Encounter Data Analyst - DSNP & 837 Claims
CVS Health
CVS Health is seeking a claims professional to own 837 file transmissions to states and manage corresponding state response files. You will ensure all transmissions are complete and error-free, and you will lead error correction efforts to meet state requirements. Ideal candidates have 1+ year of encounter data or Medicare/Medicaid claims experience, FTP/data transfer skills, and data management experience. This is a full-time role in North Carolina with comprehensive benefits. #J-18808-Ljbffr CVS Health
$43.89k - $93.57k
...time. Position Summary The growing DSNP business has created an opportunity for an individual with claims experience, who is familiar with the 837 standard claims format. This individual... ...1+ year of experience with encounter data, medical claims, or Medicare/Medicaid...ClaimsHourly payFull timeTemporary workWork experience placementLocal area- CVS Health is seeking a Senior Analyst, Informatics (Encounter Technical Analyst) to analyze and document business data and processes, and develop reports to support insights from encounter data. The role emphasizes SQL development, data analysis, and cross-functional...SuggestedWork experience placement
- About the Opportunity [Advise NC-funded position] The Data Analyst II will serve as a member of the Data Analytics team, reporting to the... ...NCSEAA, and NC Arboretum) is a VEVRAA Federal Contractor. To claim veteran's preference, all eligible persons must indicate their...ClaimsPermanent employmentFull timePart timeFor contractorsWork at office
$118.69k - $189.91k
...team where technology meets strategy. As a Principal Actuarial Data Systems Analyst, you will play a crucial role in delivering technical data... .... (Highly preferred) 5+ years’ experience with medical claims, Pharmacy/medical rebate data. (Highly preferred) Facets experience...ClaimsWork at officeLocal areaRemote workFlexible hours2 days per week- ...STATEMENT OF JOB This position performs data collection, analysis, and reporting for all... ...ESSENTIAL JOB FUNCTIONS HEDIS Reporting Analyst Responsibilities: Collaborate and work closely... ...and accuracy of data sources, including claims, electronic health data, and electronic...ClaimsRemote jobWork at officeWork from homeMonday to Friday
$31.45 per hour
...Responsible for analyzing, reporting and developing recommendations on data related to complex and varied business metrics. Typically... ...procedures. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of...ClaimsRemote jobHourly payDaily paidContract workTemporary workFor contractorsWork experience placementLocal area1 day per week- ...affect resident accounts. These items may include cash receipts, billing charges, trust fund transactions, etc. Submit insurance claims in a timely manner and follow up with payer until claim is paid in full Perform necessary prior authorization procedures and...ClaimsWork at office
- ...Pharmacy Billing Specialist to process patient bills and insurance claims with accuracy and timeliness. You will handle daily billing... ...The role emphasizes eligibility verification, claims follow‑up, data entry, audits for payer compliance, and collaboration across departments...Claims
- ...for you. Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with... ...described here are representative of those an employee encounters while performing the job. The noise level in the work environment...ClaimsFull timeTemporary workWork at officeFlexible hours
- ...across four locations, focusing on verifications, breakdowns in practice software, patient explanations of coverage, and follow-ups on claims. Eaglesoft experience is a plus but not required. Attention to detail and teamwork are essential. The successful candidate will...Claims
$45k - $65k
...Manage customer accounts and update information in the database.Assist customers with policy changes and inquiries.Process insurance claims and follow up with customers on claim status.Coordinate with underwriters to ensure timely policy issuance.Qualifications:Strong...ClaimsFor contractors- Great American Insurance Group is seeking a part-time Crop Adjuster in North Carolina to assist farmers with crop insurance claims. This role involves understanding and working claims for various crops, conducting field inspections, and ensuring compliance with regulations...ClaimsPart timeSeasonal work
- A leading insurance adjusting firm is seeking Independent Insurance Claims Adjusters to join their team in Raleigh, North Carolina. This rewarding opportunity offers flexible work conditions and competitive compensation, allowing you to make a real difference in people...ClaimsFlexible hours
