Are you a business? Hire claims analyst candidates in Union City, NJ
... No-Fault claims. * Review and resolve discrepancies in payment postings, working closely with billing and collections teams to ensure timely follow-up. * Monitor and analyze payment trends to ...
Analyze and review confidential and highly sensitive investigative material/documents concerning ... Prefers specific knowledge of claims processing and customer service systems (NASCO adjustment and ...
... claims. * Experience counseling on New York State and New York City employment matters. * Some ... analyzing data and figures; transcribing; viewing a computer terminal; extensive reading
Understanding of payer healthcare systems, including claims processing, member services, and ... Business Analyst certification, such as CBAP or PMI-PBA, is a plus Professional Competencies * Deep ...
Responsible for investigating and resolving high level claims-related issues and possess deep ... analyzing experience, working with providers in addressing reimbursement issues * Or an Associate ...
This includes managing the end-to-end process of integrating claims, provider, member, encounter ... The Director of QM Analytics also has responsibility for the development of MetroPlus Health ...
... position, claims and oversight. * Provide project management support to ensure projects are ... Analyze, identify, and investigate root causes as issues are raised to the team. * Develop project ...
Identifies system processing issues and assist with the root cause analysis process. Develops, implements, and maintains claims operation policies, procedures and workflow. Assists with the planning ...
... analytic mindset to discussion with providers. The successful candidate will build relationships ... Review present state provider coding/documentation practices and educate on proper claims ...
Identifies system processing issues and assist with the root cause analysis process. * Develops, implements, and maintains claims operation policies, procedures and workflow. * Assists with the ...
Analyze UAS recommended scores in relation to nurse assessor determinations. * Conduct scheduled ... ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing ...
This includes managing the end-to-end process of integrating claims, provider, member, encounter ... The Director of QM Analytics also has responsibility for the development of MetroPlusHealth quality ...
Recommend potential products or services to management by collecting customer information and analyzing customer needs. * Contribute to team effort by accomplishing related results as needed
Works with the Plan's analytics department to partner with community based primary care practices ... data, claims data, encounter data, medical records, etc.) captures all sources. * Oversees the ...
Superior investigative and analytical skills; proficient in conducting interviews with facility ... A minimum of two years experience performing utilization review, claims adjudication, medical ...
Works with the Plan's analytics department to partner with community based primary care practices ... data, claims data, encounter data, medical records, etc.) captures all sources. Oversees the ...
... claims. Candidates with federal court filing experience, strong attention to detail, legal research, and analytical skills are encouraged to apply. We are seeking paralegals who want to work in a ...
... claims. 8. Collaborating with a team of legal professionals to ensure the best defense for our ... analytical skills and the ability to think strategically. 7. Exceptional interpersonal and ...
... their claims. 5. Negotiate settlements with opposing counsel, insurance companies, and other ... Excellent analytical, problem-solving, and negotiation skills. 5. Strong oral and written ...
... rights claims. We are seeking candidates with 3+ years of cite-checking and Bluebook citation ... Conduct legal research and analysis on securities laws and regulations using Westlaw, LexisNexis ...
... their claims. 5. Negotiate settlements with opposing counsel, insurance companies, and other ... Excellent analytical, problem-solving, and negotiation skills. 7. Strong oral and written ...
... mass tort claims, product liability cases, and business disputes for large companies, small ... Conduct in-depth legal research and analysis to support case preparation. * Draft, review, and ...
