- Molina Healthcare (Fort Worth, TX)
- …* Apply previous experience and knowledge to verify accuracy of updates to claim /encounter and/or system update(s) as necessary. * Works with fluctuating volumes ... updates/changes to member enrollment, provider contract, provider demographic information, claim processing guidelines and/or system configuration requirements.… more
- AIG (Dallas, TX)
- …and manage a diary system to efficiently manage and resolve assigned claim inventory. + Independently negotiate high exposure claims with top plaintiff ... Management Analyst Join us as a Claims Analyst to grow your experience in...+ Effectively strategize and budget the litigation of each claim through discussions with counsel, vendors and insureds. Establish… more
- TEKsystems (San Antonio, TX)
- TEKsystems is looking to hire several FULLY REMOTE Seasoned Medical Claims Analyst for a large healthcare client. **If you have 5+ years of completing a deep ... project team to support their coupon process in their claims system . They are currently in process...that the coupon once uploaded would then correct the claim with accurate billing. Right now though a … more
- TEKsystems (Dallas, TX)
- About the Role We are seeking a highly analytical and detail-oriented Data Operations Analyst to support our Charge Entry & Claims Submission processes. This ... in Excel. You'll be responsible for transforming raw data into clean, accurate claim files ready for automated submission. Key Responsibilities + Oversee manual data… more
- Molina Healthcare (Dallas, TX)
- …experience and knowledge to research and resolve claim /encounter issues, pended claims and facilitate system update(s) as necessary. + Works with fluctuating ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Allied Solutions (Plano, TX)
- …insurance coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst . The key responsibilities of this job are both ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- Prime Therapeutics (Austin, TX)
- …or Resource Manager to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across ... - Remote **Job Description** **Are you a Business Systems Analyst with an AI background? We...system requirements analysis experience + Experience in Prime claims systems + Must be eligible to… more
- Jack Henry & Associates (Allen, TX)
- Senior Financial Systems Analyst General information Press space or enter keys to toggle section visibility JobID 16205 Position Level Individual Contributor ... to meet you. We are seeking a Senior Financial Systems Analyst to join our Finance ...Oracle SQL Developer, and FSCM. Assist with patch testing, system upgrades and enhancements of both systems .… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is ... and abuse (FWA) through various mechanisms, including but not limited to: claim adjustments, future payment withholding and coordination with an external collection… more
Recent Jobs
-
Data Center Security Monitor
- Amentum (Centennial, CO)
-
Certified Medical Assistant (CMA/RMA) - Adult Medicine
- Carle Health (Champaign, IL)
-
Security Alarm Monitoring Specialist
- Chenega Corporation (Portsmouth, VA)
-
Pharmacist 2, Inpatient - Central Order Verification
- University of Rochester (Rochester, NY)