- Elevance Health (Louisville, KY)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Fresenius Medical Center (Knoxville, TN)
- **PURPOSE AND SCOPE:** As a **Junior Customs and Export Controls Analyst ,** you will support Fresenius Medical Care's global trade compliance efforts by ... manufacturing sites, logistical flows and sales processes for Fresenius Medical Care and affiliates; + Supporting the integration and...of HTS codes to be included in preferential origin claims ; + In collaboration with the GBS team: +… more
- Fortrex (Atlanta, GA)
- **WHO YOU ARE:** We are seeking a detailed oriented Risk Management Analyst to join our team and play a crucial role in supporting insurance renewals, managing ... auto-liability and general liability claims , and overseeing certificates of insurance. In this role,...we serve. **WHAT YOU WILL DO:** The Risk Management Analyst will analyze, assess, and monitor risks related to… more
- University of Pennsylvania (Philadelphia, PA)
- …and wellness programs and resources, and much more. Posted Job Title Statistical Analyst A/B (Department of General Internal Medicine) Job Profile Title Statistical ... Analyst A Job Description Summary The Statistical ...programming skills to create analytical datasets from health care claims , administrative databases, clinical trials, and surveys to construct… more
- University of Michigan (Ann Arbor, MI)
- …and front-end workflows. + Experience performing financial and billing data reviews; claim and medical record reviews; analyzing documentation, identifying areas ... Revenue Chrg Intgrty Analyst **Early Site Maintenance** We are performing updates...and Cost Center Table (BCC) + MiChart Rules (Router, Claims Manager, Revenue Guardian, etc.) + Fee Schedules +… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Financial Analyst of Pharmacy Services Revenue Integrity supports pharmacy services financial performance across the delivery system through ... financial reporting, data analysis financial planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical ... experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical … more
- AmeriHealth Caritas (Charleston, SC)
- … policy and edit reviews. + Requests/runs queries to identify root causes of claim denials, incorrect payments and claims that are not correctly submitted for ... reimbursement set up, and to address provider/state inquiries as it relates to claim payment issues.;; + Develops the Pricing Agreement Templates (PAT) for all… more
- Sedgwick (Jacksonville, FL)
- …The Bill Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and ... **ESSENTIAL FUNCTIONS AND RESPONSIBILITIES** + Reviews legal invoices associated with medical malpractice claims to verify accuracy, reasonableness, and… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue ... circumstances of each case. **Summary:** The Senior Revenue Integrity Analyst uses advanced knowledge of coding, CDM, charge capture,...charges in the Epic EHR. * Advanced knowledge of medical terminology as well as medical billing… more