- Bozeman Health (Bozeman, MT)
- Position Summary: The Credit Balance Analyst is responsible for processing refunds for third party insurance, Medicare, Medicaid, and Government-Assisted Programs; ... request letters from the insurance company. Candidate will be responsible to research and validate refund request. Candidate must have excellent customer service… more
- SSM Health (MO)
- …Type:** Regular **Job Highlights:** SSM Health IHT is seeking a certified analyst and technically skilled team member with strong Epic Environment build experience ... must be Epic Certified in Resolute Hospital Billing (HB) and/or Hospital Claims and Remits with relevant work experience and background in hospital billing.… more
- Quanta Services (Houston, TX)
- …opportunities between interns and upper management What You'll Do As a Risk Analyst intern, you will have the opportunity to gain practical experience and contribute ... finance including performing financial analysis of Quanta Services' insurance costs and claims . This position is on site in our Corporate office in Houston,… more
- NJM Insurance (Trenton, NJ)
- …and trends related to fraudulent Personal Lines and Commercial Lines policies and claims . + Conduct background research on available public databases to support ... + Triaging and analyzing scorecards and outputs from predictive models for General Claims , Personal Lines, Personal Injury Protection (PIP) claims and Medical… more
- City of New York (New York, NY)
- …to program administration. - Utilizes automated systems and tools to support public health research and analysis to ensure claims submitted to the Grantors are ... and judgment, performs beginning level analysis in public health research cost. - Monitor the research operation costs of city, federal, state and private grant… more
- Academy Sports + Outdoors (Katy, TX)
- …planning and setting goals that utilize extensive experience, judgment, and research Responsibilities: + Analyzing online orders to determine fraudulent activity and ... functions of each different vendor portal used to dispute claims with various financial institutes + Create reports using...weekly Fraud Analysis + Perform dispute review of Fraud claims that may be submitted in error or may… more
- Molina Healthcare (OH)
- …Procedures, Standard Operating Procedures and other internal guidelines. + Review, research , analyze and evaluate information to assess compliancy between a process ... compliance related. + Coordinate, facilitate and document audit walkthroughs. + Research , collect or generate requested documentation. Provide timely and accurate… more
- City of New York (New York, NY)
- …timely process of revenue collection for outstanding balances. Investigate and research unidentified claims /payments received to determine its appropriateness to ... payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their… more
- Philadelphia Insurance Companies (New York, NY)
- …reviewing governance-related submissions from individual group companies, and performing research on governance best practices and procedures + Gather, prep ... the managers of the GPA department + Assist in research to support the actuarial loss reserve process reviews...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- CareFirst (Baltimore, MD)
- …to current operations. Applies a depth of knowledge, skills, and abilities to research and to conduct process analysis and studies. + Assists in the facilitation ... payor industry, insurance products, and regulation. + Knowledge of CareFirst operations, claims systems, and policies. + Microsoft Power BI and Power BI Report… more