- Aston Carter (Deerfield Beach, FL)
- Description The Claims Payment Analyst is responsible for reviewing, analyzing and processing claims payment requests for automotive repairs. The ... (may include, but not all encompassing): * Reviewing and processing claims payment requests for automotive repairs. * Determine the appropriate payment… more
- TEKsystems (Deerfield Beach, FL)
- …structured workflows and repetitive tasks. * Basic proficiency in Microsoft Excel and other payment or claims processing tools * Comfortable in a hybrid work ... person will be a financial gatekeeper, reviewing, validating, and approving payment requests submitted by dealerships and repair facilities, all while maintaining… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Management All Locations: 300 Ocean Avenue - Revere Position Summary: Position Summary: The Claims Analyst , under the direction of the Manager of PACE Claims ... referral authorization process as it relates to timely and accurate claims payment and improvements to utilization management. + Responsible for maintaining… more
- Highmark Health (Topeka, KS)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Healthfirst (FL)
- …to substantiate savings to Healthfirst. + Serves as a subject matter expert to defend claims payment policy disputes and appeals. + Reviews claims editing ... payment discrepancy to the provider. + Thoroughly researches post payment claims and takes appropriate action to resolve identified issues within turnaround… more
- Highmark Health (Harrisburg, PA)
- …product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, ... accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules, prioritizing… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $38,937.60 - $50,618.88 Entry level hospital billing and claims position. Qualifications: High school diploma or GED is required. AAS degree ... Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, and have… more
- DXC Technology (Nashville, TN)
- …beneficiaries, and other departments regarding policies + Willingness to learn new payment processes and/or other processes within death claims depending on ... Diploma completed + **2+ years of life insurance death claims business experience is mandatory** + **Death claims... claims business experience is mandatory** + **Death claims full cycle processing experience is mandatory** + Working… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, ... on claims , provider data, enrollment data, medical policies, claim payment policies for payment integrity concepts for recovery opportunities. Performs… more
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