- A leading claims adjusting firm located in Garner, North Carolina, is seeking Licensed Insurance Claims Adjusters. This opportunity allows you to play a vital role in helping clients recover from unforeseen disasters while enjoying a flexible career path with competitive...ClaimsFlexible hours
- ...assigned to insurance billing and coding specialists and electronic claims processors.Describe the health care delivery system.Explain the... ...the relationship of transactions and security with electronic data.Communicate (verbally and non?verbally) effectively and...ClaimsPart timeImmediate startRemote work
- ...seeking an Accounts Receivable Specialist to optimize AR recovery for RCMS clients. This hybrid role focuses on researching medical claims, preparing appeals, and interacting with insurance carriers to resolve claims and improve KPI results. No budget responsibilities...ClaimsWork at officeRemote work
- Integrated Care for Greater Health (ICGH) in North Carolina seeks an Outpatient Billing Specialist to manage insurance claims for behavioral health services. You will ensure accurate billing, monitor accounts receivable, and pursue unresolved or denied claims to support...Claims
- Veradigm is seeking an Accounts Receivable Specialist to manage AR recovery for RCMS clients, researching medical insurance claims and preparing appeals to interactions with carriers. The role supports Operations and Client Services to drive AR processes and achieve KPI...ClaimsWork at office2 days per week
- ...Cycle Management professional to manage accounts receivable related to RCMS clients, researching and responding to medical insurance claims and preparing appeals for carriers. You will support operations and client services by driving AR processes and achieving KPI...ClaimsWork at office
- A remote data analytics company is looking for a qualified Data Analyst to join their team. In this full-time position, you will convert complex data into actionable insights that guide critical corporate decisions. Responsibilities include analyzing large datasets, creating...Remote jobFull time
- Solera Holdings, Inc. is seeking a Field Claims Representative (Virtual US) to manage insurance property claim inventories and support business development. The role requires coordinating with field and service managers, maintaining customer relations, and following safety...Claims
- ...drive the recovery and management of accounts receivable for RCMS clients. The role involves detailed research on medical insurance claims and crafting appeals to interact with carriers and resolve claims, supporting operations and client services. It is a hybrid role...ClaimsWork at office
- ...patient records and assign accurate medical codes for diagnoses, procedures, and treatments. Prepare, submit, and follow up on insurance claims, including unpaid or denied claims. Verify patient insurance information and eligibility. Maintain accurate billing records and...ClaimsFull timeMonday to FridayDay shift
- Quartz Valley in Raleigh, NC is seeking a full-time Claims Adjuster to assess and investigate insurance claims, determine damages, and... ...with teams such as marketing, sales, and support. You will analyze data using Excel, PowerPoint, and Salesforce, generate reports, and...ClaimsFull timeWork at office
- ...when necessary. * Evaluates prescription claim history. * Reviews chart notes and/or... ...directly to physicians via fax or phone encounter; or to pharmacy technicians via memo or on... ...alternatives * Retrieves and collects data through available reporting resources (i....ClaimsWork at officeRemote work
- ...Insurance Consumer Analyst II (NS) The mission of the North Carolina Department of Insurance is to promote a stable insurance market... ...insurance experience required, including underwriting, claims, policyholder services, or an equivalent combination of education...Claims
$50k - $75k
...Manage customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. QUALIFICATIONS Strong...ClaimsFull timeWork at officeFlexible hours- ...Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance... ...with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication...ClaimsTraineeshipLocal area
$26.49 - $40.99 per hour
...for creating a comprehensive estimate of damages for 1st and 3rd party RV, Heavy Equipment, trailers, and Motorcycle material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical...Claims- ...join a personal injury law firm in Raleigh, NC. This position is responsible for managing a high-volume caseload of personal injury claims from intake through resolution while providing exceptional support and communication to clients throughout the claims process....ClaimsWork at office
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