Claims Analyst - Middleton

The Claims Analyst under the direction of the Manager of PACE Claims is responsible for overall claims adjudication insurance validation process.This includes auditing adjudicated claims ensuring payments made in accordance with their contracts analyzing claims data for trends re ...

The Claims Analyst under the direction of the Manager of PACE Claims is responsible for overall claims adjudication and insurance validation process. · Maintaining up-to-date knowledge of fee schedules for both Medicare and MassHealth. · Auditing adjudicated claims to ensure paym ...

The Claims and Credentialing Analyst will be a pivotal role in analyzing and coordinating all activities of the Provider Data team by evaluating and refining processes,,conducting comprehensive data analysis,,and ensuring compliance with all applicable State,CMS(contractual guide ...

Job summary · Process pending unclaimed property claims that are received by the Division. · ...

The Office of the Massachusetts State Treasurer and Receiver General is seeking a Claims Analyst I to process pending unclaimed property claims. · The successful candidate will provide independent initial approval for all valid claims in a timely fashion, research the status of p ...

Join our IT team as a Healthcare Claims Analyst and bridge clinical concepts with technical expertise to deliver accurate demographic eligibility and claims data for vulnerable populations. ...

We're looking for a Healthcare Claims Analytics Analyst to join our IT team and play a pivotal role in delivering accurate, high-quality demographic, eligibility, and claims data. · In this role, you'll bridge clinical concepts with technical expertise, · transforming complex da ...

We're looking for a Healthcare Claims Analytics Analyst to join our IT team and play a pivotal role in delivering accurate, high-quality demographic, eligibility, and claims data. · Data collection and preprocessing of complex healthcare datasets. · Analyze incoming data from hea ...

This role involves extracting knowledge and insights from data to investigate business/operational problems using various techniques. Key responsibilities include collecting and analyzing Medicare Advantage claims data to ensure timeliness accuracy compliance; reviewing tracking ...

Responsible for extracting knowledge and insights from data in order to investigate business/operational problems through a range of data preparation, modeling, analysis, and/or visualization techniques. · This role is responsible for collecting monitoring and analyzing Medicare ...

Epic PB/PB Claims Install Analyst residing on the Epic Install Billing Teams. · 5–15 years of Epic PB build or PB Claims experience · Certifications Required: Epic Resolute Professional Billing Administration and Epic Resolute Claims · ...

This position manages complex claims with special emphasis on high dollar and litigated claims. Ensures compliance with state laws and company policies along with mentoring assigned Analysts regarding basic claims standards and department policies. · Provides professional, techni ...

Manages complex claims with special emphasis on high dollar and litigated claims.Ensures compliance with state laws and company policies along with mentoring assigned Analysts regarding basic claims standards and department policies. · ...

+The Professional Billing Claims Analyst III position will be housed under a subsidiary organization of C3, Community Technology Cooperative, LLC (CTC). To implement, maintain support and maximize the use of clinical financial and administrative portions of the software applicati ...

This role focuses on the design, development and implementation of IT solutions to meet organizational needs through new and existing applications. · Designs, develops, implements and updates internal IT applications in accordance with specifications and business needs. · Designs ...

This role focuses on the design, development and implementation of information technology (IT) solutions in order to meet the organization's needs through new and existing applications, systems architecture, network systems and applications infrastructure and the management of th ...

The Professional Billing Claims Analyst III position will be housed under a subsidiary organization of C3, Community Technology Cooperative, LLC (CTC). To implement, maintain, · support, · and maximize the use of clinical, · financial, · and administrative portions of the softwar ...

You'll make a difference in people's lives as a Revenue Cycle Denial Analyst. · Coordinate analysis and resolution of denied claims to reduce overall denials and increase revenue. · ...

The Market Specialist plays a key role in supporting the benefits consulting team by managing time-sensitive quoting RFP proposal activity for small middle-market clients. · Obtain insurance product rate quotes across medical dental life disability voluntary benefit lines through ...

We help over 100000 employers give their employees peace of mind by providing health pharmacy long and shortterm disability vision dental and other insurance solutions. · ...

We believe health is everything at Johnson & Johnson.Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured. · Innovative Medicine · MedTech · ...