Healthcare RCM Data Analyst: Prior Auth & Claims
Janus Health LLC Defunct
Janus Health is seeking a motivated Business Analyst for their Prior Authorization and Enriched Claim Status Automation Product Team in Dallas, TX. The role involves analyzing complex datasets to identify growth opportunities and drive automation solutions aimed at improving revenue cycle operations for healthcare clients. The ideal candidate should have 1-3 years of experience in healthcare settings, strong analytical skills, and a solid understanding of EDI transactions. Familiarity with EPIC and clinical documentation is a plus. #J-18808-Ljbffr
- ...Itlearn360 is seeking a Data and Reporting Specialist in Dallas, TX. This role is responsible for analyzing large datasets from billing, claims, and revenue cycle processes in a fast-paced healthcare company. The ideal candidate holds a Bachelor's degree in a relevant...Claims
- ...and confusing landscape of healthcare. We hope that through this... ...process. Technical Business Analyst - Healthcare Data Reporting The... ...data related to accumulators, claims, eligibility, and benefit structures... ...analytics environment. Prior involvement in operational...ClaimsTemporary workWork at office
- ## Sr. Healthcare Data Analyst - EpicApplylocations: Dallas, TXtime type: Full timeposted on: Posted Todayjob requisition id: JR5801Our patients... ...electronic medical records, patient experience surveys, claims, and administrative systems to discover meaningful analytical...ClaimsRemote work
- ...Data and Reporting Specialist job at Exceptional Healthcare Inc. Dallas, TX. SUMMARY Responsible for analyzing large datasets from billing, claims, and revenue cycle processes of a high-volume, US corporate... ...analysis and automation. Prior involvement in FP&A or financial...Claims
- ...in a world where healthcare functions... ...driven Business Analyst with a strong foundation... ...to join our Prior Authorization and Enriched Claim Status Automation... ...the healthcare data landscape, including... ..., and prior auth submission requirements... ...systems, and RCM platforms;...ClaimsWork at officeRemote workLong distanceShift work
- ...Aar Data Analyst Trinity Industries is seeking an AAR Analyst based out of our Dallas, TX... ...follow-through on disputed and accepted claims. The AAR Administrator applies AAR billing... ...Rule 111/112/113 and CRB workflows. Prior experience handling exception letters, rebuttals...ClaimsContract workWork at office
- ...A confidential healthcare organization is seeking a detail-oriented Entry... ...medical billing, insurance claims, patient account questions, coding... ..., growth, and advancement. No prior medical office experience is... ...tasks, including data entry, document processing, scanning...ClaimsWork at office
- ...with the resolution of problem claims, payment requests, and managed... ..., and required documentation prior to authorization. Accurately... ...attention to detail and data entry accuracy Preferred... ...experience Experience in a healthcare insurance environment Skills...ClaimsFor contractorsWork at officeImmediate start
$21 - $25 per hour
...Healthcare Claims Intake Specialist Addison, TX | Full-Time | Direct Hire & Contract-to-Hire $... ...patient insurance coverage, enter billing data accurately into practice management... ...patient insurance coverage and benefits prior to procedures Ensure all required documentation...ClaimsHourly payFull timeContract workWork at office- ...Caris MPI, Inc. is seeking an Account Receivable Associate in Irving, Texas. This role involves reviewing denied claims with various insurance companies, checking claim status, and ensuring compliance with billing practices. Candidates should have a high school diploma...Claims
- ...A leading IT recruitment consultancy in Texas is seeking an individual experienced in claims processing and analytics within the healthcare insurance sector. The ideal candidate will be responsible for managing the lifecycle of claims as they are submitted and processed...Claims
$99k - $232k
...team, you will apply advanced data science and machine learning techniques to large-scale claims, clinical, and member data to surface... ...making a significant impact in healthcare. Responsibilities Apply... ..., Biotechnology preferred Prior consulting or advisory firm...ClaimsFull timeH1b- ...A healthcare provider in Dallas is seeking a Revenue Cycle Specialist to manage claims and payments. This role involves verifying billing requirements, resolving discrepancies... ...Requirements include at least 2 years of experience in RCM, strong communication skills, and ability to...ClaimsWork at officeRemote work
- ...Janus in Dallas, Texas, is seeking a motivated Business Analyst to join our Prior Authorization and Enriched Claim Status Automation Product Team. This role involves data analysis to drive product evolution in healthcare revenue cycle management, emphasizing client-centric...Claims
- ...as well as prospective and retrospective claims. The physician reviewer will provide an interpretation... ...necessity of services provided by other healthcare professionals in compliance with client-... ...utilized in a review with the report prior to the due time of the case Returns...ClaimsFor contractorsRemote work
- ...Healthcare Payer Claims Solution Specialist Must have very good understanding of the healthcare payer... ...10 years in the domain. Must have a prior experience in implementing/maintenance... ...have good experience in Reference code/data sets required in Claims adjudication...Claims
$18.5 - $19.5 per hour
...Description Job Description Dental Claims Resolutions Specialist... ...• Revenue Cycle Management (RCM) and Accounts Receivable (AR)... ...degree or technical certificate in healthcare administration or related... ...for text messages. Message and data rates may apply. Carriers are...ClaimsHourly payExtra incomeFull timeTemporary workWork at officeImmediate startMonday to FridayShift work- ...established industry player is seeking a skilled Business Analyst with extensive healthcare experience. This role involves product development,... ...will be responsible for enhancing KPI reporting, conducting data analysis for operational effectiveness, and driving process...
