- Fairview Health Services (St. Paul, MN)
- **Job Overview** This temporary Benefit Analyst role at Fairview is part of a major ERP implementation project expected to last approximately two years, with an ... estimated go-live in January 2028. The Benefit Analyst will serve as the escalation point for benefits-related inquiries, handling complex issues that require strong… more
- BrightSpring Health Services (Dearborn, MI)
- …and ensure your documentation meets the highest standards. + Billing - Handles claim submissions, so you don't have to worry about reimbursement. + Administrative ... up to $8,000/year + PTO and paid holidays + Medical , Dental, & Vision coverage + 401k match +...to behavior analysis and approved by the BACB (Behavior Analyst Certification Board) + Maintains certification as a BCBA(R)… more
- Cayuse Holdings (Austin, TX)
- **Overview** **_JOB TITLE:_** Business Analyst /Product Owner **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC **_LOCATION_** Austin, TX **_SALARY:_** $108,888.03 - ... to be considered for similar upcoming roles** The Business Analyst /Product Owner will perform work on the PEMS project...Medicaid systems and processes. + 8 years' experience in claims processing. + Must be able to pass a… more
- BJC HealthCare (St. Louis, MO)
- …**Additional Information About the Role** BJC HealthCare is seeking a Patient Accounts Analyst ! who will be writing appeals for denials for Medicaid and Medicaid ... million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional… more
- MetroLink (Los Angeles, CA)
- Legal Administrative Analyst I Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5164389) Apply Legal Administrative Analyst I Salary ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Legal Administrative Analyst I will perform professional level administrative staff work and support in… more
- Molina Healthcare (UT)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable...Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If… more
- CommonSpirit Health (Prescott Valley, AZ)
- **Job Summary and Responsibilities** The Coding Analyst & Education Specialist position champions coding accuracy and integrity across our facilities and provider ... law to immediate supervisor, compliance officer, or CEO. Maintains patient, medical record, department, and employee confidentiality at all times. Accurate Coding… more
- Centene Corporation (New York, NY)
- …CHP, HARP, MLTC, HBX, EPP, etc.) including revenue by funds type, medical cost by service category, and administration by expense classification. Expect Line ... with Encounter team to reconcile difference between MMCOR reporting vs actual claims submission to DOH. This includes providing Supplement E schedule, Non-system … more
- Ochsner Health (New Orleans, LA)
- …The Appeals Specialist is responsible for managing and resolving insurance claim denials and underpayments to ensure accurate reimbursement. This role involves ... reviewing medical documentation, interpreting payer policies, and preparing detailed appeal...Experience in healthcare or revenue cycle - specifically insurance claim denials. + Strong analytical and organizational skills. +… more
- UCLA Health (Los Angeles, CA)
- … Analyst , your responsibilities include reviewing treatment progress, recommending medical treatment interventions to the third-party claims examiner, and ... Description Under the direction of the Workers' Compensation Analyst and department manager, you will manage workers' compensation claims by supporting employees… more