Join us as a Claims Adjuster to grow your experience in handling complex claims. Make your mark in Claims... Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing...
. Growing together. The Senior Claims Business Process Analyst manages claim receipt, adjudication, and post-processing.... They work with vendors, end users, regulatory bodies, development teams, and claim management to improve auto adjudication...
. Growing together. The Senior Claims Business Process Analyst is required to understand aspects of claim system processes... Claims Operations to improve the experience for our Members and Providers Drive implementation of updated claims business...
business rules within claims system configurations. - Strong time management and organizational skills with the ability.... Partner with teams such as Claims, IT, Provider Data Management, and Operations to gather requirements, troubleshoot Issue...
with a wide variety of matrix partners including but not limited to; network management, claims operations, compliance, regional... Resolution Analyst for Payment Integrity Operations will aid in the delivery of savings. The recovery resolution analyst...
setup. Ability to interpret and implement business rules within claims system configurations. - Strong time management... challenges, and ensure smooth operational processes. Partner with teams such as Claims, IT, Provider Data Management...
and improve lives every day. Primary Purpose The Parkland Community Health Plan (PCHP) Recovery Analyst is responsible..., or a related field required. Experience Two (2) years of experience in payment integrity and healthcare claims adjudication...
. Growing together. As a Senior Enrollment Quality Analyst you will be performing benefit implementation audits, conduct... Process test claims through a COSMOS or CSP test environment Compare the outcomes of test claims with the expected results...
, resolve challenges, and ensure smooth operational processes. Partner with teams such as Claims, IT, Provider Data Management... The Provider Contract Pricing Configuration Analyst (QXNT) ensures the accurate and timely setup and maintenance...
within claims system configurations. Strong time management and organizational skills with the ability to manage multiple demands... such as Claims, IT, Provider Data Management, and Operations to gather requirements, troubleshoot issues, optimize workflows...
experience and expertise with leave management, FMLA and ADA Claims and case reviews. Experience with Oracle HR Information...The Benefits Analyst is responsible for the general administration of health and welfare employee benefit programs...
in Actuarial Analyst positions. Responsibilities include: Assist with pricing studies to evaluate the profitability of company.... Perform trend analysis to understand changes in the frequency and severity of insurance claims. Lead state and product rate...
Job Description: Likewize is searching for a Fraud Analyst to join our team at our global headquarters in Southlake..., skills, and/or experience: Minimum 2 years of experience in fraud investigation, risk management, or a related field...
and preparing regular reports of asserted claims for management’s review. Core Competencies & Accomplishments: College degree...Overview: Senior Legal Analyst The Senior Legal Analyst works under the supervision of an attorney, performs...
Community Health Plan’s (PCHP’s) Provider Data Management Configuration Analyst is responsible for configuring and maintaining... provider data in the claims systems to ensure accurate claims adjudication, accurate provider data in the PCHP provider...
). Handles some outbound email or fax requests Handles inbound calls (queries) for status in general on claims they initiated... required Maintains production standards and production requirements Assist co-workers, supervisor or management to accomplish product...
on data and exports. Responsible for informing and providing insights to Management using available data resources. Minimum... with payer requirements, to identify third party monies available through claims or settlement mechanisms. 4. Coordinates data...
-live support. The preferred candidate must have worked primarily in PB claims, Charge router, and SBO. Experience..., Epic Claims, Epic HB, Epic HB Claims Administration, Epic Security, and Epic Charge Router. BENEFITS UT Southwestern...
certificate management. This department supports the partnership’s key objectives with the highest standards of conduct... and tracking of transaction tax refund claims, Verify all transaction tax related compliance records are maintained in accordance...
that is delivering a range of treasury and cash management products to our corporate client base. Transaction Banking Operations provide... essential risk management and controls architecture to preserve and enhance the firm's assets and reputation. For every new...