- ...Job Requirements ~8+ years as a hands-on IT reporting data analyst. ~4+ years of experience in reporting or data analysis within... ...insurance source systems such as Guidewire (Policy, Billing, Claims), Genius, and SAP. ~ Strong SQL skills and experience querying...Claims
- ...Job Location: ADDISON, TX 75001 Overview A Healthcare Claims Denial Management Specialist is responsible for identifying, analyzing, and resolving denied or underpaid medical insurance claims. This role ensures accurate reimbursement by working with payers, internal billing...Claims
- 9141569 Claims Examiner - Healthcare Claims Processing (UB-04 & CMS-1500) Location: Irving, TX (Onsite) Duration: 3-Month Contract Schedule... ...healthcare claims processing, medical claims adjudication, data entry, and HIPAA-compliant environments. The ideal...ClaimsContract workMonday to Friday
- ...experienced Medical Accounts Receivable (AR) Specialist to join our healthcare billing team. The ideal candidate will be responsible for... ...a solid understanding of medical billing procedures, insurance claim processes, denial management, and payer regulations....ClaimsFull timeWork at office
- ...hiring an innovative and team-oriented RWD Data Analyst who will work closely with Loopback... ...This position will give exposure to how healthcare data is used to support clinical... ...large-scale healthcare data warehouse (claims, EHR, pharmacy, etc.) to support answering...ClaimsFull timeVisa sponsorshipWork visa
- ...within one year of employment. Prior experience working in assigned... ...clinical applications of the data to practice area. Objectively... ...medical and advertising claims for medication products. May be... ...related contact such as management, healthcare professionals, staff, and...ClaimsLocal area
- ...Reporting Data Analyst The Senior Reporting Data Analyst brings 13+ years of experience in enterprise data warehousing and reporting,... ...Domain SME across P&C insurance subject areas including policy, claims, billing, and financials. Demonstrate deep expertise in...ClaimsWork at office
- ...and 'Spread the Smile. Summary NCD is seeking a Data Analyst to join our growing Data team. This role is... ...billing, payment, eligibility, commission, carrier, claims, member, or agent data. Experience in insurance, healthcare, benefits, fintech, or another data‑heavy...ClaimsWork at officeRemote workWork from home
- ...About the job Data Analyst / Entry Level - Remote This position will help develop new reporting... ...Bachelors degree in Business, Healthcare Administration, Information Technology... ...Experience in Medicare Advantage plan and Claims Excellent analytical and problem-solving...ClaimsWork experience placementLocal areaRemote work
- ...within one year of employment. Prior experience working in assigned... ...clinical applications of the data to practice area. Objectively... ...medical and advertising claims for medication products. May be... ...related contact such as management, healthcare professionals, staff, and...ClaimsLocal areaRotating shift
$125k - $140k
...Description Senior Pharmacy Data Analyst AArete is one-of-a-kind when it comes to consulting... ...to analyze large-scale pharmacy and claims datasets, generate insights, and... ...making across pharmacy operations and healthcare programs. The role involves managing pharmacy...ClaimsContract workTemporary workWork at officeFlexible hours- ...enterprise mobility, process automation, data analytics, web & mobile app, cloud and custom... ...SUMMARY The Production Support Data Analyst is a hands-on position with a focus on... ...warehouse. Possess 4 years of Policy & Claims Insurance subject-matter expertise. Candidate...Claims
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