billing Administ...
Menu Data Modeling & Tools Analyst. Menu Data Modeling & Tools Analyst. Monitor and assess the internal tools that are used to be build digital menus by using data models. Build the data model to assess the v3 server, utility, and UI enhancements. ...
Our client has been experiencing continued growth and seeking to add (2) Senior Auto Liability/Bodily Injury Claims Examiners for their Maryland office. This person would be responsible for handling moderate to complex Auto Liability and Bodily Injury claims for losses throughout the Mid-Atlantic re...
Manage workflow of the claim teams including Claim Representatives, Claims Consultants, and Claims Account Executives. May also provide support for solving complex claims or leading claim consulting teams in specialized industry verticals. Overseeing a team of 10 claims professionals. Resolve unique...
Strong data analysis skills with business acumen (Opportunity, quoting flows, Subscription/Licensing exposure/experience will be valuable but not required). Proactive handling of data issues. ...
Supervises, trains, coaches and directs claims adjusters as they resolve claims. We provide liability and property claims management and administration services to the private and public sectors, insurance companies, and captives. We are looking for a Claims Manager to join our team. Responsible for...
The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients. Minimum of 2 years claims ...
Azure Data Factory - how to browse the data pipeline, export data pipeline, write data pipeline in ADF. Data Analyst experience, with a focus on analyzing data within the Azure cloud platform. Proven experience as a Data Analyst, with a focus on analyzing data within the Azure cloud platform. Databr...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...