- Raymond James Financial, Inc. (St. Petersburg, FL)
- …areas, its products, and general functions. + Assists with the monitoring of claims . + Supports colleagues with gathering the data collection and analysis ... Standard Office skills. . Fundamental concepts of insurance policy renewals and claims handling. + Insurance industry and terminology. . Fundamental concepts of… more
- City of New York (New York, NY)
- …payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their ... accuracy by consulting supporting financial records and data . Set up and maintains codes for funds and reserves. - Verify accounting data for accuracy and… more
- Centene Corporation (Jefferson City, MO)
- …Interpret, manipulate, analyze, and report on large sets of client and prospective client claims and eligibility data , and explain the results of the analysis to ... analyze, and report on large sets of client and prospective client claims and eligibility data + Create standard summary tables, reports & analyses, ad hoc… more
- UCLA Health (Los Angeles, CA)
- …processes for continuous analysis of complex revenue cycle functions while also auditing data input for all components of revenue cycle management. You will: + ... Analyze complex financial data + Identify trends in revenue cycle operations +...government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system +… more
- University of Virginia (Charlottesville, VA)
- …predict potential losses based on the frequency and severity of historical insurance claims data ; + Quantifying and prioritizing risk exposure and evaluating ... losses based on the frequency and severity of historical insurance claims data ; + Quantifying and prioritizing risk exposure and evaluating whether insurance… more
- Dignity Health (Henderson, NV)
- …proficient; + Ability to use relational data sets/ tools such as Sg2 and claims data sets; and Cost Accounting systems **Where You'll Work** As the only ... Region through researching, organizing, analyzing, interpreting, and synthesizing and presenting complex data from a wide variety of sources. Work is performed in… more
- CVS Health (OR)
- …to use crosswalks, HIPAA Implementation Guides, and requirements documents to validate data mapping. + Full understanding of privacy rules and HIPAA compliance. + ... and attention to detail. **Preferred Qualifications** + Background in healthcare or claims processing experience. + Experience with Aetna claims processing… more
- The Cigna Group (Tallahassee, FL)
- …and provides subject matter expertise in collaboration with client services, claims , implementations, clinical, Non-Clinical, and IT organizations to manage new and ... Monitors overall operations including review of internal reports and ad-hoc data analysis associated with operational workflows. Identifies ways to improve or… more
- Centene Corporation (Sacramento, CA)
- …and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of ... preferably with managed care techniques and administrative philosophy. Experience in claims coding analysis or medical claim review/research preferred. Knowledge of… more
- Breakthru Beverage Group (Tampa, FL)
- …performance and/or compliance Ensure precise fulfillment, adequate inventory levels and accurate claims or vendor notices. + Review forecast data . Address ... delivery dates as needed. Troubleshoot undelivered orders. + Resolve freight claims , unpaid vendor notices and inventory exceptions. Manage unlisted and obsolete… more
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